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Clinical Account Executive, RPh
Navitus Health Solutions. Develop and communicate clinical recommendations, educational materials, and formulary-related messaging to physicians, members, clients, consultants, and other stakeholders.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical recommendations, formulary management, and pharmacy benefit programs, with a strong focus on evaluating clinical literature and medication utilization trends. Proficient in collaborating with stakeholders to enhance clinical outcomes and ensure compliance with industry standards.
Highest-signal resume keywords
Clinical Recommendations DevelopmentFormulary ManagementPharmacy Benefit Management ProgramsClinical Literature EvaluationClinical Account Management Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Prior Authorization ReviewsMedication Utilization ReviewsPharmacoeconomic AnalysisUtilization Trend AnalysisFormulary Development
Soft Skills
Collaborative CommunicationInterpersonal SkillsRespectful Interaction
Tools & Technologies
Microsoft ExcelMicrosoft PowerPointMicrosoft Word
Certifications & Qualifications
Registered Pharmacist LicensureBoard of Pharmacy Certification
Industry Keywords
Managed CareSpecialty MedicationsPharmacy and Medical Benefit KnowledgeP&T Committee ExperienceRegulatory Requirements
About the role
Key responsibilities & impact- Develop and communicate clinical recommendations, educational materials, and formulary-related messaging to physicians, members, clients, consultants, and other stakeholders.
- Support formulary management by evaluating medications, reviewing clinical evidence, and providing input into formulary and clinical policy recommendations.
- Assist in developing, implementing, and maintaining pharmacy and medical benefit management programs.
- Partner with clients to communicate clinical program performance, outcomes, and recommendations.
- Evaluate clinical literature, treatment guidelines, and emerging therapies for effectiveness, safety, and value.
- Analyze utilization trends and clinical data to identify opportunities for improved medication use, cost savings, and member outcomes.
- Perform clinical prior authorization reviews, coverage determinations, and retrospective medication utilization reviews.
- Collaborate with operations, customer service, account management, and pharmacy teams to investigate and resolve member-specific clinical issues.
- Support client meetings and address pharmacy-related questions with Account Managers and Account Executives.
- Serve as a clinical subject matter expert regarding specialty medications, formulary management, and utilization management programs.
- Maintain knowledge of industry trends, regulatory requirements, and specialty pharmacy developments.
- Present clinical, pharmacoeconomic, and specialty drug management information to clients, consultants, and healthcare professionals.
Requirements
What you’ll need- Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree required.
- Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts.
- Board of Pharmacy Certification preferred for Pharmacotherapy, Ambulatory Care, or Oncology Care.
- 3-5 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency required.
- Pharmacy and Medical specialty benefit knowledge and clinical account management experience required.
- Former P&T Committee experience or formulary development experience required.
- Microsoft Excel, Power Point and Word proficiency required.
- Participate in, adhere to, and support compliance program objectives.
- Ability to consistently interact cooperatively and respectfully with other employees.
Benefits
Comp & perks- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!