Clinical Account Executive (RPh) - Archimedes

Navitus Health Solutions, LLC•,
•Remote

About The Position

Archimedes is seeking a Clinical Account Executive (RPh) to serve as the clinical expert for specialty medications across pharmacy and medical benefits. The role communicates with clients, brokers, consultants, prospects, physicians, nurses, pharmacists, and members about specialty drug management. The position provides clinical subject-matter expertise for formulary and utilization-management development and decisions. Its focus is divided between developing specialty-drug formularies across pharmacy and medical benefits and providing clinical account management. The role is remote, but Archimedes only offers remote work to residents of the states listed in the posting.

Requirements

  • Graduate of an ACPE-accredited school of pharmacy with a B.S. in Pharmacy or PharmD.
  • Current, unrestricted Registered Pharmacist licensure in the state of residence, or the ability to gain reciprocity within four months where required by state law or client contract.
  • Three to five years of clinical or managed care experience, or a clinical/managed care pharmacy residency.
  • Knowledge of pharmacy and medical specialty benefits and clinical account management experience.
  • Former P&T Committee experience or formulary development experience.
  • Proficiency in Microsoft Excel, PowerPoint, and Word.
  • Participate in, adhere to, and support compliance program objectives.
  • Consistently interact cooperatively and respectfully with other employees.

Nice To Haves

  • Board of Pharmacy Certification in Pharmacotherapy, Ambulatory Care, or Oncology Care.

Responsibilities

  • 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 to assess effectiveness, safety, and value.
  • Analyze utilization trends and clinical data to identify opportunities to improve medication use, reduce costs, and improve 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.
  • Partner with Account Managers and Account Executives to support client meetings, communicate clinical program performance, and address pharmacy-related questions.
  • Serve as a clinical resource and subject-matter expert on 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 clearly and actionably to clients, consultants, and healthcare professionals.
  • Perform other duties as assigned.

Benefits

  • Health, dental, and vision insurance
  • 20 days of paid time off
  • Four weeks of paid parental leave
  • Nine paid holidays
  • 401(k) company match of up to 5%, with no vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan
  • Professional membership assistance
  • Referral Bonus Program of up to $750
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