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Home Flexible Job Board Clinical Account Executive, Specialty (RPh) (Health Systems)

$116,019–145,024/yr 40d ago

Clinical Account Executive, Specialty (RPh) (Health Systems)

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Navitus Health Solutions, LLC

US

Full-time Permanent Remote

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Summary

The Clinical Account Executive manages and grows relationships with clinic accounts to ensure seamless prescription management and high client satisfaction. They serve as a clinical liaison between medical staff, pharmacies, and insurance providers while monitoring claim performance and optimizing referral processes.

Job Description

Company

Lumicera

About Us

Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. ._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. ______________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $116,018.84 - USD $145,023.54 /Yr.

STAR Bonus % (At Risk Maximum)

13.50 - Manager, Clinical Mgr, Pharm Supvr, CAE, Sr CAE I

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am-5pm

Remote Work Notification

ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming.

Overview

Due to growth, we are adding a Clinical Account Executive to our team.

The Clinical Account Executive at Lumicera Health Services is a remote position responsible for managing and growing relationships with clinic accounts, ensuring a seamless referral and prescription management process with a strong clinical focus. This role builds on expertise in specialty pharmacy and client engagement, collaborating with Sales and Account Management leadership to address clinical needs, resolve issues, and drive client satisfaction. The position emphasizes professional communication, proactive follow-up, and clinical oversight to support both patient outcomes and business goals. As Lumicera Account Management and volume grow, additional accounts will be assigned to the Clinical Account Executive to accommodate expanding needs. 

Is this you? Find out more below!  

Responsibilities

How do I make an impact on my team?   

  • Develop and maintain robust, professional relationships with clinic contacts, delivering exceptional service with a client-facing sales approach to enhance satisfaction and confidence in Lumicera’s services.
  • Oversee the prescription referral process, including prior authorizations, ensuring compliance with regulatory and company standards while addressing clinical nuances specific to each account.
  • Meet frequently with Sales and Account Management leadership to evaluate progress, share account updates, and align clinical support with business objectives to meet clinic and patient needs. Successfully utilizing tools within electronic medical records to identify opportunities for specialty medication referral optimization in collaboration with providers and internal stakeholders is expected, where applicable.
  • Serve as the primary point of contact for resolving clinic-related issues, leveraging clinical expertise and coordinating with support teams to ensure timely and effective solutions.
  • Act as a liaison between medical staff, pharmacies, insurance providers, and patients, ensuring all email and verbal interactions are professional, polished, and infused with a client-facing sales vibe to foster trust and engagement. Where applicable, timely and effective use of communication platforms and protocols within electronic health records will be essential to driving success with providers and their teams. 
  • Proactively follow up with all accounts requiring clinical intervention or oversight, tracking progress and ensuring issues are addressed to maintain high service levels.
  • When routine duties are complete, support pharmacist workflows by offering clinical insights or workflow assistance, optimizing team efficiency and patient outcomes.
  • Utilize the CRM system to investigate contacts, track account activities, and maintain detailed records to enhance client engagement and operational efficiency.
  • Monitor the financial performance of claims and referrals submitted by prescribers, evaluating whether to retain or triage prescriptions to optimize revenue and patient outcomes.
  • Use the Lumicera Prescriber Portal for communication and training of accounts and their respective prescribers and staff, enabling them to view and obtain Rx referral updates and patient information to enhance collaboration and efficiency.
  • Uphold compliance program objectives, adhering to all federal and state laws with the highest ethical standards.
  • Perform additional tasks as assigned by upper management to support Lumicera’s mission and operational success.  
  • Minimal travel may be required for account management purposes; coordinate with direct supervisor to arrange details as needed.
  • Other duties as assigned. 

Qualifications

What our team expects from you?  

  • Bachelor’s degree in pharmacy or Pharm D required. 
  • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months. 
  • 2 years in specialty pharmacy or a clinical account management role within healthcare, with proven experience in client-facing positions and clinical oversight.
  • Participate in, adhere to, and support compliance program objectives.
  • The ability to consistently interact cooperatively and respectfully with other employees. 

What can you expect from Lumicera?

  • 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!

#LI-Remote

Location : Address

Remote

Location : Country

US

About the company

Navitus Health Solutions, LLC

Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time.

Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.

Founded

2003

Company size

1,001-5,000 employees

Industry

Hospitals and Health Care

Org type

Privately Held

Headquarters

Madison, WI

Apply Now

About the company

Navitus Health Solutions, LLC

Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time.

Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.

Founded

2003

Company size

1,001-5,000 employees

Industry

Hospitals and Health Care

Org type

Privately Held

Headquarters

Madison, WI

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