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Navitus Health Solutions

Sr. Director, Clinical Account Management -PBM Clients

Navitus Health Solutions, Madison, Wisconsin, us, 53774

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Sr. Director, Clinical Account Management -PBM Clients Location : US-WI-Madison

ID : 2025-4879

Category : Administration

Position Type : Full-Time

Remote : Yes

Company Navitus

About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.

Pay Range USD $157,983.00 - USD $197,479.00 /Yr.

Work Schedule Description M-F 8am-5pm, CT

Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview Are you a former pharmacist who has moved into a sales role? Navitus Health Solutions is seeking a Sr. Director of Clinical Account Management to join our team!

The Sr. Director of Clinical Account Management (SDCAM) leads the Clinical Account team and applies their understanding of healthcare trends by bringing a clinical voice to our current and prospective clients. This includes directing the vision, strategy, and design for the overall clinical product and service offerings, including but not limited to utilization management, population health, specialty pharmacy, and clinical support of Medicare and Medicaid programs. In addition, the SDCAM oversees and directs all operational, financial, compliance and contractual aspects of the Navitus Clinical Account Management team. The SDCAM provides leadership, direction, and skill development for Team to accomplish key goals and objectives and leverage cross-functional support. The SDCAM understands the PBM industry and the Navitus advantage as compared to its competitors and leverages a high level of initiative and creativity to be effective. Job success requires the ability to reason and translate clinical information, making it consumable for clinical and non-clinical audiences. Knowledge of formulary managed care systems, principles, and practices (e.g., DUR and prior authorization) is advantageous to role effectiveness.

Is this you? Find out more below!

Responsibilities How do I make an impact on my team?

Establishes and oversees execution of departmental strategic initiatives that support the organization's goals and growth

Directs, manages, and develops departmental staff through the creation of training opportunities focused on both clinical and professional skills

Directs and manages annual departmental budget to assure departmental financial success

Ensures departmental interfaces, cross training, staffing, and processes are established and maintained that increase operational capabilities, efficiencies, and service levels

Maintains knowledge of industry trends by developing and maintaining relationships with industry and community groups as well as national conference participation

Participates in final review of large strategic health plan and employer proposals, ensuring responses align with an appropriate clinical offering to demonstrate Navitus as an industry leader; this may include attending finalist meetings

Partner with account management, implementation leaders, and the analytics team to provide quality service and intelligence that preserves our high client satisfaction scores and retention rates

Represent Navitus in appropriate industry events and publications to enhance market visibility in support of new business development

Participate as needed in meetings with clients, prospects, consultants, and brokers in support of client needs, retention, and new business development. This includes actively planning and delivery of programming to the Client Advisory Group

Other duties as assigned

Qualifications What our team expects from you?

A minimum of a

bachelor's degree in pharmacy

15+ Years PBM or health plan experience

Strong leadership and team management experience

5+ years experience in a client facing and management role preferred

Experience leading organizational and cultural transformations preferred

5+ years leading and developing teams required

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 Navitus?

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!

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Location 361 Integrity Drive, Madison, WI 53717, US

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