Director, Clinical Strategy – RPh

Navitus Health Solutions

Director of Clinical Strategy leading formulary strategy and clinical development for Navitus. Responsible for driving improved patient outcomes and cost management through strategic leadership.

Posted 7/9/2026full-timeRemote • Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Virginia, West Virginia, Wyoming • 🇺🇸 United StatesLead💰 $152,077 - $190,096 per yearWebsite

About the role

Key responsibilities & impact

Design, structure, and develop long-term evolution of enterprise formulary and utilization management strategy.
Accountable for the fiscal management of the department, including forecasting, budget development, ongoing variance monitoring, and trending.
Serve as the authority on formulary strategy decisions, incorporating clinical evidence, market dynamics, and financial considerations.
Provide clinical leadership in governance forums.
Develop and lead clinical and formulary strategies aligned to organizational growth, client needs, and industry trends.
Monitor emerging drug pipeline and therapeutic trends to proactively shape formulary positioning and strategy.
Lead clinical strategy input for new business pursuits and client retention efforts.
Foster cross-functional and inter-professional work teams to drive results in support of the strategic plan of the organization.
Ensure formulary and clinical strategies align with regulatory requirements, accreditation standards, and internal policies.
Design and oversee clinical criteria for prior authorizations, step therapy, and quantity limits to ensure appropriate medication use.
Maintain accountability for clinical integrity and appropriateness of decision-making.
Provide leadership, training, and supervision to team members.

Requirements

What you’ll need

Bachelor’s degree in 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.
8+ years of experience in PBM, managed care, or clinical pharmacy leadership required.
5+ years of experience leading multiple teams or functions with both clinical and business impact required.
Participate in, adhere to, and support compliance program objectives.

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!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Formulary ManagementUtilization ManagementBudget DevelopmentClinical Evidence AnalysisDrug Pipeline MonitoringClinical Criteria DesignPrior Authorization ProcessesStep Therapy ImplementationVariance MonitoringTrend Analysis

Soft Skills

LeadershipTeam SupervisionCross-Functional CollaborationTrainingCommunication

Certifications

PharmD DegreeRegistered Pharmacist License