This role is for someone who can live in the details and still keep clients calm. You’ll support Clinical Account Executives by handling the tactical, day to day clinical work that keeps PBM clients running smoothly, from claims questions to prior auth builds to reporting.
About Epiphany Rx (powered by Navitus)
Epiphany Rx is part of Navitus Health Solutions, an alternative to traditional PBMs focused on removing cost from the drug supply chain and making medications more affordable. They’re mission-driven, service-focused, and big on collaboration.
Schedule
- Full-time, Remote
- Monday to Friday, 8:30 AM to 5:00 PM CST
- Pay range: $58,460 – $70,434 per year
- Bonus: 5% target (salaried non-management)
- Remote restriction: Not available to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, or Wyoming
- Travel: May travel to client sites
- Requires valid driver’s license + current auto insurance
What You’ll Do
- Support Clinical Account Executives with client requests, issue resolution, and daily clinical maintenance
- Respond to internal/external inquiries related to claims processing and clinical operations
- Build and maintain consultative review and Book of Business (BOB) templates in Excel
- Create and manage custom clinical reporting objects in Navigate 3D (consultative review, BOB data, high-cost meds, etc.)
- Coordinate assembly and processing of prior authorizations (MPAs) for new implementations and formulary changes
- Help ensure claims are processing correctly by coordinating cross-functionally with internal teams
- Develop and update training documents, procedures, and draft policies tied to new workflows
- Train and mentor newer coordinators (Navigate 3D, Navi-Claim, etc.) and serve as an internal resource
- Back up CAE responsibilities as needed
What You Need
- High school diploma or equivalent required (Associate’s or Bachelor’s preferred)
- 4+ years experience interfacing directly with clients and clinical teams (2 years as Clinical Client Services Coordinator II preferred)
- PBM or healthcare industry knowledge preferred
- Strong client communication skills (written and verbal), organization, multitasking, and problem-solving
- Advanced Excel preferred, plus comfort with common systems/tools (email, internet, MS Office)
- Ability to work with external TPAs and partners on day to day clinical activities
- CPhT preferred
- Must support compliance requirements and work well cross-functionally
Benefits
- Health, Dental, Vision
- 20 days PTO
- 4 weeks paid parental leave
- 9 paid holidays
- 401(k) match up to 5% (no vesting requirement)
- Adoption assistance
- Flexible Spending Account
Gut check: this isn’t “customer service.” It’s client-facing clinical operations with spreadsheets, systems, and prior auth work that has to be right. If you like structured chaos and you’re the person who fixes the process while everyone else complains about it, this is your lane.
Happy Hunting,
~Two Chicks…