Director of PBM Network Contracting
United States
Company
NavitusAbout 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.Pay Range
USD $120,524.00 - USD $150,655.00 /Yr.Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am to 5pm CSTRemote Work Notification
ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.Overview
Navitus Health Solutions is seeking a Director, PBM Network Contracting to join our Pharmacy Network Contracting department! This role is ideal for someone with previous pricing experience with a PBM.
Reporting to the Vice President, Network Management, the Director, Network Contracting is responsible for establishing, entering into, evaluating, and monitoring reimbursements to pharmacy (and other) providers for pharmaceutical dispensing and related services. The individual in this position is responsible for ensuring Navitus obtains market-leading discounts from providers on behalf of its clients and prospective clients, as well as compliance of contractual terms by Navitus to the provider, and vice versa. The individual will negotiate with national and regional chain providers; pharmacy services administrative organization entities, and independent providers. The Director, working in a team environment, will assist with establishing strategies to identify discount opportunities and effectively employ tactics to improve discounts for pharmacy services from providers. The individual will consult with the Pharmacy Network Sales Support Team in support of the department’s responsibility to provide price responses in RFPs for prospective client opportunities. This position works cross functionally with other teams in regard to generic drug trends and discount change effects. The Director is also responsible for strategy to configure provider networks to maximize clients’ access, discount, and quality requirements.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
- Primary accountability for executing pharmacy network strategies to meet clients and Navitus needs for all lines of business and programs, including Commercial, Medicare Part D, Managed Medicaid, …
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Hawaii Maine Mississippi New Hampshire New Mexico No remote work for residents of specific states Rhode Island South Carolina South Dakota West Virginia Wyoming
Benefits/Perks20 days paid time off 401k company match 4 weeks 4 weeks paid parental leave 9 Paid Holidays Adoption Assistance Creativity Diversity Diversity and creativity Educational Assistance Flexible Spending Account Growth Opportunities Paid holidays Paid parental leave Paid Time Off Referral Bonus Remote work Vision Insurance
Tasks- Collaborate with cross functional teams
- Negotiate contracts
Client Services Compliance Contract Negotiation Creativity Health Healthcare Insurance Leadership Medicaid Medicare Medicare part d Network management Pharmaceutical Pharmacy benefit management Pricing strategy Provider Relations Reimbursement Reporting Sales
Experience5 years
EducationBusiness Equivalent work experience
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9