Director, Network Pricing & MAC Strategy - Remote

Navitus; Trenton (NJ); À distance; USD 150 000 - 210 000; Plein temps

Avantages offerts par ce poste

Health insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Prof.\

Referral Bonus Program – up to $750

Résumé du poste

Navitus Health Solutions is seeking an experienced leader for Network Pricing & Market Planning with deep PBM expertise to translate pricing strategies into measurable financial outcomes.

The Director will own network financial performance, oversee MAC pricing, and drive reconciliation, governance, and post-contract performance realization across all lines of business. Leadership of cross-functional teams is essential.

Qualifications

• Bachelor’s degree in Business, Finance, Economics, or Healthcare Administration, or related field, or equivalent work experience.
• 7+ years of PBM, healthcare plan, pharmacy network, or related experience.
• 3+ years of leadership experience delivering results in a professional services environment.
• Demonstrated experience in pricing strategy, market analysis, or network planning.
• Experience supporting RFP pricing and competitive market analysis.
• Prior leadership or matrix-management experience preferred.
• Ability to interact cooperatively and respectfully with other employees.

Responsabilités

• Lead the Network Reconciliation function with accountability for validating pharmacy network performance against contracted effective rates (BER/GER) and pricing guarantees.
• Own reconciliation outcomes across all lines of business, ensuring accurate financial settlement and alignment to contract terms.
• Establish and enforce processes to monitor, measure, and report on network performance vs. contractual targets (e.g., AWP discounts, effective rate thresholds).
• Ensure audit readiness, financial transparency, and governance across all reconciliation activities.
• Provide oversight of pharmacy network performance across all pricing constructs (e.g., effective rate, MAC, NADAC, PAC, flat AWP).
• Lead the MAC Pricing team with accountability for development, maintenance, and performance of enterprise MAC pricing.

Connaissances

PBM experience

Pricing strategy

Leadership

Contracting knowledge

Formation

Bachelor's degree in Business, Finance, Economics, or Healthcare Administration

Description du poste

Navitus Health Solutions is seeking an experienced leader for Network Pricing & Market Planning with deep PBM expertise to translate pricing strategies into measurable financial outcomes.

The Director will own network financial performance, oversee MAC pricing, and drive reconciliation, governance, and post-contract performance realization across all lines of business. Leadership of cross-functional teams is essential.