Director, Network Pricing & Market Planning — Remote Leadership

Navitus; Dover (DE); Remote; USD 170,000 - 230,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

401K with company match

Adoption assistance

Flexible Spending Account

Educational assistance

Referral bonus

Job summary

Navitus Health Solutions is seeking an experienced Director, Network Pricing & Market Planning to own pharmacy network financial performance across all lines of business, including achieving contracted reimbursement guarantees and MAC pricing outcomes.

You will lead the Network Reconciliation and MAC Pricing teams, translating pricing strategies into measurable results and partnering with Network Contracting, Underwriting, Finance, and Analytics to align terms with outcomes across the enterprise.

Qualifications

• Bachelor’s degree in Business, Finance, Economics, or Healthcare Administration, or related field, or equivalent work experience, required.
• 7+ years of progressive PBM, healthcare plan, pharmacy network, or related experience required.
• 3+ years of leadership experience with a proven ability to develop high-performing teams and deliver tangible results in a professional services environment required.
• Demonstrated experience in pricing strategy, market analysis, or network planning required.
• Experience supporting RFP pricing and competitive market analysis required.

Responsibilities

• Lead Network Reconciliation function with accountability for validated performance vs contracted rates and guarantees.
• Own reconciliation outcomes across lines of business, ensuring accurate financial settlement.
• Monitor, measure, and report network performance against targets and drive corrective actions.
• Provide governance across reconciliation activities and ensure audit readiness.
• Oversee MAC Pricing strategy, governance, and pricing adjustments to address performance gaps.

Skills

Pricing strategy

Market analysis

Network planning

Leadership

Reimbursement analytics

Education

Bachelor's degree in Business/Finance/Economics/Healthcare Administration

Job description

Navitus Health Solutions is seeking an experienced Director, Network Pricing & Market Planning to own pharmacy network financial performance across all lines of business, including achieving contracted reimbursement guarantees and MAC pricing outcomes.

You will lead the Network Reconciliation and MAC Pricing teams, translating pricing strategies into measurable results and partnering with Network Contracting, Underwriting, Finance, and Analytics to align terms with outcomes across the enterprise.