Director, Network Pricing & Market Strategy

Navitus; Boston (MA); Remote; USD 180,000 - 280,000; Full time

Benefits offered by this job

Health insurance

Time off 20 days

Parental leave 4 weeks

Holidays 9 days

401K match 5%

Adoption Assistance

FSAs

Educational assistance

Referral bonus

Job summary

Navitus Health Solutions seeks an experienced Director to drive pharmacy network pricing and market planning, owning reimbursement guarantees and MAC pricing outcomes across all lines of business. You will lead Network Reconciliation and MAC Pricing teams and translate pricing strategy into measurable financial results.

Collaborating with Network Contracting, Underwriting, Finance, and Analytics leadership, you will ensure post-contract performance aligns with terms and achieves targets.

Qualifications

• Bachelor’s degree in Business, Finance, Economics, Healthcare Administration, or related field.
• 7+ years of progressive PBM, healthcare plan, pharmacy network, or related experience.
• 3+ years of leadership experience developing high-performing teams.
• Demonstrated experience in pricing strategy, market analysis, or network planning.
• Experience supporting RFP pricing and competitive market analysis.
• Prior matrix-management experience preferred.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Responsibilities

• Lead the Network Reconciliation function with full 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. Identify variances and drive corrective actions with Contracting and Pricing teams.
• Insure audit readiness, financial transparency, and governance across all reconciliation activities.
• Provide oversight of pharmacy network performance across all pricing constructs, ensuring reported outcomes align with contracted reimbursement intent.

Skills

PBM pricing

Reimbursement analytics

MAC pricing

Pricing governance

Leadership

Stakeholder collaboration

Education

Bachelor’s degree in Business, Finance, Economics, Healthcare Administration or related field

Job description

Navitus Health Solutions seeks an experienced Director to drive pharmacy network pricing and market planning, owning reimbursement guarantees and MAC pricing outcomes across all lines of business. You will lead Network Reconciliation and MAC Pricing teams and translate pricing strategy into measurable financial results.

Collaborating with Network Contracting, Underwriting, Finance, and Analytics leadership, you will ensure post-contract performance aligns with terms and achieves targets.