Director, PBM Network Pricing & Market Strategy

Navitus; Indianapolis (IN); Presencial; USD 140.000 - 190.000; Tempo integral

Resumo da vaga

Navitus is seeking an experienced Director, Network Pricing & Market Planning to own pharmacy network financial performance across all lines of business. You will ensure contracted rates, BER/GER performance and MAC pricing deliver expected outcomes and drive governance and reconciliation excellence.

The role partners with cross-functional teams to align terms with financial results, overseeing post-contract performance realization and pricing interventions as needed.

Qualificações

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

Responsabilidades

• 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 and drive corrective actions with Network 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.

Conhecimentos

Pricing strategy

Market analysis

Network planning

Leadership

Reconciliation

Governance

Audit readiness

Formação

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

Equivalent work experience

Descrição da vaga

Navitus is seeking an experienced Director, Network Pricing & Market Planning to own pharmacy network financial performance across all lines of business. You will ensure contracted rates, BER/GER performance and MAC pricing deliver expected outcomes and drive governance and reconciliation excellence.

The role partners with cross-functional teams to align terms with financial results, overseeing post-contract performance realization and pricing interventions as needed.