Director, PBM Rebate Industry Relations and Contracting

Navitus Health Solutions

California

On-site

USD 152,000 - 190,000

Full time

14 days+

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Benefits offered by this job

Health, Dental, Vision insurance

Paid time off

Parental leave

Paid holidays

401K match

Job summary

Navitus Health Solutions is seeking a Director of Industry Relations & Contracting to lead the team negotiating rebates and discounts with pharmaceutical manufacturers, shaping formulary inclusion and budget impact. You will drive cost-effective contracts and support P&T decisions with financial modeling and forecasting.

The role reports to the Sr. Director and requires building cross-functional relationships, strategic contract design, and leadership of a growing team.

Qualifications

Bachelor’s degree in Pharmacy or Pharm. D preferred; MBA or related degree/experience desired.
At least 5 years PBM/Healthcare plan experience preferred; strong emphasis on rebate contracting and formulary management.
At least 1 year of contract negotiation experience with Commercial, Medicaid, and Medicare Part D rebate contracting (or equivalent).
Pharmacist should have or can obtain an unrestricted licensure in Wisconsin.
Up to 20% travel time required.
Valid driver’s license required.
Participate in, adhere to, and support compliance program objectives.
Ability to interact cooperatively and respectfully with others.

Responsibilities

Proactively build and maintain strong relationships with Pharma, customers, Navitus, and partners.
Ensure appropriate Pharma sources and resources are in place to meet Navitus’ needs.
Develop and implement strategies for a competitive Pharma contract structure with agreements, analytics, and audit programs.
Work with Navitus’ teams to ensure rebates/discount contracts are understood and supported by P&T processes.
Lead Pharma negotiations and explore opportunities to expand high net rebates and discounts for the lowest net cost PBM.
Lead, train and develop the IRC team for career progression.
Other duties as assigned.

Skills

Rebate contracting

PBM experience

Contract negotiations

Education

Bachelor’s degree in Pharmacy or Pharm. D

MBA or related degree/experience

Job description

About 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._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Navitus

About Us

Pay Range

USD $152,000.00 - USD $190,000.00 /Yr.

STAR Bonus % (At Risk Maximum)

15.00 - Director, GM of GP, PIC

Work Schedule Description (e.g. M-F 8am To 5pm)

M-F 8am to 5pm

Remote Work Notification

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

Are you a pharmacist with rebate strategy experience? If so, we are looking for you! Navitus Health Solutions is seeking a Director, Industry Relations & Contracting to join our team.

Reporting to the Sr. Director, Industry Relations, the Director, Industry Relations & Contracting is responsible for leading the team of Rebate Contractors to support the maintenance and enhancement of effective relationships with all pharmaceutical manufacturers (Pharma). This includes negotiating contracts with respect to rebates and discounts for formulary inclusion to meet Navitus’ existing and future needs. Leading the IRC team in P&T meetings and working with the Drug Information team will be critical in supporting the clinical/economic value that the Navitus Formulary provides to clients. Providing formulary decision support through appropriate cost modeling, rebate forecasting and budget impact analysis will be an ever-increasing responsibility as more client custom formularies are being implemented and contracted. The Growth on Indication Based, Value-Based and Medical Rx contracts will be of increasing importance.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

Proactively building and maintaining strong and effective working relationships throughout Pharma, customers, Navitus, and other business partners/vendors
Ensuring the appropriate Pharma sources and internal and external people/resources are in place to meet Navitus’ current and future needs
Developing and successfully implementing strategies and action plans for establishing and enhancing a competitive Pharma contract structure for Navitus which meets current and future needs of Navitus and its customers. This includes ensuring that appropriate agreements, analytical processes, and audit programs are in place
Working closely with Navitus' operational teams to ensure that Pharma contracts with respect to rebates and discounts are fully understood, and proactively leading the resolution of rebate issues. Support Navitus internal and client external P&T processes with financial modeling and presentations
Leading Pharma negotiations and working with others to proactively seek and capitalize on opportunities to profitably expand the scope of high net rebates and discounts that are obtained for the ultimate creation of the lowest net cost PBM for Navitus’ clients
Lead, train and develop the team of Navitus Contractors to allow for career development
Other duties as assigned

Qualifications

What our team expects from you?

Bachelor’s degree in Pharmacy or Pharm. D is preferred. MBA or applicable degree or experience is desired
At least 5 years PBM/Healthcare plan experience is preferred; with a strong preference for individuals with rebate contracting and formulary management experience
At least 1 year experience in contract negotiation with preference in Commercial, Medicaid, and Medicare Part D rebate contracting (or equivalent experience)
Pharmacist should have or could obtain an unrestricted licensure in Wisconsin
Up to 20% travel time required
Valid driver’s license required
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?