Director, PBM Rebate Industry Relations and Contracting
Navitus Health Solutions / Lumicera Health Services
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Benefits offered by this job
Job summary
Navitus Health Solutions is seeking a Director, Industry Relations & Contracting to join our team in Madison. The role leads the Rebate Contractors to support strong relationships with pharmaceutical manufacturers and to negotiate contracts with rebates and discounts for formulary inclusion.
Reporting to the Sr. Director, Industry Relations, you will drive cost modeling, rebate forecasting, and budget impact analyses while guiding P&T processes and cross-functional teams.
Qualifications
- Bachelor’s degree in Pharmacy or Pharm. D is preferred.
- MBA or applicable degree is desired
- 5+ years PBM/Healthcare plan experience preferred
- 1 year experience in contract negotiation (Commercial/Medicaid/Part D)
- Pharmacist licensure in Wisconsin or eligible
- Up to 20% travel
- Valid driver’s license
- Participation in compliance program objectives
- Ability to interact cooperatively with colleagues
Responsibilities
- Lead and develop the team of Rebate Contractors to support relationships with pharma manufacturers.
- Negotiate contracts with rebates and discounts for formulary inclusion.
- Provide cost modeling, rebate forecasting, and budget impact analyses.
- Support P&T processes and cross-functional teams with presentations.
- Identify opportunities to expand high net rebates and discounts for Navitus’ clients in a compliant manner
Skills
Education
Job description
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!
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
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?
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 dayspaid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membershipassistance
- Referral Bonus Program – up to $750!
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