Director, PBM Rebate Industry Relations and Contracting

Navitus; Sacramento (CA); Hybrid; USD 150,000 - 210,000; Full time

Benefits offered by this job

Top benefits: health, dental, vision

PTO 20 days

Parental leave 4 weeks

9 holidays

401K match up to 5%

Adoption assistance

FSAs

Education & professional membership支持

Referral bonus up to $750

Job summary

Navitus Health Solutions in California seeks a Director, Industry Relations & Contracting to lead the IRC team in negotiating pharma rebates, contracts, and formulary strategies. You will provide cost modeling and budget impact analyses to support client formularies and drive value.

Requirements include 5+ years PBM/healthcare contract experience, rebate contracting expertise, and a pharmacist license (Wisconsin) with up to 20% travel. Lead a growing team and collaborate across Navitus functions.

Qualifications

• Bachelor's degree in Pharmacy or Pharm. D preferred; MBA or applicable degree or experience desired.
• At least 5 years PBM/Healthcare plan experience preferred with rebate contracting and formulary management.
• At least 1 year experience in contract negotiation with preference in Commercial, Medicaid, and Medicare Part D rebate contracting.
• 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.
• Ability to interact cooperatively and respectfully with others.

Responsibilities

• Proactively building and maintaining strong relationships throughout Pharma, customers, Navitus, and partners.
• Ensuring appropriate Pharma sources and resources are in place to meet Navitus' needs.
• Developing strategies for a competitive Pharma contract structure with agreements, analytic processes, and audit programs.
• Working with Navitus operations to ensure rebates and discounts are understood; lead resolution of rebate issues; support P&T processes with modeling.
• Leading Pharma negotiations to expand high net rebates and achieve low net costs for clients.
• Lead, train and develop the Navitus Contractors team.
• Other duties as assigned.

Education

Bachelor's degree in Pharmacy

Pharm. D

MBA or applicable degree or experience

Job description

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?

• 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!

#LI-Remote

Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.

Equal employment opportunity, including veterans and individuals with disabilities.

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