Senior Provider Network & RFP Specialist (Remote)

Navitus Health Solutions, LLC; United States; Remote; USD 60,214 - 72,547; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

Paid holidays

401K match

Adoption assistance

Flexible spending

Education assistance

Professional membership

Referral bonus

Job summary

Navitus Health Solutions, LLC is seeking a Sr. Specialist, Provider Services Support to act as the SME for pharmacy network RFPs and related content. You will support research and resolution of network service requests while maintaining accurate, consistent responses that reflect Navitus’ value proposition.

You will collaborate with internal teams to investigate issues, respond to inquiries, and drive timely, high-quality solutions for clients and partners.

Qualifications

• Bachelor’s degree or higher in healthcare administration, business, pharmacy or related field.
• Pharmacy technician certification preferred.
• 3+ years of PBM sales, proposals, client management, or project management experience.
• Solid understanding of PBM processes, pharmacy benefits and industry regulations.
• Experience in compliance program objectives and cross-functional collaboration.

Responsibilities

• Serve as the pharmacy network SME for RFPs, RFIs, and proposals.
• Develop, review, and maintain standardized network content in RFPIO libraries.
• Ensure responses are accurate, aligned with network strategy and pricing terms.
• Coordinate with internal teams to gather inputs and deliver client-ready responses.
• Research inquiries about network setup, pricing, claims, access, and escalations.
• Act as point of contact for network inquiries and ensure timely follow-up.
• Partner with Network Ops, Contracting, Analytics, Implementation to drive resolution.
• Track inquiries to completion with proper documentation and KPI reporting.
• Identify recurring issues and drive process improvements.
• Support RFP turnaround and knowledgebase utilization improvements.

Skills

PBM knowledge

Proposal management

Client management

Project management

Cross-functional collaboration

Compliance understanding

Education

Bachelor’s degree in healthcare administration, business management, pharmacy, or related field

Pharmacy technician certification

Tools

RFPIO

Job description

Navitus Health Solutions, LLC is seeking a Sr. Specialist, Provider Services Support to act as the SME for pharmacy network RFPs and related content. You will support research and resolution of network service requests while maintaining accurate, consistent responses that reflect Navitus’ value proposition.

You will collaborate with internal teams to investigate issues, respond to inquiries, and drive timely, high-quality solutions for clients and partners.