Sr. Director, Industry and Payor Strategy

Navitus Health Solutions, LLC; United States; Remote; USD 174.000 - 218.000; Vollzeit

Benefits dieser Stelle

Health insurance

PTO & holidays

Parental leave

401K company match

Adoption Assistance

Flexible Spending Account

Educational Assistance

Referral Bonus Program – up to $750!

Zusammenfassung

Lumicera Health Services is seeking a Sr. Director, Industry and Payor Strategy to join our team. This leader will shape a multiyear strategy to expand patient access, strengthen partnerships with manufacturers, PBMs, payors, and health systems, and drive sustainable growth.

The role leads a high‑performing team, negotiates complex contracts, and aligns payor strategy with Lumicera’s goals. You will build executive relationships and oversee procurement and GPO contracting to deliver access and

Qualifikationen

• Bachelor’s degree in Business, Healthcare, Health Services, Pharmacy, or a related field, or equivalent work experience, required. MBA, MHA, or PharmD from an accredited pharmacy school preferred.
• 10+ years of progressive experience in specialty pharmacy, pharmaceutical industry relations, market access, payor or PBM strategy, trade relations, account management, or a related industry, required.
• 5+ years of progressive leadership experience, including strategic oversight and experience leading individual contributors and/or other leaders, required.
• Experience in contract negotiation required, with strong preference in specialty or PBM rebate contracting.
• Knowledge of specialty pharmacy medications, including REMS requirements and Limited Distribution Drug (LDD) best practices, required.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Aufgaben

• Serve as a strategic advisor to the Chief Growth Officer and senior leadership, translating industry and payor insights into recommendations on market positioning, partnership priorities, investment decisions, and enterprise growth opportunities.
• Lead and develop a high-performing industry and payor strategy team; establish clear decision rights, priorities, and accountability for strategic execution, partner outcomes, and financial results.
• Build organizational capability through leadership development, succession planning, coaching, and continuous improvement; align team structure and capabilities with evolving industry and payor priorities.
• Own the development and execution of the multiyear industry and payor strategic plan, including annual operating priorities, resource allocation, departmental budgets, and measurable growth, access, and profitability objectives aligned with Lumicera’s enterprise strategy.
• Provide leadership and management to ensure that the mission and core values of Lumicera are put into practice and shared with strategic partners.
• Lead executive and cross-functional alignment on strategic priorities, communicating business cases, tradeoffs, risks, and progress to secure sponsorship and drive coordinated execution across commercial, clinical, operations, finance, legal, and compliance teams.
• Define and lead payor strategy across health plans, PBMs, and other purchasers, prioritizing network access, preferred specialty pharmacy positioning, reimbursement sustainability, and strategic partnerships that support patient access and profitable growth.
• Direct complex negotiations with manufacturers, payors, PBMs, wholesalers, GPOs, and health systems for distribution, procurement, network participation, reimbursement, and service agreements. Establish negotiation objectives and financial guardrails, obtain required approvals, and oversee implementation, contractual compliance, and realization of agreed-upon economics.
• Develop and steward executive-level relationships with pharmaceutical manufacturers, payors, PBMs, wholesalers, GPOs, health systems, and providers; establish joint strategic plans that expand access, reduce costs, diversify revenue, and strengthen long-term partnership value.
• Lead cross-functional development of differentiated payor and industry value propositions, including clinical outcomes, patient experience, total cost of care, and service capabilities; translate these into partnership proposals, requests for proposal responses, and scalable commercial offerings.
• Establish portfolio-level contracting strategy and governance, including pricing and reimbursement frameworks, renewal priorities, performance guarantees, analytical controls, and audit processes. Evaluate contract profitability, concentration risk, and strategic fit, and recommend corrective actions or alternative arrangements.
• Own the manufacturer access and specialty product portfolio strategy, prioritizing LDD opportunities, enhanced service programs, and emerging therapies. Direct launch readiness and agreement implementation to align product access with payor coverage, operational capabilities, and patient needs.
• Other duties as assigned.

Kenntnisse

Leadership

Contract negotiation

Strategic thinking

Payor strategy

Ausbildung

Bachelor’s degree in Business, Healthcare, Health Services, Pharmacy, or related field

MBA, MHA, or PharmD preferred

Jobbeschreibung

Company

Lumicera

About Us

Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. ._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.

Pay Range

USD $174,113.00 - USD $217,641.00 /Yr.

STAR Bonus % (At Risk Maximum)

20.00 - Sr Director

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

M-F: 8AM- 5PM

Remote Work Notification

ATTENTION: Lumicera is only able to offer remote work to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin

Overview

Lumicera Health Services is seeking a Sr.Director,Industry and Payor Strategyto join our team!

TheSr.Director,Industry and Payor Strategy provides strategic leadershipforLumicera’s industry partnerships, payor strategy, and specialty pharmacy market access. This leader establishes and executes a multiyear strategy that expands access to medications and payor networks, strengthens competitive positioning, and delivers sustainable growth and financial performance. The role leadsa team of experienced professionalsand develops executive-levelrelationships with pharmaceutical manufacturers, health plans, pharmacy benefit managers (PBMs), wholesalers,group purchasing organizations (GPOs),health systems, and otherstrategic partners. Accountability includeslimited distributiondrug (LDD) access, manufacturer andenhanced serviceagreements, payor network participation and reimbursement strategy, procurementand GPO contracting, and health system partnerships.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Serve as a strategic advisor to the Chief Growth Officer and senior leadership, translating industry and payor insights into recommendations on market positioning, partnership priorities, investment decisions, and enterprise growth opportunities.
• Lead and develop a high-performing industry and payor strategy team; establish clear decision rights, priorities, and accountability for strategic execution, partner outcomes, and financial results.
• Build organizational capability through leadership development, succession planning, coaching, and continuous improvement; align team structure and capabilities with evolving industry and payor priorities.
• Own the development and execution of the multiyear industry and payor strategic plan, including annual operating priorities, resource allocation, departmental budgets, and measurable growth, access, and profitability objectives aligned with Lumicera’s enterprise strategy.
• Provide leadership and management to ensure that the mission and core values of Lumicera are put into practice and shared with strategic partners.
• Lead executive and cross-functional alignment on strategic priorities, communicating business cases, tradeoffs, risks, and progress to secure sponsorship and drive coordinated execution across commercial, clinical, operations, finance, legal, and compliance teams.
• Define and lead payor strategy across health plans, PBMs, and other purchasers, prioritizing network access, preferred specialty pharmacy positioning, reimbursement sustainability, and strategic partnerships that support patient access and profitable growth.
• Direct complex negotiations with manufacturers, payors, PBMs, wholesalers, GPOs, and health systems for distribution, procurement, network participation, reimbursement, and service agreements. Establish negotiation objectives and financial guardrails, obtain required approvals, and oversee implementation, contractual compliance, and realization of agreed-upon economics.
• Develop and steward executive-level relationships with pharmaceutical manufacturers, payors, PBMs, wholesalers, GPOs, health systems, and providers; establish joint strategic plans that expand access, reduce costs, diversify revenue, and strengthen long-term partnership value.
• Lead cross-functional development of differentiated payor and industry value propositions, including clinical outcomes, patient experience, total cost of care, and service capabilities; translate these into partnership proposals, requests for proposal responses, and scalable commercial offerings.
• Establish portfolio-level contracting strategy and governance, including pricing and reimbursement frameworks, renewal priorities, performance guarantees, analytical controls, and audit processes. Evaluate contract profitability, concentration risk, and strategic fit, and recommend corrective actions or alternative arrangements.
• Own the manufacturer access and specialty product portfolio strategy, prioritizing LDD opportunities, enhanced service programs, and emerging therapies. Direct launch readiness and agreement implementation to align product access with payor coverage, operational capabilities, and patient needs.
• Other duties as assigned.

Qualifications

What our team expects from you?

• Bachelor’s degree in Business, Healthcare, Health Services, Pharmacy, or a related field, or equivalent work experience, required. MBA, MHA, or PharmD from an accredited pharmacy school preferred.
• 10+ years of progressive experience in specialty pharmacy, pharmaceutical industry relations, market access, payor or PBM strategy, trade relations, account management, or a related industry, required.
• 5+ years of progressive leadership experience, including strategic oversight and experience leading individual contributors and/or other leaders, required.
• Experience in contract negotiation required, with strong preference in specialty or PBM rebate contracting.
• Knowledge of specialty pharmacy medications, including REMS requirements and Limited Distribution Drug (LDD) best practices, 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 Lumicera?

• Top of the industry benefits for Health, Dental, and Vision insurance

• 20 days paid 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 Membership assistance

• Referral Bonus Program – up to $750!

#LI-Remote

Location : Address

Remote

Location : Country

US