Sr. Director, Industry and Payor Strategy

Lumicera

United States

Remote

USD 174,000 - 218,000

Full time

3 days ago

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Benefits offered by this job

Health insurance

401K company match

Paid time off 20 days

Paid parental leave 4 weeks

Paid holidays 9

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan

Referral Bonus Program – up to $750

Job summary

Lumicera Health Services is seeking a Sr.Director, Industry and Payor Strategy to lead strategic partnerships, payor strategies, and multiyear plans. This executive role builds relationships with manufacturers, health plans, PBMs, and GPOs to expand access and optimize profitability.

The role manages a team, defines network access strategies, and negotiates complex agreements, aligning with Lumicera’s enterprise goals. Remote-friendly with strong leadership expectations.

Qualifications

Bachelor’s degree in Business, Healthcare, Health Services, Pharmacy, or related field; MBA/MHA or PharmD preferred.
10+ years in specialty pharmacy, payor strategy, or related fields.
5+ years of progressive leadership experience; contract negotiation experience preferred.

Responsibilities

Serve as strategic advisor to CxO and senior leadership on market positioning and partnerships.
Lead and develop the industry and payor strategy team with clear priorities and accountability.
Own multiyear strategic plan including annual priorities and budgets.
Build leadership and succession planning within the team.
Define payor strategy across health plans, PBMs, and other purchasers.
Direct negotiations with manufacturers, payors, PBMs, wholesalers, and GPOs.
Develop executive-level relationships with manufacturers, payors, PBMs, and health systems.
Lead development of differentiated payor value propositions and scalable offerings.
Establish contracting strategy and governance with pricing and reimbursement frameworks.

Skills

Strategic leadership

Negotiation

Payor strategy

Stakeholder management

Team development

Education

Bachelor’s degree in Business or related field

MBA/MHA/PharmD preferred

Job description

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?