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Home Flexible Job Board Director, PBM Rebate Industry Relations and Contracting

$152,000–190,000/yr 9d ago

Director, PBM Rebate Industry Relations and Contracting

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Navitus Health Solutions, LLC

Madison, WI, US

Full-time Permanent Remote

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Summary

The Director leads a team of rebate contractors to maintain and enhance relationships with pharmaceutical manufacturers while negotiating contracts for rebates and discounts. They are responsible for providing formulary decision support through financial modeling and ensuring the creation of the lowest net cost PBM for clients.

Job Description

Company

Navitus

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

M-F 8am to 5pm

Remote Work Notification

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Hiring Manager : Full Name: First Last

Sharon Faust

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 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

Pay Range

USD $152,000.00 - USD $190,000.00 /Yr.

About the company

Navitus Health Solutions, LLC

Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time.

Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.

Founded

2003

Company size

1,001-5,000 employees

Industry

Hospitals and Health Care

Org type

Privately Held

Headquarters

Madison, WI

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About the company

Navitus Health Solutions, LLC

Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time.

Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.

Founded

2003

Company size

1,001-5,000 employees

Industry

Hospitals and Health Care

Org type

Privately Held

Headquarters

Madison, WI

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