Director, Contract Strategy – Provider Engagement

🕒 Junho 4

🥔 Idaho – Remoto

🥔 Idaho – Remote

💵 $142.128 - $177.660 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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Navitus Health Solutions

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2003

⚕️ Seguro de Saúde

💊 Farmacêutico

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

Microsoft 365 é uma suíte de aplicativos de produtividade baseada em nuvem, desenvolvida para pessoas, famílias, empresas e instituições de ensino. Inclui ferramentas populares como Word, Excel, PowerPoint, Outlook e Teams, permitindo criar, colaborar e compartilhar documentos e dados de forma contínua entre dispositivos. O Microsoft 365 aumenta a produtividade com recursos como o Microsoft Copilot, que integra capacidades de IA para auxiliar nas tarefas do dia a dia, garantindo o armazenamento e a organização seguros dos arquivos e facilitando o trabalho em equipe e a comunicação eficaz.

Descrição

• Provide strategic leadership over pharmacy participation agreements, network addenda, and contract standards, ensuring consistency with enterprise pricing, quality, and access strategies. • Develop and maintain contracting playbooks, standards, and governance frameworks to guide negotiations, amendments, and operational application. • Partner with Legal, Compliance, and Network Pricing leadership to ensure contract structures align with regulatory requirements and enterprise objectives. • Support strategic contract amendments, renewals, and enhancements, focusing on intent, scalability, and long‑term impact, rather than transactional execution. • Serve as a senior point of engagement for pharmacy providers, chains, and affiliations on contract‑related matters. • Maintain productive, professional relationships with providers to support alignment, transparency, and issue prevention. • Lead provider discussions related to contract interpretation, structural changes, and strategic alignment, escalating only high‑impact or systemic issues. • Partner with Provider Services and Network Leadership to ensure consistent provider messaging and engagement models. • Provide strategic guidance on contract interpretation to support pricing strategy, claims configuration, and network governance. • Act as an escalation point for complex, high‑risk, or systemic contract issues, while ensuring routine transaction‑level issues are handled operationally. • Analyze trends in provider inquiries or disputes to identify structural contract or process improvement opportunities. • Recommend contract language, governance, or system changes to reduce recurring operational friction. • Support Sales and Client Services by providing strategic clarity on contract constructs and network positioning. • Participate in company initiatives related to network strategy, growth, and regulatory readiness. • Provide leadership and direction to contract strategy, governance, or senior contract staff, as applicable. • Set expectations for quality, consistency, documentation, and escalation discipline. • Other duties as assigned.

🎯 Requisitos

• Bachelor’s degree in Business, Finance, Economics, or Healthcare Administration, or related field, or equivalent work experience, required. • 7+ years of progressive PBM, healthcare plan, pharmacy network, or equivalent experience required. • Demonstrated experience in provider contracting, contract strategy, or network governance required. • Strong understanding of pharmacy reimbursement and claims adjudication concepts required. • 3+ years of leadership experience with a proven ability to develop high-performing teams and deliver tangible results in a professional services environment required. • Participate in, adhere to, and support compliance program objectives. • The ability to consistently interact cooperatively and respectfully with other employees.

🏖️ Benefícios

• 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!