VP, PBM Trade Relations

🕒 5 days ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $199k - $249.2k / year

⏰ Full Time

🔴 Lead

👔 Vice President

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Responsible for Navitus’ pharmaceutical manufacturer engagement strategy, rebate and Group Purchasing Organization (GPO) management, and industry positioning • Partner with the Chief Pharmacy Officer to define and advance Navitus’ enterprise rebate strategy, formulary advisory, and market-leading contracting approaches that deliver clinical value and lowest net cost outcomes for clients • Establish, maintain, and enhance effective relationships with all pharmaceutical manufacturers • Take primary responsibility for the Navitus rebate GPO partnership • Serve as Navitus’ senior industry representative, maintaining an active and influential presence across pharmaceutical manufacturers, industry forums, coalitions, and thought leadership venues • Provide strategic leadership and governance for formulary decision-making through ownership of formulary financial performance

🎯 Requirements

• Bachelor’s degree in Business Administration, Healthcare Management or related field or equivalent work experience required • MBA preferred • 10+ years progressive PBM or pharmacy trade experience required • 10+ years of progressive experience in a strategic leadership role within the healthcare or pharmacy sector required • Demonstrated leadership and negotiation experience is required • Experience within a successful PBM or managed care organization is preferred • Demonstrated experience in new product development, product management, sales, marketing, strategic planning, and program execution for government programs required • Strong track record of tangible success, including leadership and team collaboration/relationship-building/management in a health care or related environment • Knowledge and deep understanding with Medicaid, Medicare and/or Exchange and health plans required • Demonstrated ability to work with senior state government professionals preferred • Familiarity with understanding and communicating complex and contradictory state and federal law, regulations or guidance required.

🏖️ Benefits

• Equal employment opportunity • No discrimination regulations compliance