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Director, Provider Relations – RPh

Stelle nicht auf LinkedIn

🕒 vor 2 Monaten

🇺🇸 Vereinigte Staaten – Remote

💵 $152.077 - $190.100 / Jahr

⏰ Vollzeit

🔴 Experte

👔 Direktor

🗣️🇺🇸🇬🇧 Englisch erforderlich

Woher diese Stelle stammt

Veröffentlicht auf der Karriereseite von Navitus Health Solutions, nicht über eine Jobbörse

Von Remote Rocketship zum ersten Mal gesehen vor 2 Monaten

Noch offen auf der Website von Navitus Health Solutions. Geprüft vor 11 Stunden.

Logo of Navitus Health Solutions

Navitus Health Solutions

1001 - 5000 Mitarbeiter

Gegründet 2003

💼 Beratung

🛡️ Versicherung

🏥 Gesundheitswesen

Consulting • Insurance • Healthcare

Navitus Health Solutions ist ein Anbieter von Apothekenmanagement-Dienstleistungen (Pharmacy Benefit Manager, PBM), der transparente, menschenzentrierte Lösungen für Gesundheitspläne, Arbeitgeber, Regierungsprogramme und andere Plan-Anbieter bereitstellt. Das Unternehmen betreibt ein 100%iges Durchleitungsmodell mit Kostenaufschlag, das darauf abzielt, Medikamentenkosten zu senken, Formulare zu verwalten, Spezialmedikamente zu managen (einschließlich einer Kosten-plus-Spezialapotheke), die Abwicklung von Leistungsansprüchen, Apothekennetzwerk-Management sowie die Unterstützung und Aktivierung von Mitgliedern zu gewährleisten. Navitus positioniert sich als treuhänderischer Partner mit Fokus auf Bezahlbarkeit, Compliance, klinische Qualität und die Verbesserung von Gesundheitsergebnissen durch maßgeschneiderte PBM-Dienstleistungen und digitale Gesundheitsintegrationen.

Beschreibung

• Develop and execute the provider relations strategy for Lumicera Direct • Define the vision, priorities, and operating model for provider relations, account management, provider support, and provider engagement functions • Partner with the VP, Sales and Director, Provider Sales on provider growth, referral expansion, account retention, and business performance initiatives • Serve as Executive Sponsor for key provider organizations, physician-owned clinics, health systems, and strategic provider partnerships • Establish executive-level relationships with physician executives, practice owners, health system leadership, and key decision-makers • Lead executive business reviews with provider organizations • Develop and oversee provider feedback channels and communicate actionable recommendations to executive leadership • Act as the primary executive liaison between provider organizations and Lumicera leadership • Identify and develop opportunities for provider engagement, referral capture, service adoption, revenue generation, and market share growth • Analyze provider performance metrics, referral trends, market dynamics, and business intelligence • Collaborate with pharmacy operations, clinical services, implementation teams, patient support services, and sales leadership • Develop and maintain CRM vendor relations and support vendor selection • Own departmental budgeting, workforce planning, resource allocation, and operational investment decisions • Drive continuous improvement in provider satisfaction, operational efficiency, referral conversion, service excellence, and business performance • Provide executive-level reporting, market intelligence, provider insights, growth recommendations, and performance updates • Serve as a pharmacist subject matter expert for specialty pharmacy services, provider engagement, referral management, patient access programs, and provider operational workflows • Represent Lumicera Health Services at provider meetings, executive forums, industry conferences, trade associations, and strategic partnership discussions • Travel up to 40% of the time • Perform other duties as assigned

🎯 Anforderungen

• Bachelor's degree in Pharmacy or PharmD degree required • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts • Advanced training or professional development in healthcare leadership, provider relations, or business strategy preferred • 8+ years of progressive experience in specialty pharmacy, healthcare services, provider relations, account management, provider engagement, pharmaceutical sales, healthcare business development, or related healthcare leadership roles required • 5+ years of leadership experience managing leaders of others, multiple business functions, and provider-facing teams in a healthcare environment required • 3+ years of sales leadership, leading sales teams and sales strategy required • Experience in growth, market expansion, account retention, referral development, and revenue-generating initiatives, including building new programs, expansion of services, and creating new capabilities required • Experience working with executive leaders to develop and execute strategic business plans, operational initiatives, and organizational growth strategies required • Strong understanding of specialty pharmacy operations, provider workflows, referral management processes, reimbursement models, patient access programs, and healthcare delivery systems required • Experience utilizing CRM platforms, analytics, forecasting tools, and business intelligence reporting to drive decision-making and operational performance required • Proven success influencing executive stakeholders and translating provider insights into strategic business recommendations and organizational improvements required • Established relationships within specialty pharmacy, provider organizations, health systems, physician practices, and healthcare industry networks preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees • Must reside in an eligible US state; remote work unavailable in Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming

🏖️ Vorteile

• 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% • STAR Bonus % (At Risk Maximum): 17.50

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