Senior Director, PBM Account Services

🕒 il y a 25 jours

🐻 Alaska, Hawaii, +11 états de plus – Distant

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💵 $162 722 - $203 403 / an

⏰ Temps Plein

🟠 Senior

👔 Directeur

👻 Score fantôme 0%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Navitus Health Solutions

Navitus Health Solutions

1001 - 5000 employés

Fondée en 2003

💼 Conseil

🛡️ Assurance

🏥 Santé

Consulting • Insurance • Healthcare

Navitus Health Solutions est un gestionnaire de prestations pharmaceutiques (PBM) qui propose des solutions transparentes et centrées sur les personnes pour les prestations pharmaceutiques, à destination des régimes de santé, des employeurs, des programmes gouvernementaux et d'autres parrains de régimes. L'entreprise opère sur un modèle de passage intégral à un coût majoré, qui met l'accent sur la réduction des coûts des médicaments, la gestion des formulaires, la gestion des médicaments spécialisés (y compris une pharmacie spécialisée à coût majoré), l'évaluation des réclamations, la gestion du réseau de pharmacies, ainsi que l'activation et le support des membres. Navitus se positionne comme un partenaire fiduciaire axé sur l'accessibilité, la conformité, la qualité clinique, et l'amélioration des résultats de santé grâce à des services PBM sur mesure et à des intégrations de santé numérique.

Description

• Lead strategy, overall service performance, and account service teams for existing PBM clients • Co-develop long-term account strategy for Key Account clients • Communicate across multiple organizational levels internally and externally • Lead Client Services teams and projects • Develop and execute annual Strategic Business Plans with account teams and clients • Support client retention, corporate strategic goals, and customer satisfaction • Remove obstacles and solve customer issues in a timely manner • Mentor, guide, train, and conduct performance reviews for team members • Participate in key Strategic Client Consultative Reviews, Strategic Business Plan meetings, and other client meetings • Modernize processes, implement centralized resources, promote cross-training, and adopt technology-enabled, data-driven decision-making • Provide leadership and oversight for Account Executives and Account Management strategy and tactical execution • Communicate with Navitus senior leadership and external C-suite executives; provide quarterly executive performance summaries • Attend key Management Committee meetings • Oversee creation and presentation of Strategic Business Plans, Consultative QBRs, and Performance Standard reports • Support staff regarding Performance Guarantees and best practices • Manage clients at a strategic level, including senior-level client management teams • Participate in cross-functional matrix teams and committees • Lead internal department and corporate projects • Measure, monitor, and report key performance indicators and client services metrics • Create and develop strategic direction for the Client / Clinical Services team • Provide ongoing formal training • Oversee cross-training strategies across departments • Provide expert input to hiring and onboarding processes • Travel to client sites as required • Perform other duties as assigned

🎯 Exigences

• Bachelor’s degree from an accredited university required • 10+ years of progressive experience interfacing directly with Managed Care clients required • 5+ years of progressive leadership experience, including leading individual contributors or teams, or equivalent leadership experience such as coaching, mentoring, or leading complex initiatives or projects, required • Knowledge of internal operations and clients’ benefit management philosophy, goals, and objectives required • Understanding of the PBM industry and the Navitus advantage compared with competitors required • Knowledge of formulary managed care systems, principles, and practices, including DUR and prior authorization, required • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming are not eligible for remote work

🏖️ Avantages

• 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 - Sr Director

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