Director, Provider Relations – RPh

Job not on LinkedIn

🕒 September 1

🇺🇸 United States – Remote

💵 $152.1k - $190.1k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

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

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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