Director, PBM Rebate Industry Relations – Contracting

🕒 April 7

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $152k - $190k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 45%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 218 days.
• Jobs at this company usually fill in 31 days.
• Reposted once.

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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

• Lead the team of Rebate Contractors to maintain and enhance relationships with pharmaceutical manufacturers • Negotiate contracts involving rebates and discounts for formulary inclusion • Lead the IRC team in P&T meetings and collaborate with the Drug Information team • Provide formulary decision support through cost modeling, rebate forecasting, and budget impact analysis • Build and maintain relationships with pharmaceutical manufacturers, customers, Navitus, and business partners/vendors • Ensure appropriate pharmaceutical sources and internal/external resources are in place • Develop and implement strategies and action plans for a competitive pharmaceutical contract structure • Ensure appropriate agreements, analytical processes, and audit programs are in place • Work with operational teams to ensure rebate and discount contracts are understood and resolve rebate issues • Support internal and client external P&T processes with financial modeling and presentations • Lead pharmaceutical negotiations to expand high net rebates and discounts • Lead, train, and develop the Navitus Contractors team • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Pharmacy or Pharm. D is preferred • MBA or applicable degree or experience is desired • At least 5 years PBM/Healthcare plan experience is preferred • Strong preference for individuals with rebate contracting and formulary management experience • At least 1 year experience in contract negotiation, preferably in Commercial, Medicaid, and Medicare Part D rebate contracting (or equivalent experience) • Pharmacist should have or could obtain an unrestricted licensure in Wisconsin • Up to 20% travel time required • Valid driver’s license required • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees

🏖️ 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) 15.00

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