Senior Director, Industry and Payor Strategy

Job not on LinkedIn

🔥 5 minutes ago

🏈 Alabama, Arizona, +25 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote ⚜️ Louisiana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $174.1k - $217.6k / year

⏰ Full Time

🟠 Senior

👔 Director

👻 Ghost score 0%

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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

• Serve as a strategic advisor to the Chief Growth Officer and senior leadership on market positioning, partnership priorities, investment decisions, and enterprise growth opportunities • Lead and develop the industry and payor strategy team • Establish decision rights, priorities, accountability, and organizational capabilities • Own and execute the multiyear industry and payor strategic plan, annual operating priorities, resource allocation, budgets, and growth, access, and profitability objectives • Lead executive and cross-functional alignment across commercial, clinical, operations, finance, legal, and compliance teams • Define payor strategy across health plans, PBMs, and other purchasers • Direct complex negotiations with manufacturers, payors, PBMs, wholesalers, GPOs, and health systems • Oversee contract implementation, compliance, and realization of agreed-upon economics • Develop executive-level relationships with pharmaceutical manufacturers, payors, PBMs, wholesalers, GPOs, health systems, and providers • Lead development of differentiated payor and industry value propositions, partnership proposals, RFP responses, and commercial offerings • Establish portfolio-level contracting strategy and governance, including pricing, reimbursement, renewals, performance guarantees, analytics, and audits • Evaluate contract profitability, concentration risk, and strategic fit • Own manufacturer access and specialty product portfolio strategy, including LDD opportunities, enhanced service programs, emerging therapies, launch readiness, and agreement implementation • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Business, Healthcare, Health Services, Pharmacy, or a related field, or equivalent work experience, required • MBA, MHA, or PharmD from an accredited pharmacy school preferred • 10+ years of progressive experience in specialty pharmacy, pharmaceutical industry relations, market access, payor or PBM strategy, trade relations, account management, or a related industry, required • 5+ years of progressive leadership experience, including strategic oversight and experience leading individual contributors and/or other leaders, required • Experience in contract negotiation required, with strong preference in specialty or PBM rebate contracting • Knowledge of specialty pharmacy medications, including REMS requirements and Limited Distribution Drug (LDD) best practices, required • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees • Remote work is limited to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, and Wisconsin

🏖️ 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): 20.00 - Sr Director