Senior Director, PBM Account Services

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $162.7k - $203.4k / year

⏰ Full Time

🟠 Senior

👔 Director

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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 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 • Provide leadership and oversight for Account Executives and Account Management strategy and tactical execution • Ensure consistent service delivery, operational effectiveness, scalability, and alignment with company objectives • Communicate with Navitus senior leadership and external C-suite stakeholders; 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 • Modernize processes, establish centralized documentation and standards, promote cross-training, and reinforce governance practices • Champion data-driven decision-making and technology adoption • Participate in cross-functional matrix teams and committees • Lead internal department and corporate projects • Measure, monitor, and report KPIs 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 • Travel to client sites as required • Perform other duties as assigned

🎯 Requirements

• 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, which may include leading individual contributors or teams, or equivalent leadership experience such as coaching, mentoring, or leading complex initiatives or projects, required • Knowledge of internal operations, as well as the clients’ benefit management philosophy, goals, and objectives required • Understanding of the PBM industry and the Navitus advantage as compared with its competitors required • Knowledge of formulary managed care systems, principles, and practices (e.g., DUR, and prior authorization) required • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Remote work unavailable to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, 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 - Sr Director