VP, PBM Client Implementation – Delivery Quality

🕒 May 29

🇺🇸 United States – Remote

💵 $186.3k - $232.9k / year

⏰ Full Time

🔴 Lead

🛠️ Implementation Specialist

👻 Ghost score 31%

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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

• Support the SVP, Chief Growth Officer in executing growth strategies focused on client implementation quality, delivery performance, and execution integrity • Oversee quality assurance across client implementations, including documented requirements, contractual obligations, and internal delivery standards • Drive accountability for implementation accuracy, completeness, and timeliness, including post-implementation reviews and corrective action plans • Lead continuous improvement efforts to strengthen delivery quality, operational controls, and client experience • Provide executive oversight of the Implementation, Technical Oversight, and Business Development Systems teams • Establish and monitor quality metrics, service standards, and performance indicators for client onboarding, product activation, and ongoing delivery • Identify, escalate, and mitigate delivery risks, including implementation defects, documentation gaps, and cross-functional handoff breakdowns • Provide operational and quality oversight for assigned functional areas • Own end-to-end issue management, including intake, triage, root cause analysis, remediation planning, and closure • Establish and oversee quality assurance and control frameworks, including monitoring, exception tracking, testing, and corrective-action documentation • Monitor errors, defects, rework, complaints, and escalations; implement preventive controls and process improvements • Partner with Accreditation and Clinical Quality teams on accreditation standards, service excellence, clinical quality, audits, reviews, and compliance • Embed accreditation-informed quality standards into client delivery models, implementation governance, and continuous improvement initiatives • Partner with Sales, Product, Customer Success, Proposals, and leadership teams to incorporate market feedback into service delivery, marketing presentations, and RFP responses • Ensure adherence to policies, procedures, and contractual requirements and support audit readiness • Collaborate with the VP, Enterprise Product Strategy on consistent, high-quality product and service delivery • Refine implementation models, operating cadences, and governance forums focused on delivery quality and client outcomes • Drive value realization through oversight of the Implementation team and post-implementation program reviews • Lead, develop, and inspire high-performing teams through strategic direction, talent alignment, accountability, quality ownership, and continuous improvement • Mentor and develop team members through coaching, feedback, and career planning • Participate in compliance, people and culture, and learning programs • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Business Administration, Healthcare Management, or related field, or equivalent work experience, required • Master’s in Business Administration preferred • 10+ years of experience driving strategic initiatives required • 10+ years’ experience leading and developing multi-disciplinary teams required • Experience in a strategic leadership role within the healthcare or pharmacy sector preferred • Knowledge and deep understanding of financial models for pharmacy benefits and the value of a transparent and full-pass administrative services model required • Demonstrated experience in building strong business relationships required • Demonstrated ability to develop and implement strategic plans in a complex business environment required • Strong track record of successfully planning and achieving high quality and productive goals through teams required • Remote work is 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

• STAR Bonus % (At Risk Maximum): 35.00% • Core business hours • Remote work arrangement