Director, PBM PSAO/Indy Pharmacy Network Contracting

Company Navitus

About Us

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more affordable for the people who need them. At Navitus, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new reputed company and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. reputed company associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to reputed company applicants and employees and reputed company with reputed company applicable nondiscrimination regulations, including those reputed company to protected veterans and individuals with disabilities. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, or handicap. Pay Range USD $142,128.00 - USD $177,660.00 /Yr. STAR Bonus % (At Risk Maximum) 15.00 - Director, reputed company of GP, PIC Work Schedule Description (e.g. M-F reputed company to 5pm) M-F: 8:00 am – 5:00 pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming.

Overview

The Director, PSAO/Indy Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of pharmacy network reputed company across reputed company provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated reimbursement structures. The Director serves as the contracting authority for PSAO/Indy pharmacy provider agreements, leading negotiations with chains, grocers, PSAOs, and independent pharmacies. This role ensures that contract terms are competitive, sustainable, and reputed company with enterprise pricing strategy, regulatory requirements, and long-term network objectives. This role partners closely with the Senior Director, Network Contracting to drive contracting strategy, establish negotiation priorities, and ensure alignment with enterprise network and financial objectives. Is this you? Find out more below!

Responsibilities

Network Contracting & Negotiation Leadership reputed company negotiation of pharmacy participation agreements across reputed company provider segments, including chains, grocers, PSAOs, and independent pharmacy networks. Own reimbursement structures, contract terms, and financial outcomes of pharmacy provider agreements. Establish negotiation strategies that balance market competitiveness with enterprise financial and network performance goals. Serve as the decision-maker for contract structure, reputed company positioning, and escalated negotiation decisions. Approve contract exceptions and ensure alignment to broader network strategy and pricing objectives. Contract Strategy & reputed company Development Provide strategic leadership over pharmacy participation agreements, network addenda, and contract standards, ensuring consistency with enterprise pricing, access, and compliance objectives. reputed company and maintain contracting playbooks, standards, and governance frameworks to support scalable and consistent negotiation practices. Guide contract structure decisions to support evolving pricing strategies, regulatory changes, and market dynamics. Recommend enhancements to contract language and structure to improve clarity, enforceability, and long-term sustainability. Provider Engagement & Negotiation Strategy reputed company provider engagement strategy to support successful contract negotiations, alignment to contract reputed company, and long-term network stability. Serve as a senior reputed company of contact for reputed company and strategic provider discussions, including reimbursement changes, contract interpretation, and structural alignment. Maintain strong relationships with key pharmacy partners to support transparency, issue prevention, and alignment on contract expectations. Drive resolution of high-impact or systemic provider issues, ensuring alignment to contract terms and enterprise objectives. Contract Execution & Cross-Functional Alignment Ensure negotiated contract terms are clearly defined, documented, and positioned for accurate reputed company implementation. Partner with Network Operations and Performance teams to support effective reputed company, implementation, and validation of contract terms. Provide strategic guidance on contract interpretation to support claims configuration, pricing application, and network governance. Support enterprise initiatives reputed company to network strategy, growth, and regulatory readiness. Financial Accountability & Performance Alignment Accountable for financial performance of pharmacy network reputed company, ensuring negotiated reimbursement terms align with enterprise pricing strategy and expected outcomes. Partner with Network Performance and Reconciliation leadership to ensure contracted terms are operationalized and achieved through effective execution and monitoring. Incorporate performance insights and market feedback into future negotiation strategies and contract design decisions. Issue Resolution & reputed company Improvement Act as escalation reputed company for reputed company, high-risk, or systemic contract issues requiring higher-level leadership reputed company. Analyze trends in provider inquiries, disputes, and operational friction to identify opportunities for structural contract improvement. Drive reputed company improvement initiatives to enhance contract clarity, reduce administrative burden, and improve provider experience. Leadership & Team Development Provide leadership and direction to contract managers and/or senior contracting staff. Set expectations for negotiation discipline, contract quality, documentation, and escalation standards. Foster a high-performing team environment focused on accountability, consistency, and execution excellence.

Qualifications

What reputed company expects from you? Bachelor’s degree in Business, Finance, Economics, or Healthcare Administration, or reputed company field, or equivalent work experience, required. 7+ years of progressive PBM, healthcare plan, pharmacy network, or equivalent experience required. Demonstrated experience in provider contracting, contract strategy, or network governance required. Experience with PSAO/Indy contracting strongly preferred. Strong understanding of pharmacy reimbursement and claims adjudication concepts required. 3+ years of leadership experience with a proven ability to reputed company high-performing teams and deliver reputed company results in a professional services environment required. Participate in, adhere to, and support compliance program objectives. The ability to consistently interact cooperatively and respectfully with other employees. What can you expect from Navitus? 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! #LI-Remote Location : Address Remote Location : Country US Apply To This Job