Director, PBM Rebate Industry Relations and Contracting

Posted 6 Hours Ago
Be an Early Applicant
Hiring Remotely in Madison, WI, USA
In-Office or Remote
152K-190K Annually
Senior level
Healthtech • Pharmaceutical
The Role
Leads PBM rebate contracting and industry relations with pharmaceutical manufacturers. Develops contract strategies, negotiates rebates and discounts, supports formulary decisions through financial modeling and forecasting, resolves rebate issues, and partners with clinical, operational, and client teams. Manages and develops the rebate contracting team while expanding value-based, indication-based, and medical prescription contracts. Requires pharmacy expertise, PBM experience, contract negotiation skills, Wisconsin licensure eligibility, and up to 20% travel.
Summary Generated by Built In
CompanyNavitus About UsNavitus - 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 make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current 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 all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap. Pay RangeUSD $152,000.00 - USD $190,000.00 /Yr. STAR Bonus % (At Risk Maximum)15.00 - Director, GM of GP, PIC Work Schedule Description (e.g. M-F 8am to 5pm)M-F 8am to 5pm Remote Work NotificationATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview

Are you a pharmacist with rebate strategy experience? If so, we are looking for you! Navitus Health Solutions is seeking a Director, Industry Relations & Contracting to join our team.


Reporting to the Sr. Director, Industry Relations, the Director, Industry Relations & Contracting is responsible for leading the team of Rebate Contractors to support the maintenance and enhancement of effective relationships with all pharmaceutical manufacturers (Pharma). This includes negotiating contracts with respect to rebates and discounts for formulary inclusion to meet Navitus’ existing and future needs. Leading the IRC team in P&T meetings and working with the Drug Information team will be critical in supporting the clinical/economic value that the Navitus Formulary provides to clients. Providing formulary decision support through appropriate cost modeling, rebate forecasting and budget impact analysis will be an ever-increasing responsibility as more client custom formularies are being implemented and contracted. The Growth on Indication Based, Value-Based and Medical Rx contracts will be of increasing importance.


Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

  • Proactively building and maintaining strong and effective working relationships throughout Pharma, customers, Navitus, and other business partners/vendors
  • Ensuring the appropriate Pharma sources and internal and external people/resources are in place to meet Navitus’ current and future needs
  • Developing and successfully implementing strategies and action plans for establishing and enhancing a competitive Pharma contract structure for Navitus which meets current and future needs of Navitus and its customers. This includes ensuring that appropriate agreements, analytical processes, and audit programs are in place
  • Working closely with Navitus' operational teams to ensure that Pharma contracts with respect to rebates and discounts are fully understood, and proactively leading the resolution of rebate issues. Support Navitus internal and client external P&T processes with financial modeling and presentations
  • Leading Pharma negotiations and working with others to proactively seek and capitalize on opportunities to profitably expand the scope of high net rebates and discounts that are obtained for the ultimate creation of the lowest net cost PBM for Navitus’ clients
  • Lead, train and develop the team of Navitus Contractors to allow for career development
  • Other duties as assigned
Qualifications

What our team expects from you?

  • 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; with a strong preference for individuals with rebate contracting and formulary management experience
  • At least 1 year experience in contract negotiation with preference 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
  • 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 : AddressREMTEST Location : CityMadison Location : CountryUS

Skills Required

  • Bachelor's degree in Pharmacy or Pharm.D.
  • MBA or applicable degree or equivalent experience
  • At least 5 years of PBM or healthcare plan experience
  • Rebate contracting and formulary management experience
  • At least 1 year of contract negotiation experience
  • Commercial, Medicaid, and Medicare Part D rebate contracting experience or equivalent
  • Pharmacist must have or be able to obtain unrestricted Wisconsin licensure
  • Up to 20% travel
  • Valid driver's license
  • Participation in and support of compliance program objectives
  • Ability to interact cooperatively and respectfully with employees
Am I A Good Fit?
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The Company
HQ: Madison, WI
771 Employees
Year Founded: 2003

What We Do

A leading applied technology services company, we innovate to deliver service excellence and successful outcomes across sales, delivery and development. With our strategy to be agile, nimble and customer-centric, we anticipate the future of applied technology and predict tomorrow’s trends to keep our clients at the summit in an ever-changing marketplace. Leading with architecture and design, our next-gen solutions enable enterprises to accelerate on their digital transformation journey.

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