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Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Director, PBM Rebate Industry Relations and Contracting

Business & StrategyConfirmed live in the last 24 hours
Full-timeRemote in USA$152k - $190k /yr

About the Job

Requirements

  • A bachelor's degree in Pharmacy or a Pharm.D is preferred; an MBA or applicable degree or experience is desired.
  • At least 5 years of PBM or healthcare plan experience is preferred, with strong preference for rebate contracting and formulary management experience.
  • At least 1 year of experience in contract negotiation is required, with preference for Commercial, Medicaid, and Medicare Part D rebate contracting or equivalent experience.
  • A pharmacist must have or be able to obtain an unrestricted Wisconsin license.
  • Up to 20% travel is required.
  • A valid driver's license is required.
  • The candidate must participate in, adhere to, and support compliance program objectives.
  • The candidate must consistently interact cooperatively and respectfully with other employees.

Responsibilities

  • Build and maintain strong, effective working relationships throughout pharmaceutical manufacturers, customers, Navitus, and other business partners and vendors.
  • Ensure appropriate pharmaceutical sources and internal and external people and resources are in place to meet Navitus' current and future needs.
  • Develop and successfully implement strategies and action plans to establish and enhance a competitive pharmaceutical contract structure that meets Navitus' and its customers' current and future needs, including ensuring appropriate agreements, analytical processes, and audit programs are in place.
  • Work closely with operational teams to ensure pharmaceutical rebate and discount contracts are fully understood, and proactively lead resolution of rebate issues.
  • Support internal Navitus and external client P&T processes with financial modeling and presentations.
  • Lead pharmaceutical negotiations and work with others to identify and capitalize on opportunities to expand high net rebates and discounts for the ultimate creation of the lowest net cost PBM for clients.
  • Lead, train, and develop the team of Navitus contractors to support their career development.

Desired Qualifications

  • Bachelor's degree in Pharmacy or Pharm.D.
  • MBA or applicable degree or experience.
  • At least 5 years of PBM or healthcare plan experience, especially rebate contracting and formulary management.
  • Experience in Commercial, Medicaid, and Medicare Part D rebate contracting or equivalent experience.

About the Company

Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Navitus Health Solutions is a pharmacy benefits manager that offers transparent pricing by passing 100% of negotiated rebates and discounts to its health-plan clients. It runs a spend-management clinical model designed to control drug costs from the outset while supporting member health, delivering both immediate value and long-term savings as drug spend trends are managed over time. The company markets its services through its portfolio brands—Navitus, Lumicera, and Archimedes—and serves over 18 million members across 800 clients, including public and private employers, unions, health plans, and health systems. It is owned by SSM Health and Costco Wholesale Corporation. Unlike traditional PBMs with opaque pricing, Navitus emphasizes transparency and direct savings for plan sponsors. The overarching goal is to reduce prescription drug costs for plans while improving member health outcomes.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Appleton, WI
Founded
2003

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