N

Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Senior Director - Product Operations & Governance

Product ManagementPosted on Nov 13
Full-timeRemote in USA

About the Job

Requirements

  • PBM or related healthcare industry experience is required.
  • A bachelor’s degree in business, healthcare administration, technology, product management, or a related field is required.
  • At least 10 years of progressive experience in product governance, product operations, product management, portfolio management, risk management, compliance, or enterprise program leadership is required.
  • At least 5 years of progressive leadership experience, which may include leading individual contributors or teams, is required.
  • Experience designing and implementing governance models, decision rights, stage-gate processes, portfolio routines, and product lifecycle controls is required.
  • Knowledge of product lifecycle management, agile delivery, enterprise systems, regulatory considerations, privacy, security, and operational readiness is required.
  • Experience translating business strategy, customer needs, market intelligence, and risk considerations into product roadmaps, approval decisions, and execution plans is required.
  • Ability to use data, metrics, feedback, and financial analysis to assess product health, prioritize investments, and mitigate risk is required.
  • Ability to influence senior leaders, align cross-functional stakeholders, and lead change across complex matrixed teams is required.
  • Participation in, adherence to, and support for compliance program objectives are required.
  • Ability to interact cooperatively and respectfully with other employees is required.

Responsibilities

  • Define, implement, and continuously improve the enterprise product governance model, including roles, responsibilities, decision rights, approval thresholds, escalation paths, and governance forums.
  • Own lifecycle governance across ideation, intake, business case development, design, build, launch, distribution, monitoring, optimization, and retirement.
  • Establish stage-gate criteria and required artifacts for product approval, including product briefs, business cases, risk assessments, launch readiness materials, roadmap updates, and performance scorecards.
  • Lead cross-functional product intake and prioritization processes to align investments with enterprise strategy, customer needs, market opportunities, regulatory requirements, and expected business value.
  • Create a consistent governance process for evaluating business cases, expected value, implementation readiness, risk exposure, resource needs, and capacity tradeoffs.
  • Partner with Legal, Compliance, Security, Clinical, Finance, Technology, Operations, and Commercial teams to ensure decisions meet policy, regulatory, operational, financial, and customer requirements.
  • Maintain a governed enterprise view of the product portfolio, including active products, pipeline opportunities, dependencies, risks, investment priorities, lifecycle status, and performance health.
  • Own the enterprise product governance cadence, including agenda design, decision preparation, leadership readouts, action tracking, and follow-through.
  • Ensure product decisions are documented, communicated, and tied to accountable owners, timelines, measures, risks, dependencies, and expected outcomes.
  • Oversee integrated product roadmaps across business and technology teams and ensure roadmap decisions reflect customer needs, market intelligence, regulatory considerations, enterprise priorities, and delivery capacity.
  • Monitor delivery against approved commitments and drive resolution of risks, dependencies, resource constraints, and decision escalations.
  • Establish product performance monitoring standards, including key performance indicators tied to growth, adoption, margin, client and member outcomes, operational efficiency, compliance, and value realization.
  • Lead regular product health reviews and use data, stakeholder feedback, customer insights, and operational performance to inform continuation, optimization, investment, or retirement decisions.
  • Drive adoption of consistent tools, templates, documentation standards, and governance dashboards that improve transparency and decision quality.
  • Perform other duties as assigned.

Desired Qualifications

  • A master’s degree is preferred.

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

Recently Posted Jobs

Explore more opportunities at Navitus Health Solutions

See more jobs