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Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Senior Manager - Industry Relations, Rph

Procurement & SourcingConfirmed live in the last 24 hours
Full-timeRemote in USA$132.8k - $166k /yr

About the Job

Requirements

  • A Bachelor of Science in Pharmacy or PharmD degree is required.
  • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within four months, may be required depending on state law or client contracts. Other state pharmacy licenses may be required as business needs dictate, and continuing education credits must be maintained to keep licensure active.
  • At least seven years of specialty pharmacy or pharmaceutical industry experience is required.
  • At least five years of contract negotiation experience is required, with specialty pharmacy or industry relations contracting experience strongly preferred.
  • At least three years of people-leadership or team-management experience is required.
  • Strong knowledge of specialty pharmacy medications, including Risk Evaluation and Mitigation Strategy (REMS) requirements and Limited Distribution Drug (LDD) best practices is required.
  • The ability to consistently interact cooperatively and respectfully with other employees is required.
  • Participation in, adherence to, and support of compliance program objectives are required.

Responsibilities

  • Lead, develop, and coach the trade relations team, setting priorities and ensuring consistent execution of manufacturer and trade engagement strategy.
  • Direct the negotiation of distribution and procurement agreements with specialty pharmaceutical manufacturers and ensure successful implementation of agreements to achieve compliance and full realization of agreed-upon fees.
  • Develop manufacturer strategies related to clinical disease states, competing medications, and alignment with the Pharmacy Benefit Manager (PBM) formulary.
  • Oversee the clinical drug pipeline and identify opportunities to participate in Requests for Proposals (RFPs) and Requests for Information (RFIs) for manufacturer programs.
  • Secure access to limited distribution medications and oversee negotiation, implementation, and ongoing management of associated agreements, fees, and discounts.
  • Establish, monitor, and negotiate pricing and service agreements with manufacturers, following company policy regarding contract management, including legal and compliance review and oversight.
  • Maintain relationships with pharmaceutical manufacturers and identify manufacturer program opportunities that support the specialty pharmacy’s strategic objectives.
  • Expand and negotiate manufacturer programs, including data and enhanced services programs.
  • Negotiate purchase discounts, including prompt-pay, volume, and direct-purchase discounts when appropriate, to maximize cost savings for the specialty pharmacy.
  • Manage enhanced services and data programs with manufacturers, including preparing and reporting on program performance and metrics during scheduled business reviews.
  • Develop and implement strategies and action plans for establishing and enhancing a competitive pharmaceutical contract structure that meets the current and future needs of the specialty pharmacy, PBM, payers, and patients or members, including appropriate agreements, analytical processes, and audit programs.
  • Oversee relations with data aggregators and manufacturer hub services, coordinating activities between Lumicera and those partners.
  • Assist with co-development of annual budgets and monthly forecasts related to procurement of specialty pharmaceutical products.
  • Represent the specialty pharmacy at leadership, industry, and trade groups.
  • Ensure reporting capabilities meet internal and external business requirements.
  • Provide periodic reports to leadership regarding activities, opportunities, performance, and emerging trends.
  • Ensure compliance with all applicable state and federal regulations.
  • Perform other duties as assigned.

Desired Qualifications

  • An MBA or other graduate degree is preferred.
  • Specialty pharmacy or industry relations contracting experience is strongly 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

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