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Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Director Provider Relations

Account ManagementConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • A Bachelor's degree in Pharmacy or a 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 based on state-of-residence laws or client contracts.
  • At least eight years of progressive experience in specialty pharmacy, healthcare services, provider relations, account management, provider engagement, pharmaceutical sales, healthcare business development, or related healthcare leadership roles is required.
  • At least five years of leadership experience managing leaders of others, multiple business functions, and provider-facing teams in a healthcare environment is required.
  • At least three years of sales leadership experience leading sales teams and sales strategy is required.
  • Experience in growth, market expansion, account retention, referral development, and revenue-generating initiatives, including building new programs, expanding services, and creating new capabilities, is required.
  • Experience working with executive leaders to develop and execute strategic business plans, operational initiatives, and organizational growth strategies is required.
  • A strong understanding of specialty pharmacy operations, provider workflows, referral management processes, reimbursement models, patient access programs, and healthcare delivery systems is required.
  • Experience using customer relationship management platforms, analytics, forecasting tools, and business intelligence reporting to drive decision-making and operational performance is required.
  • Proven success influencing executive stakeholders and translating provider insights into strategic business recommendations and organizational improvements is required.
  • Participation in, adherence to, and support for compliance program objectives are required.

Responsibilities

  • Develop and execute the provider relations strategy for Lumicera Direct, aligning it with enterprise growth objectives, market expansion initiatives, provider engagement priorities, and organizational business goals.
  • Define the vision, priorities, and operating model for provider relations, account management, provider support, and provider engagement functions across Lumicera Direct.
  • Partner with the Vice President of Sales and Director of Provider Sales to develop and implement initiatives that drive provider growth, referral expansion, account retention, and long-term business performance.
  • Serve as executive sponsor for key provider organizations, physician-owned clinics, health systems, and strategic provider partnerships to support implementation, growth, and long-term relationship management.
  • Establish and maintain executive-level relationships with physician executives, practice owners, health system leadership, and key decision-makers to strengthen strategic partnerships and support organizational objectives.
  • Lead executive business reviews with provider organizations to assess performance, identify opportunities, address challenges, and align future growth initiatives.
  • Develop and oversee provider feedback channels that capture provider insights, operational concerns, market trends, and growth opportunities, and ensure actionable recommendations are communicated to executive leadership.
  • Act as the primary executive liaison between provider organizations and Lumicera leadership, ensuring provider perspectives are incorporated into strategic planning and decision-making.
  • Identify, evaluate, and develop growth opportunities that increase provider engagement, referral capture, service adoption, revenue generation, and market share.
  • Analyze provider performance metrics, referral trends, market dynamics, and business intelligence to recommend strategies that improve account growth and organizational performance.
  • Collaborate with pharmacy operations, clinical services, implementation teams, patient support services, and sales leadership to ensure a consistent provider experience and effective execution of strategic initiatives.
  • Develop and maintain customer relationship management vendor relations and support vendor selection activities.
  • Own departmental budgeting, workforce planning, resource allocation, and operational investment decisions to achieve organizational objectives efficiently and effectively.
  • Drive continuous improvement focused on provider satisfaction, operational efficiency, referral conversion, service excellence, and business performance.
  • Provide executive-level reporting, market intelligence, provider insights, growth recommendations, and organizational performance updates to the Vice President of Sales and executive leadership team.
  • Serve as a pharmacist subject matter expert for specialty pharmacy services, provider engagement, referral management, patient access programs, and provider operational workflows.
  • Represent Lumicera Health Services at provider meetings, executive forums, industry conferences, trade associations, and strategic partnership discussions.
  • Travel up to 40% of the time for provider meetings, executive business reviews, leadership meetings, and industry events.
  • Perform other duties as assigned.
  • Consistently interact cooperatively and respectfully with other employees.

Desired Qualifications

  • An MBA, Master of Health Administration, or Master's degree in Business, Healthcare Administration, or a related field is preferred.
  • Advanced training or professional development in healthcare leadership, provider relations, or business strategy is preferred.
  • Established relationships within specialty pharmacy, provider organizations, health systems, physician practices, and healthcare industry networks are 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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