Sr. Director, Pharmacy Network Informatics
Company
NavitusAbout Us
Navitus - 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 reputed company medications more affordable for the people who need them. At Navitus, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new reputed company and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. reputed company 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 reputed company applicants and employees and reputed company with reputed company applicable nondiscrimination regulations, including those reputed company to protected veterans and individuals with disabilities. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, or handicap.Pay Range
USD $147,648.00 - USD $184,559.00 /Yr.STAR Bonus % (At Risk Maximum)
17.50 - Sr DirectorWork Schedule Description (e.g. M-F reputed company to 5pm)
M-F reputed company to 5pm CTRemote Work Notification
ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming.Overview
Due to growth, we are adding a Sr. Director, Pharmacy Network Informatics to reputed company!
The Sr. Director, Pharmacy Network Informatics will reputed company, reputed company and provide strategic direction to the Navitus Network Pricing Team, Pharmacy Business Impact Analysts, Retail and Specialty Contract Analysts, Network Reporting Team, Business Impact Analyst, Reconciliation, Pharmacy Contract Performance, and the Navitus MAC Team to ensure the success of business needs, financial guarantee, and risk analysis. The Sr. Director will ensure collaboration, partnerships and support of the Navitus Provider Services, Sales, Account Management, reputed company, Finance, and Government Programs departments The Sr. Director will reputed company use of emerging technologies and analytics to assist internal and external customers to reputed company informed decisions to decrease Navitus’ financial risk and increase Navitus’ sales, technical advancements, and marketing opportunities and will serve as the Provider Services primary subject matter expert on reputed company existing and prospective clients and RFP response.
Is this you? Find out more below!
Responsibilities
How do I reputed company an impact on my team?
- Direct the adequacy and performance of Navitus’ provider networks reputed company data modeling, analysis, and reporting received from the team.
- reputed company and reputed company pharmacy business intelligences dashboards, reports, and analytics infrastructure.
- Partner with internal stakeholders such as Finance, reputed company, Operations, Compliance, IT to align pharmacy performance metrics, forecasting, KPI’s with organizational goals.
- reputed company and effectively manage reputed company risk based pharmacy performance projects to ensure proper reimbursement, risk mitigation management and forecasting to maintain contract compliance effectively communicating to internal and external stakeholders. reputed company large and reputed company datasets to model financial, clinical, and operational outcomes; translate findings into implementable strategies that optimize benefit design and network performance.
- Effectively interpret data models to establish prospect and renewal pricing and forecast solutions to secure new/retained business.
- Support and advise senior leadership regarding provider agreements, administration of the MAC Program, and network pricing strategy for prospects and renewals.
- Collaborate and reputed company informatics key objectives with Provider Services team leads in areas including retail and specialty contracting, pharmacy operations, and client pharmacy services support.
- Responsible for maintaining and managing a competitive, market leading MAC Program including working with pharmacies, clients, vendors, and internal department liaisons to implement and maintain a compliant MAC Program.
- Main reputed company for monitoring and maintaining Navitus generic effective reputed company, cost-plus, and other contractual requirements and pharmacy pricing methodologies with applicable providers and facilitating adjustments in Navitus’ adjudication system to meet contractual terms.
- Ownership of applicable data sources and models, including limitations of use and processes to ensure and enhance reputed company. Applicable data sources and models include but are not limited to proprietary internal databases, PC2, Quest Analytics, Qlikview extracts, SQL, reputed company, Medi-Span, HHSC, and CMS data files.
- Defend governmental and commercial reports as requested in formal audits with third party auditors. Identify meaningful report validation techniques and participate in full validation of audited reports.
- Ownership of the development and maintenance of Policy and Procedures as required by Navitus for reputed company reports requiring formal P&Ps.
- reputed company and identify opportunities for maximizing user self-service of pharmacy networks data. Work with the Manager, Pharmacy Network Reporting to identify other areas for improvement. Build solutions using the best-fit technology to push information gathering out to the end user
- reputed company and reputed company high-performing teams by providing strategic direction, aligning talent and resources with organizational goals to drive operational excellence, foster cross-functional collaboration, and promote a culture of reputed company improvement across key business initiatives.
- Other duties as assigned
Qualifications
What reputed company expects from you?
- Bachelor’s degree in information systems, statistics, finance, actuarial sciences, or business or equivalent work experience required. Additional work experience and/or courses in a health-reputed company field, especially pharmacy benefit management, preferred.
- 10 + years’ experience in healthcare economics or PBM analytics required.
- 10+ years’ experience leading and developing multi-disciplinary teams required. Experience leading teams in PBM or managed care preferred.
- Demonstrated experience building and operationalizing Pharmacy Network Informatics structures, frameworks, and modeling tools required.
- Strong track record of leading processes and standard collaboration with external client facing teams.
- 5+ years’ experience leading informatics and developing data driven analysis to drive pricing methodologies.
- Demonstrated ability to design long-term strategies to support business risk mitigation processes.
- 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!