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Associate Director, Industry Relations

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Job Ref:  55
Employer:  Navitus Health Solutions
City:  Madison
State:  Wisconsin (WI)
Position type:  Full-Time

NavitusREQUIREMENTS:

  • Bachelor’s degree in Pharmacy or Pharm. D is preferred
  • MBA or applicable degree or experience is desired
  • At least 5 years PBM/Healthcare plan experience is preferred; with a strong preference for individuals with rebate contracting and formulary management experience.
  • At least 1 year experience in contract negotiation; with preference in Commercial,  Medicaid  and Medicare Part D rebate contracting (or equivalent experience)
  • Pharmacist should have or could timely obtain an unrestricted licensure in Wisconsin
  • Up to 20% travel time required
  • Valid driver’s license required

 

POSITION OVERVIEW AND PURPOSE:

Reporting to the Director, Industry Relations, the Associate Director, Industry Relations will be responsible for establishing, maintaining, and enhancing effective relationships with all pharmaceutical manufacturers (Pharma), and negotiating contracts with respect to rebates and discounts for formulary inclusion, to meet Navitus’ existing and future needs. This includes overseeing the administration of affiliation agreements, performance programs, and reimbursement structure and payments related to those contracts.  It also includes leading Pharma contracts analytics, guaranties, and proposal strategy, to meet Navitus’ current and future needs.   Provide formulary decision support through appropriate cost modeling, rebate forecasting and budget impact analysis

 

PRINCIPAL DUTIES AND RESPONSIBILITIES: 
  • Quickly understanding Navitus' mission, strategies, objectives, products and services, and organizational relationships
  • Principal company representative for management of appointed lines of business (e.g., Commercial, Medicare Part D, Managed Medicaid, Exchanges)
  • Proactively building and maintaining strong and effective working relationships throughout Pharma, customers, Navitus, and other business partners/vendors
  • Ensuring the appropriate Pharma sources and internal and external people/resources are in place to meet Navitus’ current and future needs
  • Developing and successfully implementing strategies and action plans for establishing and enhancing a competitive Pharma contract structure for Navitus which meets current and future needs of Navitus and its customers.  This includes ensuring that appropriate agreements, analytical processes, and audit programs are in place
  • Working closely with Navitus' operational teams to ensure that Pharma contracts with respect to rebates and discounts are fully understood, and proactively leading the resolution of rebate issues. Support Navitus internal and client external P&T processes with financial modeling and presentations
  • Partnering with Navitus' leadership and providing counsel to ensure that high quality Pharma contracting management programs are profitably developed
  • Leading Pharma negotiations and working with others to proactively seek and capitalize on opportunities to profitably expand the scope of high net rebates and discounts that are obtained for the ultimate creation of the lowest net cost PBM for Navitus’ clients 
  • Ensuring rebates contracts are executed timely, do no lapse and are in force in order to obtain and maximize potential collection 
  • Will assist the Director Industry Relations in managing new pharmacy program initiatives and the expansion of rebate forecasting and projections

 

SUPERVISORY RESPONSIBILITIES: The Associate Director, Industry Relations will work closely with a small team, use other matrix teams and directly manage either commercial or government rebate contracts 

 

CONTACTS AND RELATIONSHIPS: 

Internal: All levels within Navitus 

External: Senior and other levels among Pharmaceutical manufacturers, customers, other vendors, consultants and others

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