Navitus

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 make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.

USD $93,671.00 - USD $114,934.00 /Yr.

M-F 8am-5pm, CST

ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Due to growth, we are adding a technical data modeling and forecasting Sr. Manager, Pharmacy Network Informatics to our team!  This is a great role for a leader with sound data modeling experience. (Not a sales role.)

 

The Sr. Manager, Pharmacy Network Informatics will oversee and manage the Pharmacy Network Informatics Team. This position will support the Navitus Provider Services, Sales, Account Management, Implementation, and Government Programs departments, and Navitus’ pharmacy network pricing and reporting requirements. The Sr. Manager will oversee and lead Navitus Network Pricing Teams, Network Reporting, the Navitus MAC Team, and the Compliance Analysts to ensure the success of business needs, financial guarantee, and risk analysis. The individual will leverage use of analytics to assist internal customers to make informed decisions to decrease Navitus’ financial risk and increase Navitus’ sales and marketing opportunities and will serve as the Provider Services primary subject matter expert on RFP response.

 

Is this you? Find out more below!

How do I make an impact on my team? 

• Effectively interpret data models to establish prospect and renewal pricing and forecast solutions to secure new/retained business
• Review and approve price offers from Network Pricing Analysts
• Consult on Retail, Specialty, and Mail contracting strategy and innovation of network contracts
• Monitor industry events to forecast introduction of new generic products to the marketplace, manage exclusivity timelines, and monitor availability
• Lead a cross functional team in the creation of a reliable generic forecasting tool to be used in underwriting new business opportunities and client retention efforts
• Intimately and effectively understand applicable data sources and models, including limitations of use and processes to ensure and enhance integrity. Applicable data sources and models include but are not limited to proprietary internal databases, PC2, Quest Analytics, Qlikview extracts, PAC, Medi-Span, HHSC, and CMS data files
• Direct the Data Analyst to use applicable data sources to generate existing periodic reports for clients, pharmacies, and internal customers. Identify ways to improve and automate generation and accuracy of these reports
• Continue to enhance the tools and automation processes already utilized to perform geo-access analysis, disruption analyses, custom pharmacy listings and other reports
• 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
• Coordinate with the Navitus Legal team on review and reacting to pending state legislation’s impact on Navitus network reimbursement strategy and processes
• Other duties as assigned

What our team expects from you?

• BA/BS required
• 2+ years of management experience required.
• Educational concentration consisting of information systems, statistics, finance, actuarial sciences, or business preferred
• Additional courses in a health-related field, especially pharmacy, desirable
• Minimum five years PBM or managed care supervisory experience preferred
• Five to seven years’ experience in healthcare economics or PBM analytics desired
• 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

#LI-Remote

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Remote

US