VP – PBM Trade Relations

Posted 6hrs ago

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Job Description

Vice President managing Navitus’ pharmaceutical manufacturer engagement strategy. Leading rebate strategies and GPO relationships to ensure best cost outcomes for clients.

Responsibilities:

  • Own and lead Navitus’ Group Purchasing Organization (GPO) strategy and administration, including governance, performance management, compliance oversight, and alignment with Navitus’ rebate and contracting objectives.
  • Establish and execute an enterprise rebate strategy that balances market competitiveness, clinical integrity, transparency, and lowest net cost outcomes for clients.
  • Lead senior ‑ level pharmaceutical manufacturer negotiations and strategic engagements, ensuring contracts, rebate structures, and guarantees align with Navitus ’ long ‑ term strategy, financial objectives, and client commitments.
  • Partner with executive peers across Clinical Services, Provider Services, Sales, Pricing, Finance, Compliance, and Analytics to ensure integrated strategy execution.
  • Provide executive counsel on pharmaceutical industry trends, rebate strategy implications, and market risks/opportunities.
  • Provide executive oversight for rebate and contracting analytics, including market assessment, financial modeling, pricing support, and guarantee development.
  • Partner with Sales, Pricing, and Finance to translate rebate and contracting strategy into competitive, compliant, and defensible pricing approaches for current and prospective clients.
  • Oversee rebate financial structures, performance programs, and reimbursement mechanisms associated with manufacturer and GPO agreements.
  • Ensure robust contract interpretation, issue resolution, and escalation governance for rebate ‑ related matters across the enterprise.
  • Establish analytics standards and insights that clearly articulate the value of Navitus’ contracting, rebate, and formulary strategies to clients and consultants.
  • Monitor pharmaceutical market dynamics, competitive trends, pipeline developments, and regulatory activity to proactively inform strategy and positioning.
  • Serve as executive owner of the Formulary Advisory Committee responsible for ownership of formulary financial performance.
  • Through partnership with Clinical Services leadership, ensure formulary recommendations are grounded in clinical evidence, market intelligence, client impact, and rebate considerations while maintaining independence and transparency.
  • Set standards for formulary governance, documentation, and decision rationale; ensure alignment with compliance expectations and Navitus’ clinical philosophy.
  • Partner with Clinical Services leadership to ensure clear separation between formulary governance and operational execution, while maintaining strong strategic alignment.
  • Maintain an active presence in industry forums, conferences, and working groups to enhance Navitus’ visibility, credibility, and influence.
  • Act as a senior external representative for Navitus with pharmaceutical manufacturers, industry organizations, coalitions, consultants, and key stakeholders.
  • Build and lead high ‑ performing teams focused on strategy, analytics, governance, and manufacturer engagement.
  • Establish, mentor and develop team members through coaching, feedback, and career planning, ensuring a pipeline of future leaders and a culture of accountability and growth.
  • Bring forward emerging industry insights, regulatory developments, and innovation opportunities to executive leadership.
  • Ensure all activities adhere to Navitus’ compliance program, ethical standards, and regulatory obligations.
  • Participate in, adhere to, and support compliance, people and culture, and learning programs.
  • Perform other duties as assigned.

Requirements:

  • Bachelor’s degree in Business Administration, Healthcare Management or related field or equivalent work experience required
  • MBA preferred
  • 10+ years progressive PBM or pharmacy trade experience required
  • 10+ years of progressive experience in a strategic leadership role within the healthcare or pharmacy sector required
  • Demonstrated leadership and negotiation experience is required
  • Experience within a successful PBM or managed care organization is preferred
  • Demonstrated experience in new product development, product management, sales, marketing, strategic planning, and program execution for government programs required
  • Strong track record of tangible success, including leadership and team collaboration/relationship-building/management in a health care or related environment
  • Knowledge and deep understanding with Medicaid, Medicare and/or Exchange and health plans required
  • Demonstrated ability to work with senior state government professionals preferred
  • Familiarity with understanding and communicating complex and contradictory state and federal law, regulations or guidance required.

Benefits:

  • Health insurance
  • 401(k) matching
  • Remote work options