Director, PBM Pharmacy Network Contracting - Navitus Health Solutions

Company

About Us

Pay Range

STAR Bonus % (At Risk Maximum)

Work Schedule Description (e.g. M-F 8am to 5pm)

Remote Work Notification

Overview

The Director, Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of pharmacy network contracts across all provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated reimbursement structures.

The Director serves as the contracting authority for pharmacy provider agreements, leading negotiations with national chains, grocers, PSAOs, and independent pharmacies. This role ensures that contract terms are competitive, sustainable, and aligned with enterprise pricing strategy, regulatory requirements, and long-term network objectives.

This role partners closely with the Senior Director, Network Contracting to drive contracting strategy, establish negotiation priorities, and ensure alignment with enterprise network and financial objectives.

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Responsibilities

Network Contracting & Negotiation Leadership

• Lead negotiation of pharmacy participation agreements across all provider segments, including national chains, grocers, PSAOs, and independent pharmacy networks.
• Own reimbursement structures, contract terms, and financial outcomes of pharmacy provider agreements.
• Establish negotiation strategies that balance market competitiveness with enterprise financial and network performance goals.
• Serve as the decision-maker for contract structure, rate positioning, and escalated negotiation decisions.
• Approve contract exceptions and ensure alignment to broader network strategy and pricing objectives.

Contract Strategy & Framework Development

• Provide strategic leadership over pharmacy participation agreements, network addenda, and contract standards, ensuring consistency with enterprise pricing, access, and compliance objectives.
• Develop and maintain contracting playbooks, standards, and governance frameworks to support scalable and consistent negotiation practices.
• Guide contract structure decisions to support evolving pricing strategies, regulatory changes, and market dynamics.
• Recommend enhancements to contract language and structure to improve clarity, enforceability, and long-term sustainability.

Provider Engagement & Negotiation Strategy

• Lead provider engagement strategy to support successful contract negotiations, alignment to contract intent, and long-term network stability.
• Serve as a senior point of contact for complex and strategic provider discussions, incl