Sr. Director, Pharmacy Network Informatics - 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

Due to growth, we are adding a Sr. Director, Pharmacy Network Informatics to our team!

The Sr. Director, Pharmacy Network Informatics will oversee, lead 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, Underwriting, Finance, and Government Programs departments The Sr. Director will leverage use of emerging technologies and analytics to assist internal and external customers to make 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 all existing and prospective clients and RFP response.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Direct the adequacy and performance of Navitus’ provider networks via data modeling, analysis, and reporting received from the team.
• Develop and oversee pharmacy business intelligences dashboards, reports, and analytics infrastructure.
• Partner with internal stakeholders such as Finance, Underwriting, Operations, Compliance, IT to align pharmacy performance metrics, forecasting, KPI’s with organizational goals.
• Lead and effectively manage all 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. Leverage large and complex 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 lead 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 competi