Director, PBM Specialty Pharmacy Network Contracting

Company

Navitus

About Us

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._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $142,128.00 - USD $177,660.00 /Yr.

STAR Bonus % (At Risk Maximum)

15.00 - Director, GM of GP, PIC

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

M-F: 8:00 am – 5:00 pm

Remote Work Notification

ATTENTION: Navitus is 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.

Overview

The Director, Specialty Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of specialty pharmacy network contracts across all provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated specialty pharmacy reimbursement structures. The Director serves as the contracting authority for specialty pharmacy provider agreements, leading negotiations with national chains, specialty pharmacies, health system–affiliated providers, and limited distribution networks. This role ensures that contract terms are competitive, sustainable, and aligned with enterprise pricing strategy, regulatory requirements, manufacturer distribution models, and long-term network objectives. This role works closely with the Senior Director, Network Contracting to drive contracting strategy, establish negotiation priorities, and ensure alignment with enterprise network and financial objectives. Is this you? Find out more below! 

Responsibilities

 

Network Contracting & Negotiation Leadership

• Lead negotiation of specialty pharmacy participation agreements across all provider segments, including national chains with specialty capabilities, independent specialty pharmacies, and health system–affiliated providers.
• Own reimbursement structures, contract terms, and financial outcomes for specialty pharmacy agreements, including high-cost drug categories.
• Establish negotiation strategies that balance market competitiveness, provider sustainability, and enterprise financial objectives within the specialty drug landscape.
• Serve as the decision-maker for contract structure, rate positioning, and escalated negotiation decisions.
• Approve contract exceptions and ensure alignment to broader specialty network and enterprise strategy.

 

Specialty Contract Strategy & Framework Development

• Provide strategic leadership over specialty 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 specialty 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, including reimbursement changes, contract interpretation, and structural alignment.
• Maintain strong relationships with key pharmacy partners to support transparency, issue prevention, and alignment on contract expectations.