[Hiring] Consultant, Pharmacy Network @Navitus Health Solutions, LLC

Role Description

Due to growth, we are adding a Consultant, Pharmacy Network to our team! The Consultant, Pharmacy Network will be responsible for managing and improving client support for pharmacy benefit management services and ensuring client satisfaction. The position will lead strategy and overall service performance for specified PBM clients. The Consultant is responsible for the co-development of long-term strategy and customer relationship management. The role will partner with and work cross functionally with multiple organizational levels and provide clear communication with internal and external partners to lead team deliverables.

The Consultant, Pharmacy Network will be responsible for supporting Provider Services team in client retention, achieving corporate strategic goals relative to client base and overall customer satisfaction, including removing obstacles/solving customer issues in a timely manner. The role will also manage Navitus client inquiries regarding contractual issues, including internal and external contacts regarding pharmacy participation, pharmacy services, and network discounts.

Responsibilities

• Responsible for managing strategic client relationships by building and maintaining strong relationships with assigned clients.
• Understanding client needs and expectations, acting as a point of contact for client inquiries and issues related to pharmacy network management.
• Overseeing and improving client support processes and procedures, ensuring timely and accurate responses to client inquiries regarding provider services.
• Tracking key performance related to client pharmacy network management support and analyzing data to identify areas for improvement.
• Lead Navitus client inquiries and act as Subject Matter Expert regarding client deliverables and open items.
• Monitors standards and metrics to drive performance and exceed client service quality expectations.
• Interpret data, including claims utilization from Navitus’ data warehouse and from NCRx, formulary files, pharmacy network databases, NCPDP pharmacy files, Medispan files, and other databases required to facilitate and ensure the accurate delivery of information related to client and pharmacy partner reporting requirements.
• Maintain and manage projects to improve existing processes, delivering enhanced quality and efficiency.
• Serves in a consultative role to support clients and other Navitus departments in new client implementations and participate in client-facing meetings.
• Other duties as assigned.

Qualifications

• Bachelor’s degree in healthcare administration, business management, pharmacy, or related field, or equivalent work experience, required.
• Pharmacy technician certification preferred.
• 5+ years of business experience in PBM implementation, client management, or project management required.
• Strong understanding of PBM processes, pharmacy benefits, and healthcare industry regulations required.
• 3 years of experience in business, finance or economics preferred.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

• 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.
• Educational Assistance Plan and Professional Membership assistance.
• Referral Bonus Program – up to $750!

Company Description

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.

Pay Range: USD $71,716.00 - USD $86,405.00 /Yr.