[Hiring] Director, Specialty Pharmacy Network Contracting @Navitus Health Solutions, LLC

Role Description

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.

• 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.
• Provide strategic leadership over specialty pharmacy participation agreements, network addenda, and contract standards.
• Develop and maintain contracting playbooks, standards, and governance frameworks.
• Guide contract structure decisions to support evolving pricing strategies, regulatory changes, and market dynamics.
• Lead specialty provider engagement strategy to support successful contract negotiations.
• Serve as a senior point of contact for complex and strategic provider discussions.
• Maintain strong relationships with key pharmacy partners.
• Ensure negotiated specialty contract terms are clearly defined and positioned for accurate implementation.
• Partner with Network Operations and Network Implementation teams for effective handoff and validation of specialty contract terms.
• Accountable for financial performance of specialty pharmacy network contracts.
• Act as escalation point for complex specialty contract issues requiring higher-level leadership intervention.
• Provide leadership and direction to contract managers and/or senior contracting staff.

Qualifications

• Bachelor’s degree in Business, Finance, Economics, or Healthcare Administration, or related field, or equivalent work experience, required.
• 7+ years of progressive PBM, healthcare plan, pharmacy network, or equivalent experience required.
• Demonstrated experience in provider contracting, contract strategy, or network governance required.
• Strong understanding of pharmacy reimbursement and claims adjudication concepts required.
• 3+ years of leadership experience with a proven ability to develop high-performing teams.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Requirements

• Strong negotiation skills.
• Ability to analyze complex data and make strategic decisions.
• Excellent communication and interpersonal skills.
• Proficient in contract management software and tools.

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!