VP – PBM Trade Relations

Role Overview

• Own and lead Navitus’ Group Purchasing Organization (GPO) strategy and administration, including governance, performance management, compliance oversight, and alignment with Navitus’ rebate and contracting objectives.
• Establish and execute an enterprise rebate strategy that balances market competitiveness, clinical integrity, transparency, and lowest net cost outcomes for clients.
• Lead senior ‑ level pharmaceutical manufacturer negotiations and strategic engagements, ensuring contracts, rebate structures, and guarantees align with Navitus ’ long ‑ term strategy, financial objectives, and client commitments.
• Partner with executive peers across Clinical Services, Provider Services, Sales, Pricing, Finance, Compliance, and Analytics to ensure integrated strategy execution.
• Provide executive counsel on pharmaceutical industry trends, rebate strategy implications, and market risks/opportunities.
• Provide executive oversight for rebate and contracting analytics, including market assessment, financial modeling, pricing support, and guarantee development.
• Partner with Sales, Pricing, and Finance to translate rebate and contracting strategy into competitive, compliant, and defensible pricing approaches for current and prospective clients.
• Oversee rebate financial structures, performance programs, and reimbursement mechanisms associated with manufacturer and GPO agreements.
• Ensure robust contract interpretation, issue resolution, and escalation governance for rebate ‑ related matters across the enterprise.
• Establish analytics standards and insights that clearly articulate the value of Navitus’ contracting, rebate, and formulary strategies to clients and consultants.
• Monitor pharmaceutical market dynamics, competitive trends, pipeline developments, and regulatory activity to proactively inform strategy and positioning.
• Serve as executive owner of the Formulary Advisory Committee responsible for ownership of formulary financial performance.
• Through partnership with Clinical Services leadership, ensure formulary recommendations are grounded in clinical evidence, market intelligence, client impact, and rebate considerations while maintaining independence and transparency.
• Set standards for formulary governance, documentation, and decision rationale; ensure alignment with compliance expectations and Navitus’ clinical philosophy.
• Partner with Clinical Services leadership to ensure clear separation between formulary governance and operational execution, while maintaining strong strategic alignment.
• Maintain an active presence in industry forums, conferences, and working groups to enhance Navitus’ visibility, credibility, and influence.
• Act as a senior external representative for Navitus with pharmaceutical manufacturers, industry organizations, coalitions, consultants, and key stakeholders.
• Build and lead high ‑ performing teams focused on strategy, analytics, governance, and manufacturer engagement.
• Establish, mentor and develop team members through coaching, feedback, and career planning, ensuring a pipeline of future leaders and a culture of accountability and growth.
• Bring forward emerging industry insights, regulatory developments, and innovation opportunities to executive leadership.
• Ensure all activities adhere to Navitus’ compliance program, ethical standards, and regulatory obligations.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.
• Perform other duties as assigned.

Requirements

• Bachelor’s degree in Business Administration, Healthcare Management or related field or equivalent work experience required
• MBA preferred
• 10+ years progressive PBM or pharmacy trade experience required
• 10+ years of progressive experience in a strategic leadership role within the healthcare or pharmacy sector required
• Demonstrated leadership and negotiation experience is required
• Experience within a successful PBM or managed care organization is preferred
• Demonstrated experience in new product development, product management, sales, marketing, strategic planning, and program execution for government programs required
• Strong track record of tangible success, including leadership and team collaboration/relationship-building/management in a health care or related environment
• Knowledge and deep understanding with Medicaid, Medicare and/or Exchange and health plans required
• Demonstrated ability to work with senior state government professionals preferred
• Familiarity with understanding and communicating complex and contradictory state and federal law, regulations or guidance required.

Benefits

• Health insurance
• 401(k) matching
• Remote work options