Note: The job is a remote job and is open to candidates in USA. Navitus Health Solutions is a pharmacy benefit manager committed to making medications more affordable by removing costs from the drug supply chain. The Consultant, Pharmacy Network manages strategic client relationships, improves support processes, and leads service performance for PBM clients. The role also handles pharmacy network inquiries, interprets data, supports implementations, and drives client satisfaction and retention.
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, all related to pharmacy network management including retail and specialty lines of business
- 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
Skills
- Bachelor's degree in healthcare administration, business management, pharmacy, or related field, or equivalent work experience, required
- 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
- The ability to consistently interact cooperatively and respectfully with other employees
- Pharmacy technician certification preferred
- 3 years of experience in business, finance or economics preferred
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!
- Remote work
Company Overview