Director, Contract Strategy – Provider Engagement

Navitus Health Solutions

Director responsible for leading pharmacy network contracting strategy at Navitus. Ensuring governance and provider engagement to support network pricing and compliance.

Posted 6/4/2026full-timeRemote • Idaho • 🇺🇸 United StatesLead💰 $142,128 - $177,660 per yearWebsite

About the role

Key responsibilities & impact

Provide strategic leadership over pharmacy participation agreements, network addenda, and contract standards, ensuring consistency with enterprise pricing, quality, and access strategies.
Develop and maintain contracting playbooks, standards, and governance frameworks to guide negotiations, amendments, and operational application.
Partner with Legal, Compliance, and Network Pricing leadership to ensure contract structures align with regulatory requirements and enterprise objectives.
Support strategic contract amendments, renewals, and enhancements, focusing on intent, scalability, and long‑term impact, rather than transactional execution.
Serve as a senior point of engagement for pharmacy providers, chains, and affiliations on contract‑related matters.
Maintain productive, professional relationships with providers to support alignment, transparency, and issue prevention.
Lead provider discussions related to contract interpretation, structural changes, and strategic alignment, escalating only high‑impact or systemic issues.
Partner with Provider Services and Network Leadership to ensure consistent provider messaging and engagement models.
Provide strategic guidance on contract interpretation to support pricing strategy, claims configuration, and network governance.
Act as an escalation point for complex, high‑risk, or systemic contract issues, while ensuring routine transaction‑level issues are handled operationally.
Analyze trends in provider inquiries or disputes to identify structural contract or process improvement opportunities.
Recommend contract language, governance, or system changes to reduce recurring operational friction.
Support Sales and Client Services by providing strategic clarity on contract constructs and network positioning.
Participate in company initiatives related to network strategy, growth, and regulatory readiness.
Provide leadership and direction to contract strategy, governance, or senior contract staff, as applicable.
Set expectations for quality, consistency, documentation, and escalation discipline.
Other duties as assigned.

Requirements

What you’ll need

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 and deliver tangible results in a professional services environment required.
Participate in, adhere to, and support compliance program objectives.
The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

Comp & perks

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!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract strategyprovider contractingnetwork governancepharmacy reimbursementclaims adjudicationcontract amendmentscontract interpretationgovernance frameworkscontract standardsstrategic leadership

Soft Skills

leadershiprelationship managementstrategic guidancecommunicationcollaborationproblem-solvingteam developmenttransparencyissue preventionescalation management