Navitus Health Solutions

Director

• Lead end ‑ to ‑ end negotiations with wholesalers, distributors, and suppliers to secure competitive pricing, favorable terms, and reliable access for GPO member pharmacies.
• Manage and maintain all wholesaler contracts to ensure negotiated pricing is accurately extended to eligible member pharmacies.
• Proactively evaluate opportunities to expand savings, improve contract structures, and enhance partner value.
• Develop and execute strategies to optimize primary and secondary wholesaler arrangements for GPO partners.
• Lead RFP processes for wholesaler and supplier negotiations, including comparative financial analyses and performance assessments.
• Drive continuous improvement in wholesale channel performance, pricing competitiveness, and operational effectiveness.
• Build and maintain strong, collaborative relationships with wholesalers, distributors, and suppliers.
• Serve as the primary point of contact for strategic alignment, escalation, performance discussions, and partnership development.
• Actively monitor supplier performance and promote accountability to contract terms and service expectations.
• Negotiate agreements with GPO member pharmacies covering drug access requirements, data ‑ sharing expectations, utilization reporting, and administrative fees.
• Ensure consistent communication to pharmacy partners regarding contract terms, pricing changes, and compliance requirements.
• Ensure all wholesaler, supplier, and pharmacy agreements align with legal, regulatory, and industry standards, including anti ‑ kickback, transparency, and reporting requirements.
• Partner with Legal to develop, refine, and maintain contract templates, SLAs, and audit protocols.
• Collaborate with internal analytics, finance, and operations teams to leverage data for pricing analysis, forecasting, and contract performance monitoring.
• Use financial modeling to support negotiation strategies and inform organizational decision ‑ Analyze the financial implications of wholesaler contracts and pricing models to maximize member savings and organizational profitability.
• Deliver reports that support GPO economic value assessments and budget planning.
• Work closely with finance, legal, operations, supply chain, analytics, and member engagement teams to ensure alignment and execution of contracting strategies.
• Maintain accuracy and integrity in reporting workflows, pricing files, and GPO partner documentation.
• Lead and inspire high-performing teams by providing strategic direction, aligning talent and resources with organizational goals to drive operational excellence, foster cross-functional collaboration, and promote a culture of continuous improvement across key business initiatives.

Director, Pharmacy Wholesaler Relations – Contracting

DevOps Engineer

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Product Manager

• Leads tactical product development efforts and provides oversight of daily operations required to support the Medicaid and Exchange product
• Leads the annual retro-eligibility ranking process for Exchange clients, working closely with Technical Operations to ensure timeliness and completeness
• Develops general subject matter expertise related to State Medicaid requirements for member materials, IT, third party liability, 340B, rebates, and reporting
• Provides Medicaid/Exchange SME support to Implementation Team for new client implementations and coordinates the process for implementing new plan benefit design changes that occur after initial implementation.
• Works closely with the ADMEO for the annual Exchange QHP application/certification process
• Coordinates the development, implementation, and maintenance of Medicaid/Exchange software processes and interfaces for all managed Medicaid clients and Exchange clients.
• Leads the Exchange JSON file delivery requirement
• Ensures the Exchange function meets all regulatory requirements.
• Works closely with functional teams to ensure that appropriate processes are being adhered to in order to comply with Exchange program requirements
• Supports readiness assessments, data validation efforts and client and/or regulatory audits
• Tracks, monitors, analyzes, and reports product performance goals including data and processing quality, mandated reports, and compliance.
• Leads Federal Exchange “Transparency in Coverage” annual reporting requirements/processes
• Develops, modifies, and improves business processes and policies needed to support the Medicaid/Exchange program

Director, Pharmacy Wholesaler Relations – Contracting

DevOps Engineer

Associate Product Manager, Medicaid and Exchange