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Network Contracting Manager Remote
Network Contracting Manager Remote-August 2024
Madison
Aug 24, 2025
About Network Contracting Manager Remote

  JOB REQUIREMENTS: Putting People First in Pharmacy- Navitus was foundedas an alternative to traditional pharmacy benefit manager (PBM) models.We are committed to removing cost from the drug supply chain to makemedications more affordable for the people who need them. At Navitus,our team members work in an environment that celebrates diversity,fosters creativity and encourages growth. We welcome new ideas and sharea passion for excellent service to our customers and each other. TheNetwork Contracting Manager will be responsible for the management ofretail, specialty, and mail order pharmacy contracting, issuemanagement, reporting, and network strategy in support of Navitus\'objectives. The primary responsibility is to develop, implement,execute, and provide ongoing management of pharmacy contracts andrelationships with pharmacy partners, including national and regionalchain providers, pharmacy services administration organizations (PSAOs)and independent pharmacies for all lines of business. The NetworkContracting Manager will evaluate the value obtained from each pharmacycontract on behalf of Navitus and payers and will be responsible toensure compliance with all contractual obligations of such contracts.The Network Contracting Manager assists with addressing reimbursementissues, determining network needs, evaluating prospective providers,managing all pharmacy and vendor contract negotiations as well as otherpharmacy related projects and initiatives across all lines of businessand geographies (Commercial, Medicare and managed Medicaid). The NetworkContracting Manager will work across multiple departments to fulfill theresponsibilities of this role with respect to retail, mail, specialty,and other pharmacy services including necessary administrative dutiesrequired to maintain compliance with all state and federal regulations.Is this you? Find out more below! How do I make an impact on my team?Negotiate pharmacy network reimbursement ethically in support ofNavitus\' mission to meet or exceed clients\' and Navitus\' needs forall lines of business and programs, including Commercial, Medicare PartD, Managed Medicaid, Exchanges, and Narrow Retail, Specialty, and MailOrder Networks. Ongoing management of pharmacy network contracts,including timely renewals and updating of financial and legal terms insuch contracts. Negotiate and execute pay for performanceprogram-specific contracts with pharmacies. Ensure all Pharmacy Networkscomply with applicable regulatory entities and contractual obligationsthat relate to Value-Based, Quality, and Performance Networkinitiatives. Work with clinical teams to identify possible qualitymeasures applicable to pharmacy services for each line of business.Responsible for audits of the pharmacy quality performance network andany... For full info follow application link. Navitus Health Solutionsis an Equal Opportunity Employer:Disabled/Veterans/Male/Female/Minority/Other ***** APPLICATIONINSTRUCTIONS: Apply Online: ipc.us/t/3807F835945A41BD

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