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Director Pbm Operation Jobs (NOW HIRING)

Jobtailor

Knowledge of internal operations and clients' benefit management philosophy, goals, and objectives required * Understanding of the PBM industry and the Navitus advantage compared with competitors ...

ISHE

$100K - $231K/yr

Position Summary The Director, PBM Contract Management applies complex financial, contractual, and ... Key responsibilities include supporting health plan client retention, influencing operational ...

CVS Health

Ld Dir, Underwriting

$100K - $231K/yr

Position Summary The Director, PBM Contract Management applies complex financial, contractual, and ... Key responsibilities include supporting health plan client retention, influencing operational ...

AVTC Group

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Princeton, NJ · On-site +1

The role works closely with the current operations staff, the PBA Vendor, State Associate Director ... The PBA/PBM SME will operate under the direction of the State Associate Director during DDI and the ...

CVS Health

Senior Manager, Product

Irving, TX · On-site

$75K - $182K/yr

It is common for this role to work with Operations, Formulary Administration, Medical Affairs ... This position reports to Lead Director, PBM Product Administration. Required Qualifications 7-10 ...

SlateRx

PBM Senior Analyst, Underwriting

Las Vegas, NV · On-site +1

As the Senior Analyst you will play a crucial role in supporting the Director of Underwriting with ... Awareness of regulatory requirements and industry standards related to PBM operations and health ...

CVS Health

Senior Manager, Product

Scottsdale, AZ · On-site

$75K - $182K/yr

It is common for this role to work with Operations, Formulary Administration, Medical Affairs ... This position reports to Lead Director, PBM Product Administration. Required Qualifications 7-10 ...

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Infographic showing various Director Pbm Operation job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Sr. Director, PBM Account Services

Remote

Navitus Health Solutions, LLC
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Navitus Health Solutions, LLCexternal

$162K - $203K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago

Navitus Health Solutions rating

7.0

Company rating: 7.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications 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 share a passion for excellent service to our customers and each other.. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $162,722.00 - USD $203,403.00 /Yr.
STAR Bonus % (At Risk Maximum)
17.50 - Sr Director
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am to 5pm
Remote Work Notification
ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
Overview
We're seeking an accomplished PBM and managed care leader with a bachelor's degree, 10+ years of experience supporting managed care clients, and 5+ years of experience leading and developing high-performing teams. This role offers the opportunity to leverage your expertise with executive-level consultants and clients to drive strategy, strengthen relationships, and deliver meaningful results. If you're passionate about influencing the future of pharmacy benefits and helping clients achieve better outcomes, you'll find both challenge and impact in this leadership role
The Sr. Director, Account Services leads strategy, overall service performance, and account service teams for existing PBM clients. The position is responsible for the co-development of long-term account strategy for the Key Account's clients. This position communicates across multiple organizational levels including internal/external and leads Client Services teams/projects. Working with subject matter experts, the Sr. Director is responsible for developing and executing an annual Strategic Business Plan with account teams and clients. The position is responsible for supporting client retention, achieving corporate strategic goals relative to client base and overall customer satisfaction, including removing obstacles/solving customer issues in a timely manner. This includes mentoring, providing guidance, training, performance reviews, and other such managerial tasks. This position also provides support to the team through participation in key strategic Client Consultative Reviews and Strategic Business Plan meetings and other client meetings as required. In addition, the Sr. Director strengthens organizational capability and operational effectiveness through process modernization, implementation of centralized resources, cross-training initiatives, and the adoption of technology-enabled, data-driven decision making.
This role is ideal for an accomplished healthcare leader who enjoys building strong client partnerships, leading high-performing teams, influencing strategy, and delivering meaningful results in a mission-driven organization focused on making medications more affordable and accessible.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
  • Provide leadership and oversight for Account Executives and Account Management strategy and tactical execution, ensuring consistent service delivery, and driving performance across account management teams supporting the Key Accounts book of business. This includes accountability for operational effectiveness, scalability, and alignment with company objectives.
  • Communicate effectively with Senior Team at Navitus and C-Suite level externally; provide executive summary of performance to the Executive Team at least quarterly.
  • Attend key Management Committee meetings.
  • Oversee the creation and presentation of Strategic Business Plans, Consultative QBRs, and Performance Standard reports to Navitus clients.
  • Provide support and guidance to staff relative to Performance Guarantees and best practices.
  • Manage Clients at a strategic level, including Senior-level Client Management teams.
  • Build sustainable operational capability by modernizing processes, establishing centralized documentation and standards, promoting cross-training, and reinforcing governance practices (decision-making, accountability, and escalation frameworks).
  • Champion data-driven decision-making and technology adoption to improve efficiency and consistency across Account Management Operations.
  • Involvement in related cross-functional matrix teams/committees.
  • Lead internal department and corporate projects.
  • Responsible for measuring, monitoring, and reporting a variety of key performance indicators for internal and external stakeholders; and for reporting client services metrics.
  • Responsible for team members' performance specific to client, individual team members, and key office personnel.
  • Create and develop strategic direction for the Client / Clinical Services team.
  • Provide on-going formal training to team members.
  • Promote and oversee intentional cross-training strategies within and across departments to reduce single points of failure, strengthen bench strength, and improve service continuity for complex consultant/broker portfolios.
  • Provide expert input to hiring process and on-boarding process for team members.
  • Travel to Client sites as required.
  • Other duties as assigned.

Qualifications
What our team expects from you?
  • Bachelor's degree from an accredited university required.
  • 10+ years of progressive experience interfacing directly with Managed Care clients required.
  • 5+ years of progressive leadership experience, which may include leading individual contributors or teams, or equivalent leadership experience such as coaching, mentoring, or leading complex initiatives or projects, required.
  • Knowledge of internal operations, as well as an knowledge of the clients' benefit management philosophy, goals, and objectives required.
  • Understanding of the PBM industry and the Navitus advantage as compared with its competitors required.
  • Knowledge of formulary managed care systems, principles, and practices (e.g., DUR, and prior authorization) required.
  • Participate in, adhere to, and support compliance program objectives.
  • The ability to consistently interact cooperatively and respectfully with other employees.

What can you expect from Navitus?
  • 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!

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