Director, Network Informatics & Analytics

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 $152,077.00 - USD $190,096.25 /Yr.

STAR Bonus % (At Risk Maximum) 17.50 - Director, GM of GP, PIC

Work Schedule Description (e.g. M-F 8am To 5pm) M-F 8am to 5pm

Remote Work Notification ATTENTION: Navitus is only able to offer remote work to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin.

Overview Do you have strong experience in data modeling and analytics at a PBM or healthcare company? Due to continued growth, this add to headcount role will drive value as we are expanding our team to include a Director, Network Informatics & Analytics. Please note, this is not an IT Network position. The Director, Network Informatics & Analytics is a strategic leadership role responsible for the data, informatics, analytics, and quality governance that support pharmacy network contracting across Chain, Specialty, and Independent/Affiliated networks. This role serves as the centralized owner of network and contract data integrity, analytics, reporting, and analytical validation of outcomes.

This leader ensures that contract terms negotiated by Network Contracting are accurately represented in data and continuously assessed through analytics to provide insight into claims outcomes and network performance.

In addition, this role will drive the development of advanced network models and analytical frameworks to evaluate reimbursement strategies, provider performance, and overall network cost effectiveness, enabling data-driven decision-making across the organization.

The Director functions as a key strategic partner to Network Contracting leadership, providing actionable insights, predictive analytics, and proactive identification of risks and opportunities to optimize network performance and inform strategic decisions.

Is this you? Find out more below!

Responsibilities How do I make an impact on my team? Data Governance & Informatics Leadership

• Own and evolve the informatics framework supporting pharmacy network contracting, including contract attributes, reimbursement methodologies, network hierarchies, and provider identifiers
• Establish and maintain data standards, definitions, and governance controls to ensure data consistency, usability, and integrity across systems and reporting environments
• Serve as the centralized authority for network and contract data quality, enabling reliable and scalable analytics

Advanced Analytics & Network Modeling

• Design and develop network models to evaluate reimbursement structures, pricing strategies, and financial impact…