Pharmacy Benefits Reinvented- As the industry’s alternative pharmacy benefit manager (PBM), we’re committed to making prescriptions more affordable for you and your members. Here at Navitus, our team members work in an environment that celebrates creativity, fosters diversity and encourages growth. We welcome new ideas and share a passion for excellence.

Reporting to Vice President, Formulary and Industry Relations, the Director of Rebate Operations is responsible for all operational aspects of Navitus’ rebate program including but not limited to – core operations, client operations, rebate optimization, sales support, pricing/guarantees, point of sale rebates and vendor management.

Is this you? Find out more below!

How do I make an impact on my team?

• Data flow between Navitus Rebates team and other internal stakeholders like finance, analytics, sales and account management.
• Data flow between Navitus and Pharma/GPO and/or other vendors. This includes but is not limited to submission of claims data.
• Account Reconciliation file receipt, analysis and furnishing the necessary data so finance can invoice clients.
• Implementation of New Clients. This involves evaluation of formulary from a roll up standpoint.
• Prospective Reporting – This includes forecasting/projecting rates based on existing data, making assumptions and documenting such assumptions/caveats in calculating forecasted rates using existing data. Creating a potential bid grid based on known data components, again making and documenting assumptions. Constantly comparing actuals vs. forecasted to finetune assumptions. Forecasting guarantees based on rates, utilization and other factors like inflation.
• Retrospective Reporting – Ensure all client reports are generated timely and accurately. Analyzing the data to ensure clients are receiving maximum rebates. If there are gaps, identify the reasons for those gaps and work with GPO to correct those.
• Rebate Optimization – Analyze client formulary against best formulary placement with pharma/GPO to then supply the data/information that would be needed by our contractors to have meaningful conversations with pharma/GPO and our clients in order to maximize client rebates while still maintaining our lowest net cost philosophy.
• Work closely with analysts, leadership and other internal stakeholders like sales and finance to ensure rebate guarantees are proposed to clients.
• Operationalize the service working closely with other operational areas like formulary and Claim adjudication to ensure accuracy of the set- up.
• Work closely with vendors or strategic partners to make sure the relationship is a mutually successful partnership.

What our team expects from you?

• A minimum of 4-year degree OR Equivalent work experience in related work environment
• Minimum of 2 years in a PBM or equivalent setting. Proven experience in designing an operation, building processes – scaling and automation. Proven track record of process improvement/system enhancements. Experience with tools/systems around automation of processes is highly preferred. Proven track record of collaboration with multiple stakeholders – internal and external. A very participative leadership record. Proven track record of keeping employees highly motivated and engaged. Experience in working with Senior Leadership within an organization.
• 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?

• Hours/Location: Monday – Friday: 8:00am-5:00pm CST, Madison WI Office, Appleton WI Office or Remote
• Paid Volunteer Hours
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750!
• Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Eight paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program