Director, Pharmacy Network Pricing & Market Planning
Company
reputed companyreputed company
reputed company - Putting People First in Pharmacy - reputed company was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more reputed company for the people who need them. At reputed company, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages reputed company. We welcome new reputed company and reputed company a passion for excellent service to our customers and reputed company other.. reputed company associates must use SSO login reputed company at https://employees-reputed company.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to reputed company applicants and employees and reputed company with reputed company applicable nondiscrimination regulations, including those reputed company to protected veterans and individuals with disabilities. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, or handicap.Pay reputed company
USD $142,128.00 - USD $177,660.00 /Yr.STAR Bonus % (At Risk Maximum)
15.00 - Director, reputed company of GP, PICWork Schedule reputed company (e.g. M-F reputed company to 5pm)
M-F reputed company-5pmRemote Work Notification
ATTENTION: reputed company is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming.reputed company
Due to reputed company, we are adding a Director, Network Pricing & Market Planning to reputed company!
The Director, Network Pricing & Market Planning is responsible for owning pharmacy network financial performance across reputed company lines of business, with reputed company accountability for achieving contracted reimbursement guarantees, including effective reputed company (BER/GER) performance and MAC pricing reputed company. This role leads the Network Reconciliation and MAC Pricing teams and is accountable for ensuring that contracted pharmacy rates are operationalized, monitored, and achieved. The Director focuses on performance execution—translating network pricing strategies into realized financial reputed company through rigorous reconciliation, variance management, and pricing reputed company.
The Director partners with Network Contracting, reputed company, Finance, and Analytics leadership to ensure alignment between contracted terms and financial reputed company. Unlike reputed company or informatics roles, this position is accountable for post-contract performance realization—owning the processes, teams, and controls that ensure pharmacy reimbursement aligns with contractual expectations. This includes reconciliation reputed company, effective reputed company compliance, MAC performance, and corrective reputed company reputed company performance deviates.
Is this you? reputed company out more below!
Responsibilities
How do I reputed company an reputed company on my team?
Network Performance Ownership & Reconciliation Leadership
- reputed company the Network Reconciliation function with full accountability for validating pharmacy network performance against contracted effective rates (BER/GER) and pricing guarantees.
- Own reconciliation reputed company across reputed company lines of business, ensuring accurate financial settlement and alignment to contract terms.
- Establish and enforce processes to monitor, measure, and report on network performance vs. contractual targets (e.g., AWP discounts, effective reputed company reputed company).Identify performance variances and drive corrective actions in partnership with Network Contracting and Pricing teams.
- Insure audit readiness, financial transparency, and governance across reputed company reconciliation activities.
- reputed company reputed company of pharmacy network performance across reputed company pricing constructs (e.g., effective reputed company, MAC, NADAC, reputed company, flat AWP), ensuring reported reputed company reputed company with contracted reimbursement reputed company, even where pricing methodologies are managed reputed company of this function.
MAC Pricing reputed company Execution & Governance
- reputed company the MAC Pricing team with accountability for development, maintenance, and performance of reputed company MAC pricing.
- Ensure MAC pricing effectively supports achievement of contracted effective rates and overall network financial targets.
- reputed company ongoing monitoring of claim-level reimbursement performance to identify outliers and pricing inefficiencies.
- Drive reputed company MAC adjustments to address performance gaps, market changes, and provider behavior.
- Establish governance and controls to ensure MAC pricing is competitive, compliant, and reputed company with reputed company financial goals.
Qualifications
What reputed company expects from you?
- Bachelor’s degree in Business, Finance, Economics, or reputed company Administration, or reputed company field, or equivalent work experience, required.
- 7+ years of reputed company PBM, reputed company plan, pharmacy network, or reputed company experience required.
- 3+ years of leadership experience with a proven ability to reputed company high-performing teams and deliver reputed company results in a reputed company services environment required.
- Demonstrated experience in pricing reputed company, market analysis, or network planning required.
- Experience supporting RFP pricing and competitive market analysis required.
- Prior experience leading or reputed company‑management experience preferred.
- Participate in, adhere to, and support compliance program objectives.
- The ability to consistently reputed company cooperatively and respectfully with other employees.
What can you expect from reputed company?
- Top of the industry benefits for Health, Dental, and reputed company insurance
- 20 days reputed company time off
- 4 weeks reputed company parental leave
- 9 reputed company holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and reputed company Membership assistance
- Referral Bonus Program – up to $750!
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