Qureos Mentor

Navitus Health Solutions / Lumicera Health Services

<div>Company: Lumicera About Us: Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the &ldquo;new norm&rdquo; in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range: USD $193,535.74 - USD $241,919.67 /Yr. STAR Bonus % (At Risk Maximum): 35.00 - CLO, CCO, Managing VP, Other VP Work Schedule Description (e.g. M-F 8am to 5pm): May vary depending on business and team needs. Usually M-F between 8am-7pm CT Remote Work Notification: ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview:<p></p><p><br>
Reporting to the SVP and CEO, Specialty Pharmacy of Lumicera, the Vice President, Supply Chain will provide strategic leadership and operational oversight for all supply chain activities within our highly regulated specialty pharmacy business. This is a pivotal, high-impact role responsible for delivering lower costs to patient and clients through new and developing business initiatives built to leverage large-scale procurement economics and competitive wholesaler agreements</p><p><br>
This is not a logistics or back‑end operations role. It is a front‑end, working procurement‑driven leadership position centered on cost‑of‑goods contracting, wholesaler strategy, and large‑scale manufacturer engagement.</p><p><br>
What We&rsquo;re Looking For:</p><p><br>
The ideal candidate brings deep procurement and wholesaler negotiation experience, specifically with billion+ dollar primary agreements.</p><p></p><p><br>
We are seeking a leader who has operated at scale within complex organizations and has successfully built or transformed supply chain structures that deliver measurable financial impact.</p><p><br>
This role is right for you if you have:</p><ul><li>
Led enterprise‑level wholesaler negotiations involving highly regulated major global/national distributors</li><li>
Developed and executed procurement strategies for high‑value specialty medications and/or similar highly regulated products.</li><li>
Built or scaled a GPO, sourcing platform, or procurement business line</li><li>
Directed sophisticated manufacturer contracting strategies</li><li>
Expertise in cost modeling, budget impact forecasting, and competitive pricing structures</li></ul><br>
<p></p>
Responsibilities:
<p><b>
How do I make an impact on my team</b><b>?</b></p><ul><li>
Develop and execute a comprehensive specialty pharmacy supply chain strategy aligned with organizational goals including securing optimal pricing, discounts, rebates, and incentives.</li><li>
Lead the creation, distribution, and evaluation of Requests for Proposals (RFPs) for wholesalers, GPO partners, and other supply chain partners to ensure competitive bids and favorable terms.</li><li>
Establish supply chain best practices to maintain partnerships and ensure consistency in process.</li><li>
Establish policies and procedures for procurement, contracting, and inventory management to ensure compliance and efficiency.</li><li>
Build and maintain strong partnerships with pharmaceutical manufacturers to secure favorable pricing and access to specialty medications.</li><li>
Expand partnership expansion by recruiting pharmacies into the organization&rsquo;s Group Purchasing Organization (GPO) network, emphasizing the value of manufacturer and wholesaler discounts.</li><li>
Establish KPs and reporting systems to monitor contract compliance, rebate realization, and overall financial performance of supply chain agreements.</li><li>
Innovate new products and relationship structures that enable growth in pharmacy relationships and broaden market impact.</li><li>
Negotiate agreements with GPOs to optimize purchasing power and cost savings and that are inclusive of participation by other pharmacies.</li><li>
Monitor market trends, analyze pricing models and competitive benchmarks and regulatory changes impacting manufacturer and GPO contracts to inform contract strategy and maintain a competitive advantage.</li><li>
Drive initiatives to recruit pharmacies into the organization&rsquo;s Group Purchasing Organization (GPO) network, emphasizing the value of manufacturer and wholesaler discounts.</li><li>
Partner with finance, operations, and clinical teams to align supply chain strategies with organizational objectives and patient care priorities.</li><li>
Evaluation of the purchasing and relationship structures for continual improvement of the efficiency and effectiveness of the GPO and manufacturer relationships.</li><li>
Support the development and creation of annual budgets and monthly forecasts related to the procurement of specialty pharmaceutical products for specialty pharmacy.</li><li>
Mentoring and developing associates, interviewing, hiring and training associates, planning, assigning and directing work, appraising performance, rewarding and disciplining associates, and addressing complaints and resolving problems.</li><li>
Other duties as assigned</li></ul>
Qualifications:
<p><b>
What </b><b>our</b><b> team </b><b>expects</b><b> from you?</b></p><ul><li>
Bachelor&rsquo;s degree in Pharmacy, Business, or related field or equivalent work experience required; advanced degree preferred.</li><li>
10+ years of progressive experience in pharmacy supply chain management, with at least 5 years in a leadership role.</li><li>
Proven expertise in specialty pharmacy operations, manufacturer contracting, and GPO negotiations.</li><li>
Strong knowledge of regulatory requirements, including 340B and other federal programs.</li><li>
Exceptional negotiation, analytical, and relationship management skills.</li><li>
Participate in, adhere to, and support compliance program objectives.</li><li>
The ability to consistently interact cooperatively and respectfully with other employees.</li></ul><p><b>
What can you expect from</b><b> Navitus</b><b>?</b></p><ul><li>
Top of the industry benefits for Health, Dental, and Vision insurance</li><li>
20 days paid time off</li><li>
4 weeks paid parental leave</li><li>
9 paid holidays</li><li>
401K company match of up to 5% - No vesting requirement</li><li>
Adoption Assistance Program</li><li>
Flexible Spending Account</li><li>
Educational Assistance Plan and Professional Membership assistance</li><li>
Referral Bonus Program &ndash; up to $750!</li></ul><div>
#LI-Remote, #LI-Hybrid</div>
Location : Address: Remote Location : Country: US</div>

VP, Procurement & Supply Chain Specialty Pharmacy

<div></div><div><div><div><div>Location US-
</div><div>ID 2025-5420
</div><div><div><div><div>Category</div>
<div>Administration
</div></div><div><div>Position Type</div>
<div>Full-Time
</div></div><div><div>Remote</div>
<div>Yes
</div></div></div></div></div></div><h2 class="jobSectionHeader"><b>Company
</b></h2><div><div><div>Navitus
</div></div></div><h2 class="jobSectionHeader"><b>About Us
</b></h2><div><div><div>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.
</div></div></div><h2 class="jobSectionHeader"><b>Pay Range
</b></h2><div><div><div>USD $20.44 - USD $24.33 /Hr.
</div></div></div><h2 class="jobSectionHeader"><b>STAR Bonus % (At Risk Maximum)
</b></h2><div><div><div>0.00 - Ineligible
</div></div></div><h2 class="jobSectionHeader"><b>Work Schedule Description (e.g. M-F 8am to 5pm)
</b></h2><div><div><div>M-F 8am to 5pm
</div></div></div><h2 class="jobSectionHeader"><b>Remote Work Notification
</b></h2><div><div><div>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.
</div></div></div><h2 class="jobSectionHeader"><b>Overview
</b></h2><div><div><div><div>Navitus Health Solutions is seeking a Tester, Benefit Configuration to join our team!</div><div></div><div><br>
The Tester, Benefit Configuration ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by accurately administering benefits. The primary functions of the Tester, Benefit Configuration involve performing and documenting benefit configuration testing ensuring Navitus maintains an accurate, efficient, and versatile claims adjudication system. This position develops tactical tasks and processes to incorporate client and company initiatives into testing to ensure the integrity of pharmacy claims processing.</div><div></div><div><br>
This position may include after-hour and/or weekend hours with other eligible team members depending on workload.</div><div></div><div><br>
Is this you? Find out more below!</div>
</div></div></div><h2 class="jobSectionHeader"><b>Responsibilities
</b></h2><div><div><div><div><div><b>How do I make an impact on my team?</b></div></div><div><ul><li><div>
Completes scheduled and urgent benefit configuration testing of new client implementations and/or benefit additions, terminations, and changes timely and accurately to mitigate the risk of member access to care issues, missed performance guarantees and potential liquidated damages.</div></li><li><div>
Acquires and maintains a basic level of understanding of Navitus&rsquo; claims adjudication system and upstream/downstream processes to test both standard and custom configurations to meet client expectations.</div></li><li><div>
Uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues.</div></li><li><div>
Complies with standards set forth regarding benefit design and configuration testing including HIPAA, NCPDP and Navitus internal business standards.</div></li><li><div>
Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests.</div></li><li><div>
Supports internal customers by participating in client meetings, audits, and new program implementations with other areas of the company, answering benefit testing questions and providing guidance to other areas and roles on the benefit configuration testing process.</div></li><li><div>
Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems.</div></li><li><div>
Independently assesses business needs and participates in process improvement, cost reduction and automation efforts.</div></li><li><div>
Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies.</div></li><li><div>
Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations/standards.</div></li><li><div>
Contributes to training and maintains a mentoring relationship with new and existing benefit configuration testing team members.</div></li><li><div>
Other duties as assigned.</div></li></ul></div>
</div></div></div><h2 class="jobSectionHeader"><b>Qualifications
</b></h2><div><div><div><div><div><b>What our team expects from you?</b></div></div><div><ul><li><div>
Associate&rsquo;s degree or equivalent work experience required.</div></li><li><div>
Minimal experience and/or training to begin learning skills, systems, and processes of the role with ability to perform tasks with close supervision.</div></li><li><div>
Experience on basics and gaining familiarity with the role and company.</div><ul><li><div>
Basic experience with Microsoft Office, specifically Word and Excel.</div></li></ul></li><li><div>
Participate in, adhere to, and support compliance program objectives.</div></li><li><div>
The ability to consistently interact cooperatively and respectfully with other employees.</div></li></ul><div><div><b>
What can you expect from Navitus?</b></div></div><div><ul><li>
Top of the industry benefits for Health, Dental, and Vision insurance</li><li>
20 days paid time off</li><li>
4 weeks paid parental leave</li><li>
9 paid holidays</li><li>
401K company match of up to 5% - No vesting requirement</li><li>
Adoption Assistance Program</li><li>
Flexible Spending Account</li><li>
Educational Assistance Plan and Professional Membership assistance</li><li>
Referral Bonus Program &ndash; up to $750!</li></ul><div><b>
#LI-Remote</b></div></div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Location : Address
</b></h2><div><div><div>Remote
</div></div></div><h2 class="jobSectionHeader"><b>Location : Country
</b></h2><div><div><div>US</div></div></div></div>

Tester, Benefit Configuration

Join Navitus Health Solutions / Lumicera Health Services and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Navitus Health Solutions / Lumicera Health Services

ABOUT_COMPANY

VP, Procurement & Supply Chain Specialty Pharmacy

Tester, Benefit Configuration