Director, Network Informatics & Analytics

CompanyNavitusAbout UsNavitus - 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 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 RangeUSD $152,077.00 - USD $190,096.25 /Yr.STAR Bonus % (At Risk Maximum)15.00 - Director, GM of GP, PICWork Schedule Description (e.g. M-F 8am to 5pm)M-F 8am to 5pmRemote Work NotificationATTENTION: 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.OverviewDo 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! ResponsibilitiesHow 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 across pharmacy segments Build analytical frameworks to assess provider cost, performance, and value (e.g., scorecards, cost-of-care, network efficiency) Identify optimization opportunities through scenario modeling, trend analysis, and performance insights Partner with Finance, Actuarial, and Strategy teams to support forecasting, pricing decisions, and client-facing analytics Reporting & Insights Lead development and maintenance of standardized reporting and dashboards for network performance, reimbursement trends, and contract alignment Deliver actionable insights through routine and ad hoc analyses, including trend identification, outlier detection, and emerging risk monitoring Establish KPI frameworks to measure network effectiveness, cost efficiency, and overall performance across pharmacy segments Quality Oversight & Analytical Validation Establish and oversee analytical quality control frameworks to assess alignment between contract intent and observed claims and network performance outcomes Develop monitoring approaches that surface discrepancies, emerging risks, or unintended financial impacts Perform root cause analysis and partner with cross-functional teams to inform resolution strategies (without direct ownership of execution) Implementation Insights & Post-Implementation Visibility Provide analytical insight into the performance of new network builds, contract changes, and reimbursement updat