Director, Pharmacy Networks

Rightway • Dallas, TX

2d • $160,000 - $180,000

About The Position

We are seeking a Director of Pharmacy Networks that will serve as a strategic leader responsible for overseeing and optimizing Rightway's pharmacy network operations, contract negotiations, and compliance initiatives. This role requires a dynamic professional who can manage complex relationships with pharmacy partners while ensuring operational excellence and regulatory compliance across all network activities.

Requirements

• Bachelor's degree in Business Administration, Healthcare Management, Pharmacy, or related field; Master's degree preferred
• 7+ years of experience in pharmacy benefit management, healthcare contracting, or provider relations
• 3+ years of leadership/management experience with demonstrated ability to oversee cross-functional teams
• Proven experience in contract negotiation and vendor relationship management
• Strong background in pharmacy operations, network management, and adjudication processes
• Experience with pharmacy audits, compliance reporting, and regulatory requirements
• Proficiency in data analytics and reporting tools with ability to translate data into actionable insights
• Knowledge of healthcare regulations, pharmacy benefit laws, and industry compliance standards
• Excellent communication, negotiation, and stakeholder management skills
• Strong analytical and problem-solving abilities with attention to detail
• Ability to work in a fast-paced environment and manage multiple priorities effectively

Nice To Haves

• PharmD, MBA, or relevant advanced degree
• Experience with pharmacy benefit management (PBM) operations
• Previous experience in a healthcare technology or digital health company
• Professional certifications in healthcare management or contract negotiation

Responsibilities

• Oversee networks, adjudication, and pharmacy network configuration while monitoring performance metrics and implementing improvement strategies
• Oversee and manage pharmacy audits, develop audit protocols, and ensure adherence to regulatory requirements and industry standards
• Negotiate contracts for the entire pharmacy network and lead strategic relationship management with key pharmacy partners
• Develop pricing strategies and guardrails for contracting, lead pharmacy rate negotiations, and serve as final contract approver
• Partner with Finance and Accounting teams on pharmacy remittances, payments, and other financial reporting
• Coordinate specialty negotiation strategy with specialty pharmacy teams while collaborating closely with internal Rightway specialty operations team
• Oversee pharmacy analytics and compliance reporting, generating performance reports and providing data-driven insights for strategic decision-making
• Collaborate cross-functionally with internal teams to drive operational excellence and ensure contract terms align with Rightway's business objectives
• Other duties as assigned to support Rightway's mission and objectives

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees