Pharmacy Network Director/Assoc Director
About The Position
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce. Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team. If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better. Summary The Director, Pharmacy Networks is a strategic leader responsible for the design, performance, and optimization of the organization’s pharmacy network. This role oversees network configuration, pharmacy channel strategy, and operational alignment with delegated Pharmacy Benefit Manager (PBM) partners to ensure members have access to high-quality, cost-effective pharmacy services. This role also contributes to clinical and formulary strategy, including clinical program development and formulary optimization, ensuring alignment between network design, utilization management, and overall cost and quality goals. This position reports to the Curative PBM Senior Director and plays a key role in shaping Curative’s pharmacy strategy and member experience.
Requirements
- 7+ years of managed care, PBM, or health plan clinical pharmacy experience
- 2+ years of people management experience
- Demonstrated experience in pharmacy network strategy, pharmacy contracting, and team/project leadership experience
- Experience negotiating and managing pharmacy reimbursement contracts and pharmacy partner relationships.
- Strong knowledge of pharmacy benefit design, reimbursement methodologies, and network access standards
- Exceptional analytical, communication, and stakeholder-management skills
Nice To Haves
- Preferred: PharmD or BSPharm with active U.S. pharmacist license
Responsibilities
- Lead the development and management of the organization’s pharmacy network strategy, including retail, specialty, mail, and in-house pharmacy channels.
- Negotiate, execute, and maintain direct contracts with pharmacies, managing reimbursement terms and fostering strong pharmacy partner relationships.
- Oversee Curative’s pharmacy network configuration and operations to ensure accurate implementation of network participation, reimbursement structures, and member access requirements.
- Monitor pharmacy network performance and identify opportunities to optimize pharmacy channels, reimbursement models, and overall cost of care.
- Collaborate with PBM partners to ensure network adequacy, regulatory compliance, and operational alignment.
- Analyze pharmacy network data to evaluate network economics, utilization trends, and cost drivers.
- Serve as the primary lead for pharmacy network initiatives, coordinating cross-functional efforts across operations, sales, compliance, and leadership teams
- Provide oversight of delegated PBM functions related to pharmacy network management and benefit configuration.
- Contribute to formulary strategy and clinical pharmacy programs to optimize drug utilization and cost effectiveness.
- Support the development of clinical criteria, prior authorization policies, and utilization management programs.
- Utilize drug utilization and pharmacoeconomic analysis to support formulary and clinical program decisions.
- Support pharmacy benefit initiatives and benefit design changes, including implementation and cross-functional communication.
- Contribute to organizational leadership initiatives and support of the PGY-1 Managed Care Pharmacy Residency Program.
Benefits
- Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
- $0 copays and $0 deductibles (with completion of our Baseline Visit )
- Preventive and primary care built in
- Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)
- One-on-one care navigation
- Chronic condition programs (diabetes, weight, hypertension)
- Maternity and family planning support
- 24/7/365 Curative Telehealth
- Pharmacy benefits
- Comprehensive dental and vision coverage
- Employer-provided life and disability coverage with additional supplemental options
- Flexible spending accounts
- Flexible work options: remote and in-person opportunities
- Generous PTO policy plus 11 paid annual company holidays
- 401K for full-time employees
- Generous Up to 8–12 weeks paid parental leave, based on role eligibility.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
Ph.D. or professional degree
Number of Employees
11-50 employees
