Sr. Director, Industry and Payor Strategy

Navitus Health Solutions, LLC•,

11d•$174,113 - $217,641•Remote

About The Position

Lumicera Health Services is seeking a Sr. Director, Industry and Payor Strategy to provide strategic leadership for industry partnerships, payor strategy, and specialty pharmacy market access. This leader establishes and executes a multiyear strategy to expand medication and payor-network access, strengthen competitive positioning, and deliver sustainable growth and financial performance. The role leads a team of experienced professionals and develops executive-level relationships with pharmaceutical manufacturers, health plans, pharmacy benefit managers (PBMs), wholesalers, group purchasing organizations (GPOs), health systems, and other strategic partners. Areas of accountability include limited distribution drug (LDD) access, manufacturer and enhanced service agreements, payor network participation and reimbursement strategy, procurement and GPO contracting, and health system partnerships. The role advises the Chief Growth Officer and senior leadership, owns strategic planning and execution, leads and develops the team, and aligns cross-functional stakeholders around priorities and business results. It defines payor strategy and directs complex negotiations and portfolio-level contracting governance. It also stewards strategic partner relationships, develops differentiated value propositions, and leads manufacturer access and specialty product portfolio strategy, including LDD opportunities, enhanced service programs, and emerging therapies.

Requirements

Bachelor’s degree in Business, Healthcare, Health Services, Pharmacy, or a related field, or equivalent work experience.
10 or more years of progressive experience in specialty pharmacy, pharmaceutical industry relations, market access, payor or PBM strategy, trade relations, account management, or a related industry.
Five or more years of progressive leadership experience, including strategic oversight and experience leading individual contributors and/or other leaders.
Experience in contract negotiation.
Knowledge of specialty pharmacy medications, including REMS requirements and Limited Distribution Drug (LDD) best practices.
Participate in, adhere to, and support compliance program objectives.
Ability to consistently interact cooperatively and respectfully with other employees.

Nice To Haves

MBA, MHA, or PharmD from an accredited pharmacy school.
Specialty or PBM rebate contracting experience.

Responsibilities

Serve as a strategic advisor to the Chief Growth Officer and senior leadership, translating industry and payor insights into recommendations on market positioning, partnership priorities, investment decisions, and enterprise growth opportunities.
Lead and develop a high-performing industry and payor strategy team; establish decision rights, priorities, and accountability for strategic execution, partner outcomes, and financial results.
Build organizational capability through leadership development, succession planning, coaching, and continuous improvement, aligning team structure and capabilities with evolving priorities.
Own the development and execution of the multiyear industry and payor strategic plan, including annual operating priorities, resource allocation, departmental budgets, and measurable growth, access, and profitability objectives aligned with enterprise strategy.
Ensure Lumicera’s mission and core values are practiced and shared with strategic partners.
Lead executive and cross-functional alignment on strategic priorities, communicating business cases, tradeoffs, risks, and progress to secure sponsorship and coordinate execution across commercial, clinical, operations, finance, legal, and compliance teams.
Define and lead payor strategy across health plans, PBMs, and other purchasers, prioritizing network access, preferred specialty pharmacy positioning, reimbursement sustainability, and partnerships that support patient access and profitable growth.
Direct complex negotiations with manufacturers, payors, PBMs, wholesalers, GPOs, and health systems for distribution, procurement, network participation, reimbursement, and service agreements; establish negotiation objectives and financial guardrails, obtain approvals, and oversee implementation, contractual compliance, and realization of agreed economics.
Develop and steward executive-level relationships with pharmaceutical manufacturers, payors, PBMs, wholesalers, GPOs, health systems, and providers; establish joint strategic plans that expand access, reduce costs, diversify revenue, and strengthen long-term partnership value.
Lead cross-functional development of differentiated payor and industry value propositions, including clinical outcomes, patient experience, total cost of care, and service capabilities; translate these into partnership proposals, RFP responses, and scalable commercial offerings.
Establish portfolio-level contracting strategy and governance, including pricing and reimbursement frameworks, renewal priorities, performance guarantees, analytical controls, and audit processes.
Evaluate contract profitability, concentration risk, and strategic fit, and recommend corrective actions or alternative arrangements.
Own manufacturer access and specialty product portfolio strategy, prioritizing LDD opportunities, enhanced service programs, and emerging therapies.
Direct launch readiness and agreement implementation to align product access with payor coverage, operational capabilities, and patient needs.
Perform other duties as assigned.