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Navitus Health SolutionsNS

Sr. Director, Healthcare Member Contact Center

Navitus Health Solutions is a pharmacy benefit manager (PBM) founded in 2003 with a mission to make prescription medications more affordable through a transparent, 100% pass-through model. They serve nearly 18 million members across almost 800 clients.

Navitus Health Solutions

Employee count: 1001-5000

Salary: 152k-190k USD

United States only

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Company

Navitus

About Us

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. 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 Range

USD $152,077.00 - USD $190,000.00 /Yr.

STAR Bonus % (At Risk Maximum)

17.50 - Sr Director

Work Schedule Description (e.g. M-F 8am to 5pm)

Core business hours as business needs require

Remote Work Notification

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.

Overview

If you have progressive experience in the healthcare industry supporting a 24/7/365 omnichannel member contact center, we invite you to apply and learn more about this opportunity.

Our Sr. Director, Healthcare Member Contact Center provides company-wide leadership, strategic direction, innovative and forward thinking and operational oversight for Navitus Customer Care, ensuring the delivery of highly effective, scalable, and resilient customer support model operation to fully maximize the 24/7/365 staffing model. This role is accountable for both near-term operational and tactical performance and long-term strategic execution and planning and partners closely with senior leadership and Customer Care Leaders to align daily operations with organizational priorities, service expectations, and growth objectives. The Sr. Director establishes a strong operating framework that supports workforce planning, staffing optimization, training effectiveness, and operational redundancy to ensure business continuity, service quality, and consistently positive customer experience across all channels.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

  • Lead operational redesign and define business strategies that improve service performance, scalability, and operational efficiency across Customer Care.
  • Establish and oversee integrated staffing models, cross-training strategies, and operational workflows across Customer Care, including PA Intake, specialized teams, and customer communications.
  • Partner with IT leadership to ensure Customer Care systems and applications effectively support operations, analytics, and reporting, with ongoing evaluation to optimize performance and scalability.
  • Serve as the accountable business owner for company customer and member experience initiatives, providing end-to-end leadership from strategy development and innovation through execution, adoption, and sustained results.
  • Define performance standards, service metrics, and operating benchmarks to drive accountability and consistently exceed service-level expectations.
  • Establish strong cross-functional working relationships between Customer Success, Clinical Services, Technical Operations, and Government Programs, Sales and Implementation departments to ensure seamless service delivery and client onboarding.
  • Provide strategic oversight of Customer Care workforce planning, forecasting, and capacity modeling by analyzing demand trends, developing forecasts, researching business requirements, workflow design, and business growth requirements.
  • Lead forward-looking strategy and the adoption of innovative methodologies to continuously enhance call center capabilities, operational performance, and technology advancement.
  • Drive a culture of continuous operational improvements focused on enhancing customer experience, operational effectiveness, and quality outcomes.
  • Set strategic direction for associate training, leadership development, and call center certification to ensure workforce readiness and performance excellence.
  • Evaluate emerging technologies, systems, and sourcing strategies to strengthen Customer Care capabilities and improve serve delivery.
  • Oversee the development, implementation, and governance of Customer care policies, procedures, and quality frameworks, including performance monitoring and corrective action.
  • Ensure robust tracking, trending, and reporting of operational metrics, performance guarantees, and service outcomes.
  • Provide oversight of accreditation, including application preparation, compliance maintenance of necessary documentation to demonstrate compliance with accreditation standards and coordination of on-site reviews.
  • Other duties as assigned.

Qualifications

What our team expects from you?

  • Bachelor’s degree in Business or related field, or equivalent work experience required.
  • 10+ years of progressive leadership experience overseeing large-scale, multi-channel call center or customer care operations, including accountability for performance, staffing, and service outcomes required.
  • 10+ years of progressive management experience within a managed care, PBM, or comparable highly regulated health care environment, with demonstrated responsibility for complex operations and cross-functional coordination required.
  • Proven record of operational leadership resulting in measurable improvements in efficiency, productivity, capacity utilization, and service performance through process redesign, workforce optimization, and performance management required.
  • Demonstrated experience implementing operational and technology improvements within call center environments, including adoption of new methodologies that enhanced efficiency, customer experience metrics, and overall performance required.
  • Participate in, adhere to, and support compliance program objectives.
  • The ability to consistently interact cooperatively and respectfully with other employees.

Location : Address

Remote

Location : Country

US

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 152k-190k USD

Education

Bachelor degree

Experience

10 years minimum

Experience accepted in place of education

Location requirements

Hiring timezones

United States +/- 0 hours

About Navitus Health Solutions

Learn more about Navitus Health Solutions and their company culture.

View company profile

We are Navitus Health Solutions, and for more than two decades, we've been dedicated to transforming the pharmacy benefit management (PBM) landscape. Founded in 2003, our core belief was that the traditional PBM model needed a fundamental shift to better serve the interests of plan sponsors and their members. This conviction led us to pioneer a 100% pass-through business model, a transparent approach designed to eliminate unnecessary costs and ensure that all negotiated rebates, discounts, and fees are returned directly to our clients. We're driven by a profound commitment to helping people access the medications they need at more affordable prices, ultimately enabling them to lead fuller lives.

Our journey began with a vision to disrupt the industry norms and establish a new standard for financial and operational transparency in pharmacy benefits. We're proud to have consistently upheld this unique model, which stands in contrast to other established PBMs. Our purpose is clear: to humanize the pharmacy benefit experience and to relentlessly pursue strategies that lower overall drug spend and the cost of care. We achieve this by providing full financial and operational disclosures, improving medication adherence, and offering alternative treatment options that can reduce long-term drug reliance. We proudly serve almost 18 million members through nearly 800 clients, a testament to the trust placed in our approach. Our mission is to make medications more affordable for those who need them, fostering a healthcare system where honesty and open communication build unwavering trust.

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Navitus Health Solutions

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