Analyst I, Epic
DaVita Kidney Care
Network Contracting Analyst
Navitus Health Solutions
full-time
Posted on:
Location Type: Remote
Location: Remote • Idaho • 🇺🇸 United States
Visit company websiteSalary
💰 $52,656 - $62,686 per year
Job Level
Junior
About the role
- Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals
- Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and any related needs
- Complete complex analysis to monitor the value of contracts and strategic initiatives of Navitus
- Prepare forward-looking network analytics, ensuring alignment of planned actions and targets in the forecast
- Proactively monitor industry trends including acquisition cost, competitive intel, and innovative program offerings
- Support network management leaders in the development and analytical review of quarterly forecasting, annual planning, and multi-year contracting development and multi-year financial modeling
- Advise internal stakeholders on strategic fiscal matters related to pharmacy financial management throughout the organization.
- Participate in regular meetings with leadership to review financial results and act as an internal consultant on interpreting financial results, analyzing variances and improving contracting performance
- Support pharmacy contract negotiations by monitoring and delivering impact analysis of suggested pricing revisions
- Support the development of work plans to meet provider and client business priorities and deadlines; collaborating cross-functionally to make effective business decisions; escalating high priority issues and risks as appropriate; and recognizing and capitalizing on network management improvement opportunities
- Interface with the Pharmacy Network Analytics team to communicate updated network pricing and network design changes
- Other duties as assigned
Requirements
- Bachelor’s degree in finance, accounting, business, actuarial science or related field is preferred
- At least one year of database management experience
- Experience in business, finance, or analytics
- Experience in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care preferred
- Familiarity with the Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes preferred
- Experience with CMS, Medicare, and state Medicaid regulations and guidance preferred
- Knowledge of health care processes and pharmaceutical claims adjudication systems preferred
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees.
Benefits
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
database managementfinancial modelingcontract analysisforecastinganalyticspricing analysiscontract negotiationsprovider agreementspharmaceutical claims adjudicationstrategic fiscal analysis
Soft skills
collaborationcommunicationconsultingproblem-solvinginterpersonal skillsorganizational skillsanalytical thinkingproactive monitoringcross-functional teamworkrespectful interaction
