Reimbursement Analyst, Pharmacy Network

Navitus Health Solutions

Reimbursement Analyst managing Navitus Maximum Allowable Cost pricing program while collaborating with pharmacy providers. Focused on financial price modeling, analysis, and reporting to support network development.

Posted 4/15/2026full-timeRemote • Idaho • 🇺🇸 United StatesMid-LevelSenior💰 $52,656 - $62,686 per yearWebsite

About the role

Key responsibilities & impact

Operation and timely administration of the Navitus generic pricing programs including MAC, NADAC, or other pricing structures
Responsible for fielding, analyzing, and resolving inquiries from pharmacy providers, clients, and internal teams
May evaluate state MAC requirements to ensure Navitus MAC management remains compliant
May manage quarterly and yearly pharmacy performance and/or reconciliations
Monitor industry events to determine availability of generic introduction to the marketplace and manage exclusivity timeline for newly introduced generics
Manage consolidation of generic manufacturers in the market that will affect MAC pricing
Continuously review and proactively identify areas of opportunities for pricing and discount performance improvement
Research customer and contract issues that may affect account planning, strategies, and proposals
Assists with RFP responses as necessary
Periodic and detailed reporting of activities and opportunities to Provider Services team and cross-functional leadership
Research external and internal pricing trends and opportunities to contribute to overall pricing strategy
Perform analyses as requested by internal and external business owners, or in support of identified business objectives, with special focus on pharmacy network profitability and/or client discounts
Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives
Other duties as assigned.

Requirements

What you’ll need

Bachelor’s degree required
Emphasis in business, finance, economics, or actuarial science strongly preferred
Experience in PBM or health care industry preferred
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Benefits

Comp & perks

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!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

pricing analysisMAC managementNADACRFP responsesdata reportingcontract analysisperformance improvementpharmacy network profitabilitydiscount strategiesmarket analysis

Soft Skills

communicationcollaborationproblem-solvinganalytical thinkinginterpersonal skillsrespectful interactionteamworkadaptabilityattention to detailstrategic thinking

Certifications

Bachelor’s degree