Reimbursement Analyst, Pharmacy Network
Navitus Health Solutions
full-time
Posted on:
Location Type: Remote
Location: Idaho • United States
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Salary
💰 $52,656 - $62,686 per year
About the role
- 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
- 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
- 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 & 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