Audit Analyst II
FHI 360
Senior Analyst, Network Contracting
Navitus Health Solutions
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $58,460 - $70,434 per year
Job Level
Senior
About the role
- Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals
- Assist with preparation and attend meetings with strategic pharmacy partners
- Plan, design, and deploy appropriate reports, tools, and/or applications
- Provide support with pharmacy data and topic preparation for industry conferences, including scheduling
- Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and any related needs
- Collaborate with Contract Managers, Finance, Pharmacy Informatics, Legal and other internal business divisions to make recommendations to financial models and assist with the development of financial contract solutions
- Prepare forward-looking network analytics, ensuring alignment of planned actions and targets in the forecast
- 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
Requirements
- Bachelor’s degree in finance, accounting, business, actuarial science or related field is preferred
- Minimum three years of database management experience
- Experience in business, finance, or analytics
- Minimum three years experience in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care
- Experience with Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes
- 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 negotiationdata analysisreport preparationforecastingcontracting strategypharmacy analyticsprovider agreementspricing analysis
Soft skills
collaborationcommunicationinterpersonal skillsconsultative skillsorganizational skillsstrategic thinkingproblem-solvingrespectful interactionleadershipanalytical review
