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[Remote] Sr. Analyst, Network Contracting

Remote · USA Full-time New today

Note: The job is a remote job and is open to candidates in USA. Navitus Health Solutions is committed to making medications more affordable through innovative pharmacy benefit management. The Senior Analyst, Network Contracting will manage financial aspects of pharmacy contracts and provide analytical support to enhance the contracting process and deliver value to clients.

Responsibilities

  • 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
  • Other duties as assigned

Skills

  • 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 H ealth, D ental, and V ision insurance
  • 20 days p aid t ime o ff
  • 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!

Company Overview

  • Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company. It was founded in 2003, and is headquartered in Appleton, Wisconsin, USA, with a workforce of 1001-5000 employees. Its website is https://www.navitus.com/.
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