Navitus Health Solutions

We are committed to helping humans by making medications more affordable for the people who need them.

Network Contracting Analyst

AnalystAnalystFull TimeRemoteTeam 1,001-5,000Since 2003H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

30 days ago

Salary

$52.7K - $62.7K / year

Bachelor Degree1 yr expExperience acceptedEnglish

Job Description

• 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

Job 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
  • The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

  • Health insurance
  • 401K company match of up to 5% - No vesting requirement
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!

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