Analyst, Rebate Operations

🕒 3 dias atrás

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Logo of Navitus Health Solutions

Navitus Health Solutions

1001 - 5000 funcionários

Fundada em 2003

⚕️ Seguro de Saúde

💊 Farmacêutico

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

Microsoft 365 é uma suíte de aplicativos de produtividade baseada em nuvem, desenvolvida para pessoas, famílias, empresas e instituições de ensino. Inclui ferramentas populares como Word, Excel, PowerPoint, Outlook e Teams, permitindo criar, colaborar e compartilhar documentos e dados de forma contínua entre dispositivos. O Microsoft 365 aumenta a produtividade com recursos como o Microsoft Copilot, que integra capacidades de IA para auxiliar nas tarefas do dia a dia, garantindo o armazenamento e a organização seguros dos arquivos e facilitando o trabalho em equipe e a comunicação eficaz.

Descrição

• Understand plan formulary design and rebate potentials for client specific set ups. • Analyze claims data to ensure the accuracy of group purchasing organization (GPO) rebate processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for rebate optimization. • Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. • Work closely with the Navitus Finance and Underwriting teams to assist with evaluating rebates and manage risk in pricing. • Support contract review, data entry, evaluation, and reconciliation of Navitus client rebate financial guarantees. • Understand the department and customer business needs and facilitate successful delivery of information for decision-making. • Serve as direct contact for Navitus Client Services attending client calls as needed regarding client specific rebate reporting, rebate guarantee questions, and data analysis. • Coordinate with Analytics on the maintenance of the Navitus 3D Rebate reporting environments. • Assist in managing new rebate program initiatives and the expansion of rebate forecasting. • Serve as the Navitus representative and subject matter expert for Navitus audits, to include internal, external, manufacturer, client, and regulatory program audits. • Lead and coordinate Government-related or regulated reporting for internal use and client requirements. • Work collaboratively with IRC Contractors, and Rebate Operations team members. • Maintain a basic understanding of pharmaceutical manufacturer rebate contracts, submissions and all deliverables to trade or third-party entities. • Review GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system, and correctly allocate rebate payments. • Other duties as assigned.

🎯 Requisitos

• Bachelor’s degree required • Pharmacy technician license preferred • 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required • Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees.

🏖️ Benefícios

• 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!

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