Reimbursement Analyst, Pharmacy Network

🕒 Abril 15

🥔 Idaho – Remoto

🥔 Idaho – Remote

💵 $52.656 - $62.686 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

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Navitus Health Solutions

SiteLinkedInTodas as Vagas

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

• 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.

🎯 Requisitos

• 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

🏖️ Benefícios

• 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!