Analyst – Contract Operations

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🕒 July 22

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Logo of Navitus Health Solutions

Navitus Health Solutions

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Understand plan formulary design and contracting potentials for client-specific setups • Analyze claims data to ensure contract-processing accuracy and direct pharmaceutical manufacturer contracts; recommend contract optimization opportunities to clients • Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks • Collaborate with Finance and Underwriting to evaluate contracts and manage pricing risk • Support contract review, data entry, evaluation, and reconciliation of client contract financial guarantees • Facilitate delivery of information for business decision-making • Serve as direct contact for Client Services on client calls regarding contract reporting, guarantee questions, and data analysis • Coordinate with Analytics to maintain contract reporting environments • Assist with new contract program initiatives and expansion of contract forecasting • Serve as subject matter expert for internal, external, manufacturer, client, and regulatory audits • Lead and coordinate government-related or regulated reporting • Review discount strategy and pharmaceutical manufacturer contracts; maintain contract-processing parameters and allocate payments • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree required • 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required • Pharmacy technician license preferred • Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Must reside in one of the approved states: Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin

🏖️ 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!

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