Analyst, Contract Operations

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🔥 2 minutes ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $60.2k - $72.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

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

• Responsible for operational aspects of Lumicera’s discount programs including contract compliance through direct pharmaceutical manufacturers • Analyze claims data to ensure the accuracy of contract processing • Provide sales and request for proposal (RFP) support for prospective clients and client renewals • Work closely with the Lumicera Finance and Underwriting teams to assist with evaluating contracts • Support contract review, data entry, evaluation, and reconciliation of Lumicera client contract financial guarantees • Serve as direct contact for Lumicera Client Services attending client calls as needed • Lead and coordinate Government-related or regulated reporting for internal use and client requirements • Review Discount strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the contract processing system

🎯 Requirements

• 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.

🏖️ 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!