Analyst, Rebate Operations

🔥 19 hours ago

🐻 Alaska, Hawaii, +11 more states – Remote

🐻 Alaska – Remote 🌺 Hawaii – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🌾 North Dakota – Remote 🎸 Mississippi – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🦬 Wyoming – 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

• 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.

🎯 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

• 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!