Senior Data Analyst, Pharmacy Network

🕒 April 15

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Logo of Navitus Health Solutions

Navitus Health Solutions

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 completing reports and projects, such as detailed geo access, member disruption, state PBM licensing applications, state audit/adequacy reports, and pharmacy listing. • Work closely with the legal team to develop a significant understanding of state PBM and Pharmacy Access laws in order to build reports and capture applicable data to meet regulatory requirements. • Point of contact for team members, providing both support and data knowledge. • Provide support to key client needs in order to meet their specific business needs. • Recommend enhancements to existing systems in accordance with business needs by creating ad hoc and standard reports as well as new information delivery technologies. • Understand intermediate data relationship concepts and transform data into information that can be proactively used to improve business decisions. • Lead evaluation of applicable pharmacy network adequacy as required by clients or regulation. • Create pharmacy directories for our clients and their members that clearly identify the pharmacy services available to them and where they are located.

🎯 Requirements

• Bachelor's degree required. Emphasis in business, information systems, economics, or statistics preferred. • Minimum of 3 years of relevant experience with business, economic/financial modeling, or analytical programs. • Experience with SAS, SQL, and/or QlikView is required. • PBM or Managed Care experience is required. • PC skills: Microsoft Excel, Access, QlikView, SQL, and other applications as required.

🏖️ 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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