Analyst, Contract Operations – Rebate

Emploi pas sur LinkedIn

🕒 il y a 1 jour

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Configurer une alerte email pour les nouveaux emplois

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

Navitus Health Solutions

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2003

💼 Conseil

🛡️ Assurance

🏥 Santé

Consulting • Insurance • Healthcare

Navitus Health Solutions est un gestionnaire de prestations pharmaceutiques (PBM) qui propose des solutions transparentes et centrées sur les personnes pour les prestations pharmaceutiques, à destination des régimes de santé, des employeurs, des programmes gouvernementaux et d'autres parrains de régimes. L'entreprise opère sur un modèle de passage intégral à un coût majoré, qui met l'accent sur la réduction des coûts des médicaments, la gestion des formulaires, la gestion des médicaments spécialisés (y compris une pharmacie spécialisée à coût majoré), l'évaluation des réclamations, la gestion du réseau de pharmacies, ainsi que l'activation et le support des membres. Navitus se positionne comme un partenaire fiduciaire axé sur l'accessibilité, la conformité, la qualité clinique, et l'amélioration des résultats de santé grâce à des services PBM sur mesure et à des intégrations de santé numérique.

Description

• Understand plan formulary design and contracting potentials for client-specific setups • Analyze claims data to ensure contract-processing accuracy and direct pharmaceutical manufacturer contract accuracy • Establish recommendations for clients regarding contract optimization • Provide sales and RFP support for prospective clients, 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 a direct contact for Client Services and attend client calls regarding contract reporting, guarantee questions, and data analysis • Coordinate with Analytics on 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 accurately • Perform other duties as assigned

🎯 Exigences

• Bachelor’s degree required • 3-5 years of managed care, pharmacy benefits management, or pharmaceutical experience required • Experience with PBMs and rebate analytics • Pharmacy technician license preferred • Pharmacy technician, trade, industry relations, and/or analytical experience preferred • Ability to participate in, adhere to, and support compliance program objectives • Ability to interact cooperatively and respectfully with other employees • Must reside in an eligible U.S. location; remote work is unavailable in Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming • M-F 8am to 5pm work schedule

🏖️ Avantages

• 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! • STAR Bonus % (At Risk Maximum) 5.00