Senior Analyst, Network Contracting

🕒 il y a 28 jours

🥔 Idaho – Distant

🥔 Idaho – Remote

💵 $60 214 - $72 547 / an

⏰ Temps Plein

🟠 Senior

🛜 Ingénieur Réseau / Administrateur de Réseau

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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

• Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals • Assist with preparation and attend meetings with strategic pharmacy partners • Plan, design, and deploy appropriate reports, tools, and/or applications • Provide support with pharmacy data and topic preparation for industry conferences, including scheduling • Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and any related needs • Collaborate with Contract Managers, Finance, Pharmacy Informatics, Legal and other internal business divisions to make recommendations to financial models and assist with the development of financial contract solutions • Prepare forward-looking network analytics, ensuring alignment of planned actions and targets in the forecast • Support network management leaders in the development and analytical review of quarterly forecasting, annual planning, and multi-year contracting development and multi-year financial modeling • Advise internal stakeholders on strategic fiscal matters related to pharmacy financial management throughout the organization. • Participate in regular meetings with leadership to review financial results and act as an internal consultant on interpreting financial results, analyzing variances and improving contracting performance. • Support pharmacy contract negotiations by monitoring and delivering impact analysis of suggested pricing revisions • Other duties as assigned

🎯 Exigences

• Bachelor’s degree in finance, accounting, business, actuarial science or related field is preferred • Minimum three years of database management experience • Experience in business, finance, or analytics • Minimum three years experience in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care preferred • Experience with Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes • Experience with CMS, Medicare, and state Medicaid regulations and guidance preferred • Knowledge of health care processes and pharmaceutical claims adjudication systems preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees

🏖️ 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!