Analyst, Rebate Operations

Job not on LinkedIn

🔥 5 minutes ago

🏈 Alabama, Arizona, +32 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $60.2k - $72.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

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 setups • Analyze claims data to ensure accuracy of GPO rebate processing and direct pharmaceutical manufacturer contracts • Establish recommendations to clients for rebate optimization • Provide sales and RFP support for prospective clients, client renewals, and market checks • Work with Finance and Underwriting teams to evaluate rebates and manage pricing risk • Support contract review, data entry, evaluation, and reconciliation of client rebate financial guarantees • Facilitate delivery of information for decision-making • Serve as direct contact for Client Services on client-specific rebate reporting, guarantee questions, and data analysis • Coordinate with Analytics on maintenance of Navitus 3D Rebate reporting environments • Assist with new rebate program initiatives and expansion of rebate forecasting • Serve as subject matter expert for internal, external, manufacturer, client, and regulatory audits • Lead and coordinate government-related or regulated reporting • Collaborate with IRC Contractors and Rebate Operations team members • Maintain understanding of pharmaceutical manufacturer rebate contracts, submissions, and deliverables • Review GPO strategy and manufacturer contracts to configure rebate processing parameters and allocate rebate payments • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree or equivalent work experience 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 • Residents must be located in one of the eligible US jurisdictions listed by Navitus for remote work • M-F 8am to 5pm schedule

🏖️ 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!