Network Contracting Analyst

Job not on LinkedIn

🕒 February 11

🇺🇸 United States – Remote

💵 $54.2k - $64.6k / year

⏰ Full Time

🟢 Junior

🧐 Analyst

🚫👨‍🎓 No degree required

👻 Ghost score 45%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals • Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and related needs • Complete complex analysis to monitor the value of contracts and strategic initiatives • Prepare forward-looking network analytics aligned with planned actions, targets, and forecasts • Monitor industry trends including acquisition cost, competitive intelligence, and innovative program offerings • Support quarterly forecasting, annual planning, and multi-year contracting development and financial modeling • Advise internal stakeholders on strategic fiscal matters related to pharmacy financial management • Participate in leadership meetings to review financial results, interpret results, analyze variances, and improve contracting performance • Support pharmacy contract negotiations by monitoring and delivering impact analysis of pricing revisions • Develop work plans to meet provider and client priorities and deadlines • Collaborate cross-functionally, escalate high-priority issues and risks, and identify network management improvement opportunities • Communicate updated network pricing and network design changes with the Pharmacy Network Analytics team • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in finance, accounting, business, actuarial science or related field is preferred • At least one year of database management experience • Experience in business, finance, or analytics • Experience in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care preferred • Familiarity with the Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes preferred • 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 • Ability to consistently interact cooperatively and respectfully with other employees

🏖️ 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!