PBM Contract & Rebate Analyst

Job not on LinkedIn

🔥 8 minutes ago

🏈 Alabama, Arizona, +25 more states – Remote

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

💵 $60.2k - $72.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 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 contracting potentials for client-specific setups • Analyze claims data to ensure accuracy of contract processing and direct pharmaceutical manufacturer contracts • Establish recommendations to clients for contract optimization • Provide sales and RFP support for prospective clients, client renewals, and market checks • Collaborate with Finance and Underwriting teams 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 direct contact for Client Services on client calls regarding contract reporting, guarantee questions, and data analysis • Coordinate with Analytics on maintenance of 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 • Set up and maintain parameters in the contract processing system and correctly allocate payments • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree required • 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required • Pharmacy technician license preferred • Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred • Experience with pharmaceutical manufacturer contracts, rebate or discount programs, contract invoicing and reconciliation, or industry relations • Strong analytical, problem-solving, and organizational skills with exceptional attention to detail • Demonstrated experience analyzing data, identifying trends, and translating findings into actionable business recommendations • Knowledge of formulary management, pharmacy claims, manufacturer contracting, and PBM financial arrangements • Experience supporting audits, regulatory reporting, financial guarantees, pricing analysis, forecasting, or RFP responses • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Remote work available only to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin

🏖️ 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! • STAR Bonus % (At Risk Maximum): 7.50