Pricing and Underwriting Analyst

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Logo of Navitus Health Solutions

Navitus Health Solutions

1001 - 5000 employees

Founded 2003

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

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

• Maintain and enhance sales support mechanisms for prospective clients • Calculate risk of pricing metrics and value derived from the relationship with the client • Review, pro-actively identify, and support implementation of opportunities for rebate, pricing, and discount performance improvement via analysis • Research external and internal pricing trends and forecasts to contribute to overall pricing strategy • Maintain databases to support business decisions and inform responses to client or prospective client requests • Track and report client performance impacts of relevant programs (e.g. Savings Connect) • Monitoring of forecasted results as they compare to actuals • Identify opportunities for client savings or program enhancements • Perform analyses as requested by internal and external business owners, or in support of identified business objectives • Develop an understanding of contractual terms and performance to assist in development of program strategies, pricing decisions, and contract language • Perform quality assurance to ensure accuracy of pricing and processes

🎯 Requirements

• Bachelor's degree required. Emphasis in business, economics, mathematics, or actuarial science preferred. • Recent college graduates are encouraged to apply. • Relevant experience with business, statistics, and analytical programs desired. • PBM, managed care, business, statistics, or analytical programs experience is a plus. • Participate in, adhere to, and support compliance program objectives. • The ability to consistently interact cooperatively and respectfully with other employees.

🏖️ Benefits

• 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!

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