Analyst, Rebate Operations

Navitus Health Solutions, LLC•,

2d•$60,214 - $72,547•Remote

About The Position

Navitus Health Solutions is seeking an Analyst, Rebate Operations to join their team. The Analyst, Rebate Operations is responsible for the operational aspects of Navitus’ rebate programs. This includes rebate submission through direct pharmaceutical manufacturers and third-party entities, rebate optimization, rebate guarantee reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client operations.

Requirements

Bachelor’s degree or equivalent work experience required.
3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required.
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Nice To Haves

Pharmacy technician license preferred.
Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred.

Responsibilities

Understand plan formulary design and rebate potentials for client specific set ups.
Analyze claims data to ensure the accuracy of group purchasing organization (GPO) rebate processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for rebate optimization.
Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. Work closely with the Navitus Finance and Underwriting teams to assist with evaluating rebates and manage risk in pricing.
Support contract review, data entry, evaluation, and reconciliation of Navitus client rebate financial guarantees.
Understand the department and customer business needs and facilitate successful delivery of information for decision-making.
Serve as direct contact for Navitus Client Services attending client calls as needed regarding client specific rebate reporting, rebate guarantee questions, and data analysis.
Coordinate with Analytics on the maintenance of the Navitus 3D Rebate reporting environments. Assist in managing new rebate program initiatives and the expansion of rebate forecasting.
Serve as the Navitus representative and subject matter expert for Navitus audits, to include internal, external, manufacturer, client, and regulatory program audits.
Lead and coordinate Government-related or regulated reporting for internal use and client requirements.
Work collaboratively with IRC Contractors, and Rebate Operations team members.
Maintain a basic understanding of pharmaceutical manufacturer rebate contracts, submissions and all deliverables to trade or third-party entities.
Review GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system, and correctly allocate rebate payments.
Other duties as assigned