Sr. Analyst, Network Contracting
About The Position
Navitus Health Solutions is seeking a Senior Analyst, Network Contracting to join their team. This role is responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. The primary responsibilities of this role are to analyze current and new pharmacy contracts and provide support for all phases of the pharmacy contracting process, including national and regional chain providers, pharmacy services administration organizations (PSAOs) and independent pharmacies for all lines of business.
Requirements
- Bachelor’s degree in finance, accounting, business, actuarial science or related field is preferred
- Minimum three years of database management experience
- Experience in business, finance, or analytics
- Minimum three years experience in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care preferred
- Experience with Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes
- 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
- The ability to consistently interact cooperatively and respectfully with other employees
Responsibilities
- Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals
- Assist with preparation and attend meetings with strategic pharmacy partners
- Plan, design, and deploy appropriate reports, tools, and/or applications
- Provide support with pharmacy data and topic preparation for industry conferences, including scheduling
- Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and any related needs
- Collaborate with Contract Managers, Finance, Pharmacy Informatics, Legal and other internal business divisions to make recommendations to financial models and assist with the development of financial contract solutions
- Prepare forward-looking network analytics, ensuring alignment of planned actions and targets in the forecast
- Support network management leaders in the development and analytical review of quarterly forecasting, annual planning, and multi-year contracting development and multi-year financial modeling
- Advise internal stakeholders on strategic fiscal matters related to pharmacy financial management throughout the organization. Participate in regular meetings with leadership to review financial results and act as an internal consultant on interpreting financial results, analyzing variances and improving contracting performance.
- Support pharmacy contract negotiations by monitoring and delivering impact analysis of suggested pricing revisions
- Other duties as assigned
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%
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
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What This Job Offers
Job Type
Full-time
Career Level
Senior
