Sr Managed Care Program Analyst

Albertsons Company Inc. • Boise, ID

48d

About The Position

At Albertsons Companies, we are looking for someone who's not just seeking a job, but someone who wants to make an impact. In this role, you'll have the opportunity to lead, innovate, and contribute to the growth of a company that values great service and lasting customer relationships. This position offers the chance to work in a fast-paced, dynamic environment that's constantly evolving. The Managed Care Program Analyst/Coordinator is an individual contributor responsible for supporting Managed Care Contracting Pharmacy FP&A, the Senior Director and Directors of Managed Care in overseeing pharmacy reimbursement and profitability initiatives. This includes activities related to contracting, implementation, and operational functions of third-party prescription programs and plans administered by Pharmacy Benefit Managers (PBMs), Managed Care Organizations (MCOs), Health Plans, and other private and public payers. The role involves coordination with accounting and external vendors to gather data, review reports, and ensure reimbursements are aligned with contracted rates and timelines. The Program Analyst/Coordinator also assists with account management for third-party payers and business-to-business accounts to drive pharmacy sales growth and optimize margins. This position serves as a key liaison between the Managed Care Department, Third-Party Accounting, FP&A, and Legal.

Requirements

• At least 5 years of pharmacy support related to Managed Care and third-party experience with major Health Plans, PBMs, MCOs, TPAs, or other third-party payers
• Experience with PDX or other pharmacy dispensing systems
• Strong understanding of Managed Care reimbursement metrics
• Deep understanding with NCPDP claims processing and response fields
• Excellent verbal and written communication skills
• Ability to work effectively in a fast-paced, cross-functional team environment
• Strong independent work ethic and confidentiality management
• Proficiency in Microsoft Office, including Access, Excel, and Outlook
• Ability to analyze industry and contract trends and communicate findings effectively

Responsibilities

• Account Management Support:
• Monitor third-party plan payments and identify inconsistencies in collaboration with Accounting and Finance.
• Use tools such as SQL, Looker, Access, Excel, MicroStrategy, and Teradata to mine data and generate reports.
• Partner with PBM account managers and the Accounts Receivable team to resolve reimbursement discrepancies.
• Support Managed Care analysts in planning and analysis activities.
• Contract Administration:
• Assist in the financial administration of contracts, ensuring compliance with agreed-upon terms.
• Monitor contract performance, resolve financial disputes, respond to grievances, and address issues throughout the contract lifecycle.
• Contract Profitability Optimization:
• Lead financial and contract-related studies to support margin improvement initiatives.
• Provide financial insights into strategic changes and track results against annual operating plans.
• Coordinate with Third-Party Operations, Procurement, and Contracting teams to implement margin-enhancing strategies, including TP edits and operational/system improvements.
• Support Managed Care analysts in planning and analysis.
• Managed Care Communications:
• Act as a communication bridge between Managed Care, Accounting, FP&A, and other cross-functional teams.
• Prepare and address reports related to write-offs, reimbursement concerns, and margin opportunities.
• Develop and deliver timely, accurate financial reports on paid and unpaid claims, including customized reporting for senior leadership to support strategic decision-making.
• Communicate financial improvement opportunities to store teams and facilitate cross-functional collaboration to resolve reimbursement issues.
• Compliance and Regulatory Support:
• Ensure contract and reimbursement practices comply with applicable laws and regulations.
• Support Accounting in maintaining compliance with state and federal plan reconciliation requirements.

Benefits

• Competitive wages paid weekly
• Associate discounts
• Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!)
• Time off (vacation, holidays, sick pay). For eligibility requirements please visit myACI Benefits
• Leaders invested in your training, career growth and development
• An inclusive work environment with talented colleagues who reflect the communities we serve

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Food and Beverage Retailers
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees