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Sr. Analyst, Network Contracting jobs in United States
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Navitus Health Solutions · 16 hours ago

Sr. Analyst, Network Contracting

Navitus Health Solutions is committed to making medications more affordable by providing an alternative to traditional pharmacy benefit manager models. They are seeking a Senior Analyst, Network Contracting to manage financial aspects of pharmacy contracting and support the network strategy to deliver value to clients.
HealthcareInformation TechnologyHealth Care

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

Qualification

Database managementPharmacy Benefit ManagementFinancial modelingContract negotiationHealthcare processesAnalytical skillsCommunication skills

Required

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
Experience with Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Preferred

Bachelor's degree in finance, accounting, business, actuarial science or related field is preferred
Experience with CMS, Medicare, and state Medicaid regulations and guidance preferred
Knowledge of health care processes and pharmaceutical claims adjudication systems preferred

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!

Company

Navitus Health Solutions

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Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company.