Returning Candidate? Log back in! Analyst, Pharmacy Network Pricing Location US- ID 2024-4035 Category Administration Position Type Full-Time Remote Yes Job Posting Remote States Clarification Yes Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other. Pay Range USD $58,460.48 - USD $70,434.31 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Overview

Due to growth, we are adding a Analyst, Pharmacy Network Pricing to our Finance & Administration department. 

 

The Analyst, Pharmacy Network Pricing is responsible for financial price modeling of reimbursement systems and evaluation of provider networks. This includes obtaining, analyzing, integrating, and delivering claims utilization data and pharmacy provider data to supply financial analysis and operational support to the Navitus Sales, Client Services and Provider Services teams. The individual will be expected to understand and interpret data, including claims utilization from Navitus’ data warehouse and from NCRx, pharmacy network databases, NCPDP pharmacy files, Medi-span files, and other databases required from time-to-time to facilitate successful delivery of information for internal decision making and supporting customers’ data reporting requirements. The Analyst evaluates agreements with providers and prospective clients via financial price trend modeling, analysis, and reporting. This position is responsible for ensuring the timely, consistent, and accurate analysis of pharmacy contract terms and maintaining the sales database of both contracted and non-contracted providers for prospective sales opportunities.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

Maintain and further develop the sales support mechanisms to provide network pricing for prospective clients during the RFP process. This will include geographical and provider/drug utilization impacts, generic dispensing rates, and mail service reviewContinuously review and pro-actively identify areas of opportunities for pricing and discount performance improvement via analysis for sales opportunitiesResearch external and internal pricing trends and forecasts to contribute to overall pricing strategyMonitoring of forecasted results as they compare to actualsMonitoring, managing, and validating client performance guaranteesAnalyze preferred pharmacy network pay-for-performance measurements for pharmacy contract performance and associated reimbursementsPerform analyses as requested by internal and external business owners, or in support of identified business objectives, with focus on pharmacy network access and discountsDevelop understanding of contractual terms and performance to assist in developing and enhancing network strategies, pricing decisions, and contract languageResponsible for the use of databases to generate reports for clients, pharmacies, and internal customers and identification of ways to improve and/or automate generation of these reportsOther duties as assigned Qualifications

What our team expects from you?

Bachelor's degree required with an emphasis in business, information systems, finance, statistics, mathematics, economics, or actuarial science preferred. Recent college graduates are encouraged to applyRelevant experience with business, statistics, and analytical programs desired, but this is designated as an entry-level positionPBM, pharmacy, or related healthcare experience is a plusExcellent verbal and written communication as well as strong organizational and multi-tasking skillsPC skills including Microsoft Excel, Access, and other applications as requiredParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

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! 

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

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