Note: The job is a remote job and is open to candidates in USA. Navitus Health Solutions is committed to making medications more affordable and is seeking a Network Contracting Analyst to join their team. The primary responsibilities of this role include analyzing pharmacy contracts, providing support throughout the contracting process, and collaborating with various stakeholders to enhance network strategies and deliver value to clients.
Responsibilities
- Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals
- Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and any related needs
- Complete complex analysis to monitor the value of contracts and strategic initiatives of Navitus
- Prepare forward-looking network analytics, ensuring alignment of planned actions and targets in the forecast
- Proactively monitor industry trends including acquisition cost, competitive intel, and innovative program offerings
- 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
- Support the development of work plans to meet provider and client business priorities and deadlines; collaborating cross-functionally to make effective business decisions; escalating high priority issues and risks as appropriate; and recognizing and capitalizing on network management improvement opportunities
- Interface with the Pharmacy Network Analytics team to communicate updated network pricing and network design changes
- Other duties as assigned
Skills
- Bachelor's degree in finance, accounting, business, actuarial science or related field
- At least one year of database management experience
- Experience in business, finance, or analytics
- The ability to consistently interact cooperatively and respectfully with other employees
- Experience in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care
- Familiarity with the Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes
- Experience with CMS, Medicare, and state Medicaid regulations and guidance
- Knowledge of health care processes and pharmaceutical claims adjudication systems
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 Overview
Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company. It was founded in 2003, and is headquartered in Appleton, Wisconsin, USA, with a workforce of 1001-5000 employees. Its website is https://www.navitus.com/.