Reimbursement Analyst, Pharmacy Network

This is a fully remote position, open to applicants in Alaska, +12 more states.

📋 Description

• Administration and timely management of the Navitus generic pricing programs, including MAC, NADAC, and other pricing frameworks.

• Responsible for handling, analyzing, and addressing inquiries from pharmacy providers, clients, and internal teams.

• Assess state MAC requirements to ensure that Navitus MAC management adheres to compliance standards.

• Keep track of industry developments to determine the availability of generic products entering the marketplace.

• Oversee the consolidation of generic manufacturers in the market that may impact MAC pricing.

• Continuously evaluate and proactively identify opportunities for enhancing pricing and discount performance.

• Investigate customer and contract challenges that could influence account planning, strategies, and proposals.

• Assist with RFP responses as needed.

• Provide periodic and detailed reports of activities and opportunities to the Provider Services team and cross-functional leadership.

• Analyze both external and internal pricing trends and opportunities to aid in the overall pricing strategy.

• Conduct analyses as requested by internal and external stakeholders or in support of identified business goals.

⛳️ Requirements

• A Bachelor’s degree is required, with a focus on business, finance, economics, or actuarial science strongly preferred.

• Recent graduates are encouraged to submit their applications.

• Engage in, comply with, and support the objectives of the compliance program.

• Ability to consistently interact in a cooperative and respectful manner with colleagues.

🏝️ Benefits

• Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match of up to 5% - with no vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program – up to $750!