Navitus Health Solutions · 8 hours ago
Analyst, Network Contracting
United States
Full-time
Remote
Entry Level
1+ years expNavitus Health Solutions is committed to making medications more affordable and is seeking a Network Contracting Analyst to join their team. The role involves financial management of pharmacy contracting, analyzing contracts, and supporting negotiations 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
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
Qualification
Required
At least one year of database management experience
Experience in business, finance, or analytics
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 in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care preferred
Familiarity with the Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes 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
Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
George Hepburn
SVP and Chief Financial Officer
Peter Beste
CFO
Recent News
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