Analyst, Rebate Operations

Navitus; Oklahoma City (OK); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

PTO 20 days

Parental leave (4 weeks)

Paid holidays (9)

401K match up to 5%

Adoption Assistance

Flexible Spending Account

Education assistance

Referral bonus

Job summary

Navitus Health Solutions is seeking an Analyst, Rebate Operations to join our team. The role covers operational aspects of Navitus’ rebate programs, including submissions to manufacturers and third parties, rebate optimization, and reporting.

You will work with Finance, Underwriting, and Client Services, contribute to audits, and support RFP processes. A pharmacy background and 3–5 years of managed care experience are preferred.

Qualifications

• Bachelor’s degree or equivalent work experience required.
• Pharmacy technician license preferred.
• 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required.
• Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred.
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

Responsibilities

• Understand plan formulary design and rebate potentials for client specific set ups.
• Analyze claims data to ensure accuracy of GPO rebate processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for rebate optimization.
• Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. Work closely with the Navitus Finance and Underwriting teams to assist with evaluating rebates and manage risk in pricing.
• Support contract review, data entry, evaluation, and reconciliation of Navitus client rebate financial guarantees.
• Understand the department and customer business needs and facilitate successful delivery of information for decision-making.
• Serve as direct contact for Navitus Client Services attending client calls as needed regarding client specific rebate reporting, rebate guarantee questions, and data analysis.
• Coordinate with Analytics on the maintenance of the Navitus 3D Rebate reporting environments. Assist in managing new rebate program initiatives and the expansion of rebate forecasting.
• Serve as the Navitus representative and subject matter expert for Navitus audits, to include internal, external, manufacturer, client, and regulatory program audits.
• Lead and coordinate Government-related or regulated reporting for internal use and client requirements.
• Work collaboratively with IRC Contractors, and Rebate Operations team members.
• Maintain a basic understanding of pharmaceutical manufacturer rebate contracts, submissions and all deliverables to trade or third-party entities.
• Review GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system, and correctly allocate rebate payments.
• Other duties as assigned

Skills

Pharmacy benefits

Analytical

Compliance

Interpersonal skills

Education

Bachelor’s degree or equivalent

Pharmacy technician license

Job description

Overview

Navitus Health Solutions is seeking a Analyst, Rebate Operations to join our team!

The Analyst, Rebate Operations is responsible for operational aspects of Navitus’ rebate programs including, but not limited to rebate submission through direct pharmaceutical manufacturers, rebate submissions through third party entities, rebate optimization, rebate guarantee reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client operations.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Understand plan formulary design and rebate potentials for client specific set ups.


• Analyze claims data to ensure the accuracy of group purchasing organization (GPO) rebate processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for rebate optimization.


• Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. Work closely with the Navitus Finance and Underwriting teams to assist with evaluating rebates and manage risk in pricing.


• Support contract review, data entry, evaluation, and reconciliation of Navitus client rebate financial guarantees.


• Understand the department and customer business needs and facilitate successful delivery of information for decision-making.


• Serve as direct contact for Navitus Client Services attending client calls as needed regarding client specific rebate reporting, rebate guarantee questions, and data analysis.


• Coordinate with Analytics on the maintenance of the Navitus 3D Rebate reporting environments. Assist in managing new rebate program initiatives and the expansion of rebate forecasting.


• Serve as the Navitus representative and subject matter expert for Navitus audits, to include internal, external, manufacturer, client, and regulatory program audits.


• Lead and coordinate Government-related or regulated reporting for internal use and client requirements.


• Work collaboratively with IRC Contractors, and Rebate Operations team members.


• Maintain a basic understanding of pharmaceutical manufacturer rebate contracts, submissions and all deliverables to trade or third-party entities.


• Review GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system, and correctly allocate rebate payments.


• Other duties as assigned

Qualifications

What our team expects from you?

• Bachelor’s degree or equivalent work experience required.


• Pharmacy technician license preferred.


• 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required.


• Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred.


• Participate in, adhere to, and support compliance program objectives


• The 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!

#LI-Remote

Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.

Equal employment opportunity, including veterans and individuals with disabilities.