Analyst, Rebate Operations
Navitus Health Solutions / Lumicera Health Services
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Benefits offered by this job
Job summary
Navitus Health Solutions is seeking an Analyst, Rebate Operations to join our team. This role handles rebate programs, including submissions to manufacturers and third parties, rebate optimization, and reporting for clients and audits.
You will collaborate with Finance, Underwriting, and Client Services to evaluate rebates, manage pricing risk, and support contract reviews. Remote-friendly role with standard M-F schedule.
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 rebate processing accuracy and establish recommendations for rebate optimization.
- Provide sales and RFP support for prospective clients and renewals; assist with pricing risk.
- Support contract review, data entry, evaluation, and reconciliation of rebate guarantees.
- Coordinate with client services for rebate reporting and data analysis.
Skills
Education
Job description
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._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
ATTENTION: Navitus is only able to offer remote work to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin.
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!
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
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!
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