PBM Contract& Rebate Analyst

Navitus Health Solutions, LLC

United States

Remote

USD 60,000 - 73,000

Full time

2 days ago

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Benefits offered by this job

Health, Dental, and Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro. M

Referral Bonus Program – up to $750!

Job summary

Lumicera is seeking an Analyst, Contract Operations to join its team. This data-driven role focuses on PBM and managed care contracting, translating complex claims data into actionable insights for client contracts.

You will support discount programs and deliverables across Lumicera’s pricing and reporting functions. The position emphasizes contract compliance, reconciliation, RFP support, and cross-team collaboration with Finance, Underwriting, and Client Services.

Qualifications

Bachelor’s degree required.
Pharmacy technician license preferred.
3-5 years of managed care/pharmacy benefits experience required.
Pharmacy-related industry relations or analytical experience preferred.
Strong compliance and teamwork skills.

Responsibilities

Understand plan formulary design and contracting potentials for client specific set ups.
Analyze claims data to ensure the accuracy of contract processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for contract optimization.
Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. Work closely with the Lumicera Finance and Underwriting teams to assist with evaluating contracts and manage risk in pricing.
Support contract review, data entry, evaluation, and reconciliation of Lumicera client contract financial guarantees.
Understand the department and customer business needs and facilitate successful delivery of information for decision-making.
Serve as direct contact for Lumicera Client Services attending client calls as needed regarding client specific contract reporting, guarantee questions, and data analysis.
Coordinate with Analytics on the maintenance of the Lumicera Contract reporting environments. Assist in managing new contract program initiatives and the expansion of contract forecasting.
Serve as the Lumiceraa representative and subject matter expert for Lumicera 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.
Review Discount strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the contract processing system, and correctly allocate payments.
Other duties as assigned.

Skills

Managed care experience

Pharmacy benefits management

Data analysis

Compliance

Teamwork

Education

Bachelor's degree

Pharmacy technician license

Job description

Company

Lumicera

About Us

Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity.

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.

Pay Range

USD $60,214.30 - USD $72,547.34 /Yr.

STAR Bonus % (At Risk Maximum)

7.50 - Salaried Non-Management except pharmacists

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm

Remote Work Notification

ATTENTION: Lumicera is only able to offer remote work to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin

Overview

Due to growth, we are adding an Analyst, Contract Operations to our team.

This role is ideal for a data-driven professional with experience in pharmacy benefit management (PBM), managed care, pharmaceutical contracting, or healthcare analytics. A successful candidate will possess strong analytical skills, a solid understanding of pharmacy claims and manufacturer contracting, and the ability to translate complex data into actionable business insights.

The PBM Contract & Rebate Analyst supports the administration and optimization of Lumicera's pharmaceutical manufacturer discount and contracting programs.They are responsible for operational aspects of Lumicera’s discount programs including, but not limited to contract compliance through direct pharmaceutical manufacturers, third party entities, contract optimization, contract reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client operations.

Responsibilities

How do I make an impact on my team?

Understand plan formulary design and contracting potentials for client specific set ups.
Analyze claims data to ensure the accuracy of contract processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for contract optimization.
Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. Work closely with the Lumicera Finance and Underwriting teams to assist with evaluating contracts and manage risk in pricing.
Support contract review, data entry, evaluation, and reconciliation of Lumicera client contract financial guarantees.
Understand the department and customer business needs and facilitate successful delivery of information for decision-making.
Serve as direct contact for Lumicera Client Services attending client calls as needed regarding client specific contract reporting, guarantee questions, and data analysis.
Coordinate with Analytics on the maintenance of the Lumicera Contract reporting environments. Assist in managing new contract program initiatives and the expansion of contract forecasting.
Serve as the Lumiceraa representative and subject matter expert for Lumicera 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.
Review Discount strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the contract processing system, and correctly allocate payments.
Other duties as assigned.

Qualifications

Whatourteamexpectsfrom you?

Bachelor’s degree 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.

Preferred Qualifications

Experience with pharmaceutical manufacturer contracts, rebate or discount programs, contract invoicing and reconciliation, or industry relations.
Strong analytical, problem-solving, and organizational skills with exceptional attention to detail.
Demonstrated experience analyzing data, identifying trends, and translating findings into actionable business recommendations.
Knowledge of formulary management, pharmacy claims, manufacturer contracting, and PBM financial arrangements.
Experience supporting audits, regulatory reporting, financial guarantees, pricing analysis, forecasting, or RFP responses.

What can you expect from Lumicera?