Pharmacy Network Reimbursement Analyst

Cencora; Illinois; Remote; USD 72,000 - 104,000; Full time

Job summary

Join a forward-thinking company dedicated to creating healthier futures! As a Pharmacy Network Reimbursement Analyst, you will play a vital role in analyzing data for payer contracts, enhancing negotiations, and supporting pharmacy programs. This position offers the opportunity to work remotely while contributing to impactful projects that improve lives. With a focus on personal growth and an inclusive culture, this innovative firm provides competitive compensation and a range of benefits. If you're ready to make a difference in the health sector, apply today!

Benefits

Health care

Wellness programs

Training opportunities

Development opportunities

Qualifications

• Typically requires a bachelor’s degree in business administration or related fields.
• At least 3 years of relevant experience in pharmacy reimbursement preferred.

Responsibilities

• Develop and manage data analytics for payer contracts.
• Analyze data to assess reimbursement and support negotiations.
• Collaborate with data teams to define reporting requirements.

Skills

Advanced financial analysis skills

Excel modeling

Analytical skills

Interpersonal skills

Customer service management

Ability to work under pressure

Attention to detail

Proficiency in BI software

Education

Bachelor’s degree in business administration

Bachelor’s degree in accounting

Bachelor’s degree in finance

Tools

MicroStrategy

AQT

Job description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Details

The Pharmacy Network Reimbursement Analyst is directly responsible for developing and managing data analytics for payer contracts. Conducts analysis and compilation of key business indicators tied to reimbursement strategies, tracks payer reimbursement following new contract implementations, and monitors existing contracts. Supports pharmacy programs and assists with payer contracting operations as needed.

Location:

Remote, USA

Hours:

Must be able to accommodate 6am-3pm PST

Responsibilities:

1. Design, develop, and implement strategic contract analytics and reimbursement models to identify areas for contract improvement and validation.
2. Analyze internal and external data sources to assess reimbursement, gross profit, market position, and market share to enhance negotiations and support data-driven decisions.
3. Identify reimbursement trends and recommend contract adjustments based on data analysis.
4. Collaborate with Cencora data teams to define data requirements and reports for measuring payer compliance.
5. Review external data feeds (e.g., IQVIA) to improve tracking and reporting methods.
6. Communicate results and implications to management and internal teams.
7. Develop contract presentation materials for regional and national meetings, trade shows, and conventions.
8. Prepare for negotiations through data gathering and analysis.
9. Support negotiations with payers and propose new program opportunities.
10. Monitor customer activity using multiple internal systems and third-party data feeds.
11. Build and maintain relationships with PBMs and payers involved in pharmacy network contracting.
12. Use data analysis to identify and resolve business issues related to agreements and programs.
13. Contribute to the development of Cencora’s long-term objectives.
14. Participate in special projects and perform additional duties as assigned.

Education:

Typically requires a bachelor’s degree in business administration, accounting, finance, or related fields, along with at least 3 years of relevant experience. Background in pharmaceutical distribution, inventory management, supply chain, reverse logistics, and pharmacy reimbursement is preferred.

Skills:

1. Knowledge of Cencora products, programs, and services is preferred.
2. Understanding of various customer segments.
3. Ability to work under pressure and meet deadlines.
4. Strong organizational, analytical, and attention to detail skills.
5. Advanced financial analysis skills, including Excel modeling and profitability calculations.
6. Effective communication skills, both oral and written.
7. Interpersonal skills and customer service management.
8. Proficiency in navigating multiple systems and data sources.
9. Experience with relational databases and BI software (e.g., MicroStrategy, AQT).

What Cencora Offers

We provide competitive compensation, benefits, and resources supporting an inclusive culture and personal growth, including health care, wellness programs, training, and development opportunities. For more details, visit https://www.virtualfairhub.com/cencora.

Salary Range*

$72,200 - 103,290 (varies by location)

*This range reflects a national average; actual salary may vary based on locale.

Equal Employment Opportunity

Cencora is committed to equal opportunity employment and prohibits discrimination and harassment. Reasonable accommodations are provided during the employment process. To request accommodations, contact 888.692.2272 or [e-mail].

Affiliated Companies: AmerisourceBergen Drug Corporation