Pharmacy Network Reimbursement Analyst

Cencora, Inc.; United States; Remote; USD 72,000 - 104,000; Full time

Job summary

An innovative company is seeking a Pharmacy Network Reimbursement Analyst to join their team. This role focuses on developing and managing data analytics for payer contracts, ensuring effective reimbursement strategies, and supporting pharmacy programs. You'll analyze data trends, collaborate with cross-functional teams, and engage in strategic contract negotiations. With a commitment to creating healthier futures, this forward-thinking organization offers a supportive environment that values your contributions. If you're passionate about making a difference in the healthcare landscape, this opportunity is for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Wellness Programs

Professional Development

Mentorship Programs

Employee Resource Groups

Volunteer Activities

Qualifications

• Broad training in business administration, accounting, finance, or related fields.
• 3+ years of related experience required.

Responsibilities

• Develop and manage data analytics for payer contracts.
• Analyze internal and external data sources for reimbursement strategies.
• Collaborate with data teams to define data requirements.

Skills

Analytical Skills

Financial Tracking

Communication Skills

Customer Service Management

Excel Proficiency

Data Consolidation

Understanding Customer Segments

Ability to Work Under Pressure

Education

Bachelor's Degree in Business Administration

Experience in Pharmaceutical Distribution

Tools

Excel

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 after new contracts are implemented, and continuously monitors existing contracts. Assists with administering payer contracting operations and supports additional pharmacy programs 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 and interpret internal and external data sources to assess reimbursement, gross profit, market position, and market share, aiding in contract negotiations and decision-making.
3. Identify reimbursement trends and make data-driven recommendations regarding contracts.
4. Collaborate with Cencora data teams to define data requirements and generate reports to measure payer contract compliance.
5. Review external data feeds (e.g., IQVIA) to improve methods of tracking and reporting contract-related information.
6. Communicate results and implications to management and internal teams effectively.
7. Assist in developing contract presentation materials for regional and national meetings, trade shows, and conventions.
8. Prepare pre-negotiation data gathering and contract analysis.
9. Support negotiations with payers and propose new program opportunities.
10. Monitor customer activity using multiple systems and data feeds.
11. Develop and maintain relationships with peer contacts at PBMs and payers involved in pharmacy network contracting.
12. Identify and resolve business issues through data analysis, and review program data to find opportunities for sales and stakeholders.
13. Participate in setting and supporting overall objectives and long-term goals of Cencora.
14. Engage in special projects and perform other duties as assigned.

Education:

Broad training in business administration, accounting, finance, or related fields, typically obtained through a four-year bachelor's degree. Usually requires at least 3 years of related, progressive experience. Depending on the role, may require knowledge of pharmaceutical distribution, inventory management, supply chain operations, reverse logistics, pharmacy reimbursement, and current business challenges faced by pharmacies.

Skills:

• Knowledge of Cencora products, programs, and services preferred.
• Understanding of various customer segments.
• Ability to work under pressure, prioritize, and meet deadlines.
• Strong organizational and analytical skills with attention to detail.
• Advanced skills in financial tracking, modeling, and profitability analysis using Excel.
• Effective communication skills, both oral and written, across all organizational levels.
• Strong interpersonal skills and customer service management.
• Proficiency in navigating multiple systems and consolidating data from various sources.
• Experience with relational databases, query tools, or BI software (e.g., MicroStrategy, AQT).

What Cencora offers

We provide compensation, benefits, and resources that foster an inclusive culture and support our team members’ purpose-driven work. Benefits include medical, dental, vision, wellness programs, support for working families, training, professional development, mentorship, employee resource groups, volunteer activities, and more. Details are available at https://www.virtualfairhub.com/cencora.

Full-time

Salary Range*

$72,200 - 103,290

*This range reflects a national average; actual salaries may vary based on location, potentially up to 10% lower or 12% higher depending on the state.

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunities and a workplace free from discrimination and harassment. We accommodate individuals with disabilities during the employment process. To request accommodations, contact 888.692.2272 or [e-mail].

Affiliated Companies:

AmerisourceBergen Drug Corporation