Pharmacy Network Reimbursement Analyst

Cencora; Washington (District of Columbia); 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'll play a pivotal role in managing data analytics for payer contracts, ensuring compliance, and driving strategic improvements. This role offers a unique opportunity to impact the healthcare landscape positively. If you're passionate about data analysis and want to contribute to meaningful change, this innovative firm is the perfect place for you. Embrace the chance to work in a collaborative environment where your skills will help improve lives across the globe.

Benefits

Health benefits

Wellness programs

Professional development

Mentorship opportunities

Employee resource groups

Volunteer opportunities

Qualifications

• Bachelor’s degree with 3 years of experience in business or finance.
• Background in pharmaceutical distribution and pharmacy reimbursement preferred.

Responsibilities

• Design and implement contract analytics to identify improvement areas.
• Analyze data sources to inform negotiations and decisions.
• Collaborate with data teams to ensure contract compliance.

Skills

Advanced financial analysis and modeling skills using Excel

Strong organizational skills

Analytical skills

Effective communication skills

Interpersonal and customer service skills

Proficiency in systems navigation and data consolidation

Experience with databases and business intelligence software

Education

Bachelor’s degree in business administration, accounting, finance, or related fields

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 related to reimbursement strategies, tracks payer reimbursement following new contracts, and monitors existing contracts. Assists with administering payer contracting operations and supports additional pharmacy programs as needed.

Location & Hours

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 improvement and validation.
2. Analyze internal and external data sources to assess reimbursement, gross profit, market position, and share to inform negotiations and decisions.
3. Identify reimbursement trends and recommend contract adjustments based on data analysis.
4. Collaborate with Cencora data teams to define data requirements and generate reports to ensure payer contract compliance.
5. Review external data feeds to improve tracking and reporting of contract-related information.
6. Communicate findings and implications of contracts to management and relevant departments.
7. Prepare contract presentation materials for meetings, trade shows, and conventions.
8. Support pre-negotiation data gathering and analysis.
9. Assist in negotiations with payers and propose new program opportunities.
10. Monitor customer activity using multiple systems and data feeds.
11. Develop relationships with peers at PBMs and payers involved in pharmacy network contracting.
12. Use data analysis to resolve business issues and identify opportunities for sales and stakeholders.
13. Contribute to the development of Cencora’s long-term objectives.
14. Participate in special projects and perform other duties as assigned.

Education & Skills

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

Skills:

• Knowledge of Cencora products, programs, and services preferred.
• Understanding of various customer segments.
• Ability to work under pressure and meet deadlines.
• Strong organizational, analytical, and attention to detail skills.
• Advanced financial analysis and modeling skills using Excel.
• Effective communication skills, both oral and written.
• Interpersonal and customer service skills.
• Proficiency in systems navigation and data consolidation.
• Experience with databases and business intelligence software (e.g., MicroStrategy, AQT) required.

What Cencora Offers

We provide competitive compensation, benefits, and resources that foster an inclusive culture supporting our team members' purpose-driven work. Benefits include health, wellness, family support, training, professional development, mentorship, employee resource groups, and volunteer opportunities. For more details, visit https://www.virtualfairhub.com/cencora.

Salary Range

$72,200 - $103,290 (National Average). Actual salary may vary based on location, with potential adjustments in certain states.

Equal Employment Opportunity

Cencora is committed to equal opportunity employment and prohibits discrimination based on race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status, or other protected classes. Reasonable accommodations are available for individuals with disabilities. To request accommodations, contact 888.692.2272 or [e-mail].

Affiliated Company: AmerisourceBergen Drug Corporation