Remote PBM Contract & Rebate Analyst

Lumicera

Sacramento (CA)

Remote

USD 70,000 - 95,000

Full time

7 days ago
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Job summary

Lumicera is seeking an Analyst, Contract Operations to join our team in the United States. This role focuses on PBM, managed care, and pharmaceutical contracting, translating complex data into actionable business insights.

You will support administration of discount programs, contract reconciliation, and reporting, collaborating with cross-functional teams to optimize pricing and ensure contract compliance for pharmaceutical manufacturers and clients.

Qualifications

  • Bachelor’s degree required.
  • Pharmacy technician license preferred.
  • 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required.
  • Experience with pharmaceutical manufacturer contracts or PBM financial arrangements preferred.
  • Strong analytical, problem-solving, and organizational skills.
  • Ability to consistently interact cooperatively and respectfully with other employees.

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

Analytical skills
Contracting
PBM knowledge
Pharmacy claims
Data analysis
Stakeholder communication

Education

Bachelor's degree

Job description

Lumicera is seeking an Analyst, Contract Operations to join our team in the United States. This role focuses on PBM, managed care, and pharmaceutical contracting, translating complex data into actionable business insights.

You will support administration of discount programs, contract reconciliation, and reporting, collaborating with cross-functional teams to optimize pricing and ensure contract compliance for pharmaceutical manufacturers and clients.

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