Remote PBM Contract & Rebate Analyst

Lumicera; Salt Lake City (UT); Remote; USD 60.000 - 90.000; Vollzeit

Benefits dieser Stelle

Health insurance

Paid time off – 20 days

Parental leave – 4 weeks

401K match

Adoption Assistance

Flexible Spending Account

Educational Assistance

Professional Memberships

Referral Bonus Program

Zusammenfassung

Lumicera is seeking an Analyst, Contract Operations to optimize pharmaceutical manufacturer discount and contracting programs. The role emphasizes analyzing pharmacy claims, contract processing accuracy, and coordinating with Lumicera teams on pricing and reporting.

The ideal candidate has experience in PBM or healthcare analytics, a solid understanding of pharmacy claims, and the ability to translate data into actionable business insights.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Analytical skills

Data analysis

Contract understanding

Ausbildung

Bachelor’s degree

Jobbeschreibung

Lumicera is seeking an Analyst, Contract Operations to optimize pharmaceutical manufacturer discount and contracting programs. The role emphasizes analyzing pharmacy claims, contract processing accuracy, and coordinating with Lumicera teams on pricing and reporting.

The ideal candidate has experience in PBM or healthcare analytics, a solid understanding of pharmacy claims, and the ability to translate data into actionable business insights.