Remote PBM Contract & Rebate Analyst | Data-Driven

Lumicera; Madison (WI); Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro

Professional Membership assistance

Referral Bonus Program – up to $750

Job summary

Lumicera is seeking an Analyst, Contract Operations to join our team in a data-driven role focused on PBM contracting, rebates, and healthcare analytics.

You will analyze claims data, support contract design, reconciliation, RFP responses, and audits, translating complex data into actionable business insights for clients and internal teams.

The ideal candidate has 3–5 years in managed care or pharmaceutical contracting, a Bachelor’s degree, and strong analytical and communication skills.

Qualifications

• 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.

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

Data analysis

Pharmacy claims

Contracting

Analytics

Cross-functional collaboration

Education

Bachelor's degree

Tools

Excel

SQL

Power BI

Job description

Lumicera is seeking an Analyst, Contract Operations to join our team in a data-driven role focused on PBM contracting, rebates, and healthcare analytics.

You will analyze claims data, support contract design, reconciliation, RFP responses, and audits, translating complex data into actionable business insights for clients and internal teams.

The ideal candidate has 3–5 years in managed care or pharmaceutical contracting, a Bachelor’s degree, and strong analytical and communication skills.