Remote PBM Contract & Rebate Analyst — Data-Driven Impact

Navitus Health Solutions, LLC; United States; Remote; USD 60,000 - 73,000; Full time

Benefits offered by this job

Health, Dental, and 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. M

Referral Bonus Program – up to $750!

Job summary

Lumicera is seeking an Analyst, Contract Operations to join its team. This data-driven role focuses on PBM and managed care contracting, translating complex claims data into actionable insights for client contracts.

You will support discount programs and deliverables across Lumicera’s pricing and reporting functions. The position emphasizes contract compliance, reconciliation, RFP support, and cross-team collaboration with Finance, Underwriting, and Client Services.

Qualifications

• Bachelor’s degree required.
• Pharmacy technician license preferred.
• 3-5 years of managed care/pharmacy benefits experience required.
• Pharmacy-related industry relations or analytical experience preferred.
• Strong compliance and teamwork skills.

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

Managed care experience

Pharmacy benefits management

Data analysis

Compliance

Teamwork

Education

Bachelor's degree

Pharmacy technician license

Job description

Lumicera is seeking an Analyst, Contract Operations to join its team. This data-driven role focuses on PBM and managed care contracting, translating complex claims data into actionable insights for client contracts.

You will support discount programs and deliverables across Lumicera’s pricing and reporting functions. The position emphasizes contract compliance, reconciliation, RFP support, and cross-team collaboration with Finance, Underwriting, and Client Services.