Remote Pharmacy Contract Audit Analyst

Florida Pharmacy Association, Inc.; Tallahassee (FL); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

PTO 20 days

Parental Leave

Holidays 9

401(k) Match

Adoption Assistance

FSA

Education Assistance

Professional Membership assistance

Referral Bonus

Job summary

Navitus Health Solutions in the United States is seeking an Analyst, Pharmacy Contract Audit to join the Provider Relations team. You will oversee contractual reimbursement accuracy across Retail, Specialty, and Mail Order networks, reviewing claims data, auditing price changes, and remediating contract terms in NCRx and PC2.

The role emphasizes independent analysis, reporting, and collaboration with cross-functional partners to ensure compliance and effective rate tracking, with a focus on

Qualifications

• Bachelor's degree or equivalent experience required.
• Minimum two years analytics experience required.
• Ability to interact cooperatively and respectfully with others.

Responsibilities

• Analyze reimbursement programs (AWP, WAC, MAC, NADAC, FUL, AAC, etc.).
• Field inquiries from providers, clients, auditors, and internal teams.
• Interpret contract language to compare pricing with adjudicated claims.
• Develop controls and oversight reporting for contract pricing.
• Perform network rate testing and audits; assess impact.
• Submit service/recovery requests and implement system updates.
• Periodically report contractual compliance to leadership.

Skills

Analytical mindset

Communication

Collaboration

Education

Bachelor's degree or equivalent

Job description

Navitus Health Solutions in the United States is seeking an Analyst, Pharmacy Contract Audit to join the Provider Relations team. You will oversee contractual reimbursement accuracy across Retail, Specialty, and Mail Order networks, reviewing claims data, auditing price changes, and remediating contract terms in NCRx and PC2.

The role emphasizes independent analysis, reporting, and collaboration with cross-functional partners to ensure compliance and effective rate tracking, with a focus on