Remote Pharmacy Contract Audit Analyst

Navitus; Trenton (NJ); Remote; USD 65,000 - 90,000; 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 with up to 5% company match

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro-Mf

Referral Bonus Program - up to $750

Job summary

Navitus is seeking an Analyst, Pharmacy Contract Audit to oversee contractual reimbursement accuracy across Retail, Specialty, and Mail Order networks. You will audit pricing, interpret contracts, and create reports validating systems against contractual terms. Collaboration with cross-functional teams is essential.

Responsibilities include data analysis, pricing testing, and developing controls to ensure compliance with agreements and effective rate tracking across Navitus’ NCRx and PC2 systems.

Qualifications

• Bachelor’s degree or equivalent experience is required.
• Minimum two years analytics experience is required.
• Support compliance program objectives.

Responsibilities

• Analyze Navitus’ reimbursement programs (AWP, WAC, MAC, NADAC, FUL, AAC).
• Field and resolve inquiries from providers, clients, and internal teams.
• Interpret contract language to compare pricing to claims.
• Develop controls and oversight reporting for contract pricing.
• Test network rates, perform audits, assess impact.
• Decide on resolution of pricing setup issues.
• Submit service or recovery requests for system updates.
• Follow and improve operational processes.
• Periodically report contractual compliance findings to leadership.
• Perform other duties as assigned.

Skills

Analytical thinking

Data analysis

Communication skills

Education

Bachelor’s degree or equivalent experience

Tools

NCRx system

PC2 database

Adjudication systems

Job description

Navitus is seeking an Analyst, Pharmacy Contract Audit to oversee contractual reimbursement accuracy across Retail, Specialty, and Mail Order networks. You will audit pricing, interpret contracts, and create reports validating systems against contractual terms. Collaboration with cross-functional teams is essential.

Responsibilities include data analysis, pricing testing, and developing controls to ensure compliance with agreements and effective rate tracking across Navitus’ NCRx and PC2 systems.