Remote Pharmacy Reimbursement & MAC Analyst

Navitus Health Solutions / Lumicera Health Services; United States; On-site; USD 54,000 - 65,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401K company match

Paid time off (PTO) 20 days

Job summary

Navitus Health Solutions is seeking a Reimbursement Analyst, Pharmacy Network to join our team. The Analyst will support MAC pricing programs, analyze provider agreements, and collaborate with internal and external partners to ensure competitive pricing and compliance.

The role focuses on MAC management, NADAC, state MAC requirements, and responding to pricing inquiries with Navitus guidelines, enabling strong network performance.

Qualifications

• Bachelor’s degree in business, finance, economics, or actuarial science strongly preferred. Recent graduates encouraged to apply.

Responsibilities

• Operate and administer Navitus MAC, NADAC, and pricing structures, updating pricing in Navitus systems.
• Handle inquiries from pharmacy providers, clients, and internal teams.
• Ensure Navitus MAC management complies with state requirements.
• Monitor generic introductions and manage exclusivity timelines.
• Support pricing strategy with analysis of reimbursement activities and industry trends.
• Assist with RFP responses and cross-functional reporting.
• Produce periodic detailed reports to Provider Services leadership.

Education

Bachelor’s degree in business/finance/economics/actuarial science

Job description

Navitus Health Solutions is seeking a Reimbursement Analyst, Pharmacy Network to join our team. The Analyst will support MAC pricing programs, analyze provider agreements, and collaborate with internal and external partners to ensure competitive pricing and compliance.

The role focuses on MAC management, NADAC, state MAC requirements, and responding to pricing inquiries with Navitus guidelines, enabling strong network performance.