Senior Medicaid Pricing Analytics Lead (Remote)

Navitus Health Solutions, LLC; United States; Remote; USD 69,627 - 83,888; Full time

Benefits offered by this job

Top industry benefits for health, dental, and vision insurance

20 days paid time off

401K company match of up to 5%

Job summary

Navitus Health Solutions, LLC is seeking a Senior Analyst for Government Pricing to provide advanced analytical support for Medicaid pharmacy programs. Candidates should have at least 5 years of experience in PBM or healthcare analytics, a Bachelor's degree in a related field, and the ability to oversee core analytical work. The position offers comprehensive benefits and a supportive work environment. Remote work is available, with some limitations based on location.

Qualifications

• 5+ years of experience in PBM, Medicaid pharmacy programs, managed care, healthcare analytics, or pricing analysis.
• Experience supporting Medicaid fee-for-service drug pricing methodologies.
• Experience preparing documentation, reporting, and analysis for internal reviews and audits.

Responsibilities

• Support development of Medicaid Fee-for-Service pharmacy pricing and modeling.
• Oversee analytical work related to Medicaid MAC pricing analysis.
• Maintain external pricing files and perform data quality checks.

Skills

Data analytics

Healthcare analytics

Pricing analysis

Medicaid pharmacy programs

Regression analysis

Education

Bachelor’s degree in Finance, Economics, Healthcare Administration, or related field

Tools

Medi Span

NADAC pricing files

HRSA 340B ceiling price data

Job description

Navitus Health Solutions, LLC is seeking a Senior Analyst for Government Pricing to provide advanced analytical support for Medicaid pharmacy programs. Candidates should have at least 5 years of experience in PBM or healthcare analytics, a Bachelor's degree in a related field, and the ability to oversee core analytical work. The position offers comprehensive benefits and a supportive work environment. Remote work is available, with some limitations based on location.