Navitus Health Solutions

1001 – 5000 Darbinieki

Apdrošināšana Konsultācijas Veselības aprūpe

Navitus Health Solutions ir veselības aprūpei orientēts farmācijas pabalstu pārvaldītājs, kas apkalpo veselības plānus, darba devējus, valdības programmas un citus plānu sponsorus. Uzņēmuma farmācijas pabalstu pakalpojumi ietver zāļu saraksta un specializēto zāļu pārvaldību, atlīdzību pieteikumu izskatīšanu, aptieku tīkla administrēšanu, dalībnieku atbalstu un digitālās veselības integrācijas. Uzņēmums izmanto 100% caurplūdes, izmaksu un uzcenojuma modeli un sadarbojas ar plānu sponsoriem kā fiduciārs partneris, koncentrējoties uz zāļu pieejamību, normatīvo aktu ievērošanu, klīnisko kvalitāti un labākiem veselības aprūpes rezultātiem.

Vakances uzņēmumā

PBM Contract Operations Analyst (Remote, U.S.)

Support Lumicera’s specialty pharmacy discount programs through contract operations, claims analysis, rebates, audits, forecasting, and client reporting.

pirms 17 stundām

Amerikas Savienotās Valstis

60 214 $ – 72 547 $ / gads

Attālināti Pilna slodze Vidējais līmenis Vecākais speciālists Nepieciešamā Valoda: angļu Operācijas

Apraksts

Assess plan formulary designs and contracting options for client-specific arrangements.
Analyze claims to verify contract processing and recommend opportunities to optimize contracts.
Support sales and RFPs for prospective clients, renewals, and market reviews.
Work with Finance and Underwriting to evaluate contracts and manage pricing risk.
Review, enter, evaluate, and reconcile client contract financial guarantees.
Provide information that supports business decisions.
Act as the Client Services contact for contract reports, guarantee questions, and data analysis.
Coordinate with Analytics on contract reporting systems.
Support new contract program initiatives and expanded contract forecasting.
Provide subject matter expertise for internal, external, manufacturer, client, and regulatory audits.
Lead and coordinate government and other regulated reporting.
Review discount strategies and pharmaceutical manufacturer contracts, maintain contract processing parameters, and allocate payments.
Handle other duties as assigned.

Prasības

A bachelor’s degree is required.
Three to five years of experience in managed care, pharmacy benefit management, or pharmaceuticals is required.
A pharmacy technician license is preferred.
Pharmacy technician, trade, industry relations, and/or analytical experience is preferred.
Experience with PBMs and rebate analytics.
Ability to understand plan formulary design and contracting options.
Ability to analyze claims data.
Ability to support contract review, data entry, evaluation, and reconciliation.
Ability to participate in and support compliance program objectives and adhere to them.
Ability to interact consistently and respectfully with colleagues.

Priekšrocības

Health, dental, and vision insurance described as top-of-industry benefits.
20 days of paid time off.
Four weeks of paid parental leave.
Nine paid holidays.
401(k) company match of up to 5%, with no vesting requirement.
Adoption assistance program.
Flexible spending account.
Educational assistance and professional membership support.
Referral bonus of up to $750.
Remote work available to residents of specified U.S. states.