Navitus Health Solutions

1 001 – 5 000 Xodimlar

Navitus Health Solutions tibbiy sug‘urta rejalariga, ish beruvchilarga, davlat dasturlariga va boshqa reja homiylariga xizmat ko‘rsatuvchi, sog‘liqni saqlashga yo‘naltirilgan dorixona imtiyozlarini boshqarish kompaniyasidir. Uning dorixona imtiyozlari xizmatlari dori formularyasi va maxsus dori vositalarini boshqarish, da’volarni ko‘rib chiqish, dorixonalar tarmog‘ini boshqarish, a’zolarni qo‘llab-quvvatlash hamda raqamli sog‘liqni saqlash integratsiyalarini o‘z ichiga oladi. Kompaniya xarajatlar ustiga qo‘shimcha haq qo‘shiladigan 100% to‘liq o‘tkazish modelidan foydalanadi va dori-darmonlarning hamyonbopligi, me’yoriy talablarga muvofiqlik, klinik sifat hamda sog‘liqni saqlash natijalarini yaxshilashga e’tibor qaratadigan ishonchli hamkor sifatida reja homiylari bilan ishlaydi.

Kompaniyadagi ish o‘rinlari

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.

17 soat oldin

Amerika Qo‘shma Shtatlari

60 214 $ – 72 547 $ / yil

Masofaviy To‘liq stavka O‘rta daraja Senior Talab Qilinadigan Til: inglizcha Operatsiyalar

Tavsif

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.

Talablar

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.

Imtiyozlar

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.