[Remote] Reimbursement Analyst, Pharmacy Network

Note: The job is a remote job and is open to candidates in USA. Navitus Health Solutions is a pharmacy benefit manager committed to making medications more affordable. They are seeking a Reimbursement Analyst for their Pharmacy Network to manage the Maximum Allowable Cost (MAC) pricing program, ensuring competitive pricing and compliance with state requirements while collaborating with pharmacy providers and internal teams.ResponsibilitiesOperation and timely administration of the Navitus generic pricing programs including MAC, NADAC, or other pricing structures, which includes determining products to be included on the MAC list and the associated price per unit and updating all pricing within Navitus systemsResponsible for fielding, analyzing, and resolving inquiries from pharmacy providers, clients, and internal teamsMay evaluate state MAC requirements to ensure Navitus MAC management remains compliantMay manage quarterly and yearly pharmacy performance and/or reconciliationsMonitor industry events to determine availability of generic introduction to the marketplace and manage exclusivity timeline for newly introduced genericsManage consolidation of generic manufacturers in the market that will affect MAC pricingContinuously review and proactively identify areas of opportunities for pricing and discount performance improvement, including analysis and communication of reimbursement activitiesResearch customer and contract issues that may affect account planning, strategies, and proposals. Assists with RFP responses as necessaryPeriodic and detailed reporting of activities and opportunities to Provider Services team and cross-functional leadershipResearch external and internal pricing trends and opportunities to contribute to overall pricing strategyPerform analyses as requested by internal and external business owners, or in support of identified business objectives, with special focus on pharmacy network profitability and/or client discountsParticipate in, adhere to and support compliance and diversity, equity, and inclusion program objectivesOther duties as assignedSkillsBachelor's degree requiredThe ability to consistently interact cooperatively and respectfully with other employeesEmphasis in business, finance, economics, or actuarial science strongly preferredExperience in PBM or health care industry preferredBenefitsTop of the industry benefits for Health, Dental, and Vision insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5% - No vesting requirementAdoption Assistance ProgramFlexible Spending AccountEducational Assistance Plan and Professional Membership assistanceReferral Bonus Program – up to $750!Company OverviewNavitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company. It was founded in 2003, and is headquartered in Appleton, Wisconsin, USA, with a workforce of 1001-5000 employees. Its website is https://www.navitus.com/.