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PBM Contract& Rebate Analyst
Summary
Overview
Due to growth, we are adding an Analyst, Contract Operations to our team.
This role is ideal for a data-driven professional with experience in pharmacy benefit management (PBM), managed care, pharmaceutical contracting, or healthcare analytics. A successful candidate will possess strong analytical skills, a solid understanding of pharmacy claims and manufacturer contracting, and the ability to translate complex data into actionable business insights.
The PBM Contract & Rebate Analyst supports the administration and optimization of Lumicera's pharmaceutical manufacturer discount and contracting programs. They are responsible for operational aspects of Lumicera's discount programs including, but not limited to contract compliance through direct pharmaceutical manufacturers, third party entities, contract optimization, contract reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client operations.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
- Understand plan formulary design and contracting potentials for client specific set ups.
- Analyze claims data to ensure the accuracy of contract processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for contract optimization.
- Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. Work closely with the Lumicera Finance and Underwriting teams to assist with evaluating contracts and manage risk in pricing.
- Support contract review, data entry, evaluation, and reconciliation of Lumicera client contract financial guarantees.
- Understand the department and customer business needs and facilitate successful delivery of information for decision-making.
- Serve as direct contact for Lumicera Client Services attending client calls as needed regarding client specific contract reporting, guarantee questions, and data analysis.
- Coordinate with Analytics on the maintenance of the Lumicera Contract reporting environments. Assist in managing new contract program initiatives and the expansion of contract forecasting.
- Serve as the Lumiceraa representative and subject matter expert for Lumicera audits, to include internal, external, manufacturer, client, and regulatory program audits.
- Lead and coordinate Government-related or regulated reporting for internal use and client requirements.
- Review Discount strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the contract processing system, and correctly allocate payments.
- Other duties as assigned.
Qualifications
What our team expects from you?
- Bachelor's degree required.
- Pharmacy technician license preferred.
- 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required.
- Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred.
- Participate in, adhere to, and support compliance program objectives.
- The ability to consistently interact cooperatively and respectfully with other employees.
Preferred Qualifications
- Experience with pharmaceutical manufacturer contracts, rebate or discount programs, contract invoicing and reconciliation, or industry relations.
- Strong analytical, problem-solving, and organizational skills with exceptional attention to detail.
- Demonstrated experience analyzing data, identifying trends, and translating findings into actionable business recommendations.
- Knowledge of formulary management, pharmacy claims, manufacturer contracting, and PBM financial arrangements.
- Experience supporting audits, regulatory reporting, financial guarantees, pricing analysis, forecasting, or RFP responses.
What can you expect from Lumicera?
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
#LI-Remote
Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.
PI287917739
Benefits
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