[Hiring] PBM Contract & Rebate Analyst @Navitus Health Solutions, LLC

Role Description

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:

• 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
• Client operations

Is this you? Find out more below!

Responsibilities

• Understand plan formulary design and contracting potentials for client specific setups.
• Analyze claims data to ensure the accuracy of contract processing and establish recommendations 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.
• Facilitate successful delivery of information for decision-making.
• Serve as direct contact for Lumicera Client Services attending client calls as needed.
• 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 Lumicera representative and subject matter expert for 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.
• Other duties as assigned.

Qualifications

• 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.

Benefits

• 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!