Analyst, Network Contracting

Responsibilities

• Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals
• Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and any related needs
• Complete complex analysis to monitor the value of contracts and strategic initiatives of Navitus
• Prepare forward-looking network analytics, ensuring alignment of planned actions and targets in the forecast
• Proactively monitor industry trends including acquisition cost, competitive intel, and innovative program offerings
• Support network management leaders in the development and analytical review of quarterly forecasting, annual planning, and multi-year contracting development and multi-year financial modeling
• Advise internal stakeholders on strategic fiscal matters related to pharmacy financial management throughout the organization
• Participate in regular meetings with leadership to review financial results and act as an internal consultant on interpreting financial results, analyzing variances and improving contracting performance
• Support pharmacy contract negotiations by monitoring and delivering impact analysis of suggested pricing revisions
• Develop work plans to meet provider and client business priorities and deadlines; collaborate cross-functionally to make effective business decisions; escalate high priority issues and risks as appropriate; and recognize and capitalize on network management improvement opportunities
• Interface with the Pharmacy Network Analytics team to communicate updated network pricing and network design changes

Qualifications

• Bachelor’s degree in finance, accounting, business, actuarial science or related field is preferred
• At least one year of database management experience
• Experience in business, finance, or analytics
• Experience in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care preferred
• Familiarity with the Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes preferred
• Experience with CMS, Medicare, and state Medicaid regulations and guidance preferred
• Knowledge of health care processes and pharmaceutical claims adjudication systems preferred
• The ability to consistently interact cooperatively and respectfully with other employees