Analyst, Rebate Operations

Responsibilities

• Understand plan formulary design and rebate potentials for client specific set ups.
• Analyze claims data to ensure the accuracy of group purchasing organization (GPO) rebate processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for rebate optimization.
• Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks.
• Work closely with the Navitus Finance and Underwriting teams to assist with evaluating rebates and manage risk in pricing.
• Support contract review, data entry, evaluation, and reconciliation of Navitus client rebate financial guarantees.
• Understand the department and customer business needs and facilitate successful delivery of information for decision-making.
• Coordinate with Analytics on the maintenance of the Navitus 3D Rebate reporting environments.
• Aid in managing new rebate program initiatives and the expansion of rebate forecasting.
• Serve as the Navitus representative and subject matter expert for Navitus 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.
• Maintain a basic understanding of pharmaceutical manufacturer rebate contracts, submissions and all deliverables to trade or third-party entities.
• Review GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system, and correctly allocate rebate payments.

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.