Note: The job is a remote job and is open to candidates in USA. Lumicera Health Services, powered by Navitus, provides specialty pharmacy solutions focused on patient well-being through transparency and stewardship. The Analyst, Contract Operations supports discount program operations, contract compliance, reconciliation, reporting, optimization, audits, client operations, and sales and RFP activities.
Responsibilities
- 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
Skills
- The ideal candidate for this position will have experience with PBM's and rebate analytics
- Bachelor's degree required
- 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required
- The ability to consistently interact cooperatively and respectfully with other employees
- Pharmacy technician license preferred
- Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred
Benefits
- Health insurance
- Dental insurance
- 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
- Professional Membership assistance
- Referral Bonus Program – up to $750!
- Remote work for residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin
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