Pharmacy Contract Audit Analyst

Role Overview

• Responsible for the oversight of Navitus’ contractual pharmacy network reimbursement accuracy
• Make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations
• Review and monitor claims data, create, and update procedures
• Audit networks for price change accuracy, monitor compliance with Navitus pharmacy provider contracts
• Communicate findings, and work with applicable teams to remediate errors
• Analyze provider, client, and network performance for quality control and compliance
• Create reports to validate systems accuracy to Retail, Specialty, and Mail Order contractual terms

Requirements

• Bachelor’s degree or equivalent experience required. Emphasis in business, finance, economics, or operations preferred
• Minimum two years analytics experience required
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

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!