Operation and timely administration of the Navitus generic pricing programs including MAC, NADAC, or other pricing structures
Responsible for fielding, analyzing, and resolving inquiries from pharmacy providers, clients, and internal teams
May evaluate state MAC requirements to ensure Navitus MAC management remains compliant
May manage quarterly and yearly pharmacy performance and/or reconciliations
Monitor industry events to determine availability of generic introduction to the marketplace and manage exclusivity timeline for newly introduced generics
Manage consolidation of generic manufacturers in the market that will affect MAC pricing
Continuously review and proactively identify areas of opportunities for pricing and discount performance improvement
Research customer and contract issues that may affect account planning, strategies, and proposals
Assists with RFP responses as necessary
Periodic and detailed reporting of activities and opportunities to Provider Services team and cross-functional leadership
Research external and internal pricing trends and opportunities to contribute to overall pricing strategy
Perform analyses as requested by internal and external business owners, or in support of identified business objectives, with special focus on pharmacy network profitability and/or client discounts
Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives
Other duties as assigned.

Bachelor’s degree required
Emphasis in business, finance, economics, or actuarial science strongly preferred
Experience in PBM or health care industry preferred
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Reimbursement Analyst, Pharmacy Network

Key skills