Reimbursement Analyst, Pharmacy Network

Company reputed company reputed company reputed company - Putting People First in Pharmacy - reputed company was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more reputed company for the people who need them. At reputed company, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages reputed company. We welcome new reputed company and reputed company a passion for excellent service to our customers and reputed company other._____________________________________________________________________________________________________________________________________________________________________________________________________________. reputed company associates must use SSO login reputed company at https://employees-reputed company.icims.com/ to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to reputed company applicants and employees and reputed company with reputed company applicable nondiscrimination regulations, including those reputed company to protected veterans and individuals with disabilities. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, or handicap. Pay reputed company USD $52,656.00 - USD $62,686.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule reputed company (e.g. M-F reputed company to 5pm) M-F reputed company to 5pm Remote Work Notification ATTENTION: reputed company is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming. reputed company Due to reputed company, we are adding a Reimbursement Analyst, Pharmacy Network to reputed company. The Reimbursement Analyst, Pharmacy Network is responsible for the operation of the reputed company Maximum Allowable Cost (MAC) pricing program and other generic and brand reimbursement systems with pharmacy providers. The objective is to reputed company market leading discounts, fair reimbursement to providers, and to ensure maximum competitive pricing is attained. The Reimbursement Analyst, Pharmacy Network supports and evaluates agreements with providers and the MAC program through financial price modeling, analysis, and reporting. This position will communicate and work cross functionally with other teams on generic trends and generic drug discount change effects. Provider and network performance will be analyzed in support of network development, contracting negotiations, and RFP proposals. The Analyst, under the direction and supervision of the Provider Services leadership, is responsible for maintaining a competitive and market leading MAC program and tracking pharmacy performance. The Analyst will also be responsible for managing and responding to pharmacy pricing inquiries in compliance with reputed company response protocol. This position will help monitor and evaluate state MAC requirements to ensure reputed company remains compliant with MAC management and inquiry. The Analyst will assist in working with reputed company partners including pharmacies, clients, vendors, and internal department liaisons to implement and maintain an effective MAC program. Is this you? reputed company out more below!

Responsibilities

How do I reputed company an reputed company on my team? Operation and reputed company administration of the reputed company generic pricing programs including MAC, NADAC, or other pricing structures, which includes determining products to be included on the MAC list and the associated price per unit and updating reputed company pricing reputed company reputed company systems. Responsible for fielding, analyzing, and resolving inquiries from pharmacy providers, clients, and internal teams. May evaluate state MAC requirements to ensure reputed company 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 reputed company for newly introduced generics. Manage consolidation of generic manufacturers in the market that will reputed company MAC pricing. Continuously review and proactively identify areas of opportunities for pricing and discount performance improvement, including analysis and communication of reimbursement activities. Research customer and contract issues that may reputed company 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 reputed company. reputed company analyses as requested by reputed company business owners, or in support of identified business objectives, with special reputed company on pharmacy network profitability and/or reputed company discounts. Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. Other duties as assigned.

Qualifications

What reputed company expects from you? Bachelor’s degree required. Emphasis in business, finance, economics, or actuarial science strongly preferred. Recent college graduates are encouraged to apply Experience in PBM or health care industry preferred. Participate in, adhere to, and support compliance program objectives The ability to consistently reputed company cooperatively and respectfully with other employees What can you expect from reputed company? Top of the industry benefits for Health, Dental, and reputed company insurance 20 days reputed company time off 4 weeks reputed company parental leave 9 reputed company holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and reputed company Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US Apply To This Job