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PBM Contract Operations Analyst
Navitus Health Solutions. Understand plan formulary design and contracting potentials for client-specific setups .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in contract analysis, formulary design, and managed care operations, with a strong focus on data accuracy and compliance. Proficient in collaborating with cross-functional teams to optimize client contracts and support business decision-making.
Highest-signal resume keywords
Contract AnalysisClaims Data AnalysisPharmacy Benefits ManagementRegulatory CompliancePharmacy Technician License
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract ReviewData EntryContract EvaluationRebate AnalyticsFormulary Design
Soft Skills
Cooperative InteractionRespectful Communication
Tools & Technologies
Contract Reporting EnvironmentsAnalytics Coordination
Certifications & Qualifications
Pharmacy Technician License
Industry Keywords
Managed CarePharmacy Benefits ManagementPharmaceutical ExperienceClient ServicesGovernment Reporting
About the role
Key responsibilities & impact- Understand plan formulary design and contracting potentials for client-specific setups
- Analyze claims data to ensure contract-processing accuracy and establish client recommendations for contract optimization
- Provide sales and RFP support for prospective clients, renewals, and market checks
- Collaborate with Finance and Underwriting to evaluate contracts and manage pricing risk
- Support contract review, data entry, evaluation, and reconciliation of client contract financial guarantees
- Facilitate delivery of information for business decision-making
- Serve as direct contact for Client Services on contract reporting, guarantee questions, and data analysis
- Coordinate with Analytics on contract reporting environments
- Assist with new contract program initiatives and contract forecasting expansion
- Serve as subject matter expert for internal, external, manufacturer, client, and regulatory audits
- Lead and coordinate government-related or regulated reporting
- Review discount strategy and pharmaceutical manufacturer contracts, maintain contract-processing parameters, and allocate payments
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s degree required
- 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required
- Pharmacy technician license preferred
- Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred
- Experience with PBMs and rebate analytics
- Ability to understand plan formulary design and contracting potentials
- Ability to analyze claims data
- Ability to support contract review, data entry, evaluation, and reconciliation
- Ability to participate in, adhere to, and support compliance program objectives
- Ability to consistently interact cooperatively and respectfully with other employees
Benefits
Comp & perks- 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!
- Remote work for residents of specified U.S. states