$54,236 - $64,567 yearly
Navitus
Annapolis, MD
Overview Due to growth, we are adding a Analyst, Pharmacy Contract Audit to our team! The Analyst, Pharmacy Contract Audit is responsible for the oversight of Navitus’ contractual pharmacy network reimbursement accuracy. The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations contained in Retail, Specialty, and Mail Order pharmacy agreements. The Analyst will continually 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. The Analyst works closely with inter and intra-departmental resources to interpret and understand contractual terms, client network selections, and how they are operationalized in applicable systems. The Analyst will be knowledgeable of business operations, utilizing...