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Manager Pharmacy Network Reporting - MADISON, WI,

Job Information

Job Order ID :
WI3661992
# of Positions :
1
Minimum Education Level :
Bachelor's Degree
Experience Required :
Training :
Bachelors Degree
Salary :
$70692 + yearly
Duration :
Shift :
Unspecified
Hours per week:
40

Job Description

 
JOB REQUIREMENTS: Putting People First in Pharmacy- Navitus was founded
as an alternative to traditional pharmacy benefit manager (PBM) models.
We are committed to removing cost from the drug supply chain to make
medications more affordable for the people who need them. At Navitus,
our team members work in an environment that celebrates diversity,
fosters creativity and encourages growth. We welcome new ideas and share
a passion for excellent service to our customers and each other. We are
unable to offer remote work to residents of Alaska, Hawaii, Maine,
Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island,
South Carolina, South Dakota, West Virginia, and Wyoming. The Manager,
Pharmacy Network Reporting will oversee and manage the Pharmacy Network
Reporting Team. The position will support the Navitus Network
Contracting, Sales, Account Management, Implementation, and Government
Programs departments, as well as the Navitus pharmacy network contract
pricing and reporting requirements. The Manager will oversee and lead
Navitus Network Contracting Analysts, Network Reporting, and the Navitus
MAC Team to ensure the success of business needs and contract
compliance. The individual will leverage the use of analytics to assist
internal customers in making informed decisions, increase Navitus\'
sales and marketing opportunities, and serve as the Provider Services\'
primary subject matter expert on Network Contracting and Network
Reporting. This individual will understand and interpret data from the
Navitus data warehouse, the Navitus claims adjudication system, pharmacy
network databases, NCPDP pharmacy files, Medi-Span files, pharmacy
acquisition cost market intel, and other data sources required to
facilitate the successful delivery of information. This position
enhances departmental efficiency through Qlikview development and
network database improvements. The individual in this position will
demonstrate competence in using multiple informatics tools, including MS
Office products, Quest Analytics, Qlikview, Blue Relay, and other
software tools. The person in this role will be a data expert with
extensive knowledge of Navitus data models, data sources, and data
attributes, especially regarding pharmacy networks and pharmacy claims.
The Manager deeply understands pharmacy reimbursement methodologies and
generic drug pricing. The individual will support and advise senior
leadership regarding provider agreements, administration of the MAC
Program, and network adequacy. The Pharmacy Network Reporting team
supports and evaluates agreements with providers through financial price
modeling, analysis, and reporting and will play a key role in network
contracting strategy. The Manager is responsible for maintaining and
managing a competitive, market-leading MAC Program, including working
with\... For full info follow application link. Navitus Health Solutions
is an Equal Opportunity Employer:
Disabled/Veterans/Male/Female/Minority/Other \*\*\*\*\* APPLICATION
INSTRUCTIONS: Apply Online: ipc.us/t/4C2E0CD949074160

Company Information

Name :
NAVITUS HEALTH SOLUTIONS LLC

Application Information

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