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Navitus Health SolutionsNS

Sr. Data Analyst, Pharmacy Network

Navitus Health Solutions is a pharmacy benefit manager (PBM) founded in 2003 with a mission to make prescription medications more affordable through a transparent, 100% pass-through model. They serve nearly 18 million members across almost 800 clients.

Navitus Health Solutions

Employee count: 1001-5000

Salary: 58k-70k USD

United States only

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Company

Navitus

About Us

Navitus - 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.. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $58,460.48 - USD $70,434.31 /Yr.

STAR Bonus % (At Risk Maximum)

5.00 - Salaried Non-Management except pharmacists

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm

Remote Work Notification

ATTENTION: Navitus is 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.

Overview

Due to growth, we are adding a Sr. Data Analyst, Pharmacy Network to our team.

The Sr. Data Analyst, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Sr. Analyst will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creation that facilitate critical business decision-making processes. The objective is to utilize and harness data in an effective manner to best serve our providers, clients, and promote strategic initiatives.

The Sr. Analyst supports the evaluation of both the adequacy and performance of our provider networks via data modeling, analysis, and reporting. This position will communicate and work cross functionally with various teams at Navitus to deliver intuitive analyses and reports. The Sr. Analyst will be responsible for completing reports and projects as requested by teams to support Provider Services, Account Management, Implementation, Legal, Government Programs, Analytics, Pricing & Underwriting and Sales. This position will be responsible for understanding a wide range of data points from multiple sources and for completion of a variety of analytical projects and reports.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

  • Responsible for completing reports and projects, such as detailed geo access, member disruption, state PBM licensing applications, state audit/adequacy reports, and pharmacy listing.
  • Work closely with the legal team to develop a significant understanding of state PBM and Pharmacy Access laws in order to build reports and capture applicable data to meet regulatory requirements.
  • Subject matter expert and resource for other members of the reporting team for these tools.
  • Point of contact for team members, providing both support and data knowledge.
  • Provide support to key client needs in order to meet their specific business needs.
  • Recommend enhancements to existing systems in accordance with business needs by creating ad hoc and standard reports as well as new information delivery technologies.
  • Work with Navitus teams to develop applications to streamline reporting processes and meet developing client and reporting agency needs.
  • Understand intermediate data relationship concepts and transform data into information that can be proactively used to improve business decisions.
  • Communicate with vendors to develop more in depth understanding of applicable software capabilities and develop systems to meet future needs.
  • Work together with Navitus teams to create solutions via data models to better understand trends and facilitate decision making on pharmacy network design.
  • Lead evaluation of applicable pharmacy network adequacy as required by clients or regulation.
  • Create pharmacy directories for our clients and their members that clearly identify the pharmacy services available to them and where they are located. This includes developing a level of understanding of Blue Relay to become a subject matter expert on the software.
  • Deliver reports and directories on a weekly, monthly, quarterly, or annual basis as required by government sponsored health plans and other clients.
  • Other duties as assigned.

Qualifications

What our team expects from you?

  • Bachelor's degree required. Emphasis in business, information systems, economics, or statistics preferred.
  • Minimum of 3 years of relevant experience with business, economic/financial modeling, or analytical programs.
  • Experience with SAS, SQL, and/or QlikView is required.
  • PBM or Managed Care experience is required.
  • PC skills: Microsoft Excel, Access, QlikView, SQL, and other applications as required.

What can you expect from Navitus?

  • 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!

Location : Address

Remote

Location : Country

US

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 58k-70k USD

Education

Bachelor degree

Experience

3 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Navitus Health Solutions

Learn more about Navitus Health Solutions and their company culture.

View company profile

We are Navitus Health Solutions, and for more than two decades, we've been dedicated to transforming the pharmacy benefit management (PBM) landscape. Founded in 2003, our core belief was that the traditional PBM model needed a fundamental shift to better serve the interests of plan sponsors and their members. This conviction led us to pioneer a 100% pass-through business model, a transparent approach designed to eliminate unnecessary costs and ensure that all negotiated rebates, discounts, and fees are returned directly to our clients. We're driven by a profound commitment to helping people access the medications they need at more affordable prices, ultimately enabling them to lead fuller lives.

Our journey began with a vision to disrupt the industry norms and establish a new standard for financial and operational transparency in pharmacy benefits. We're proud to have consistently upheld this unique model, which stands in contrast to other established PBMs. Our purpose is clear: to humanize the pharmacy benefit experience and to relentlessly pursue strategies that lower overall drug spend and the cost of care. We achieve this by providing full financial and operational disclosures, improving medication adherence, and offering alternative treatment options that can reduce long-term drug reliance. We proudly serve almost 18 million members through nearly 800 clients, a testament to the trust placed in our approach. Our mission is to make medications more affordable for those who need them, fostering a healthcare system where honesty and open communication build unwavering trust.

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Navitus Health Solutions

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