PBM & Rebate Analyst

Lumicera

Lumicera
- Lumicera Health Services Powered by Navitus
- Innovative Specialty Pharmacy Solutions
- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity.

Current associates must use SSO login option at  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.

USD $60,214.30 - USD $72,547.34 /Yr.

7.50 - Salaried Non-Management except pharmacists

M-F 8am to 5pm

ATTENTION:
Lumicera is only able to offer remote work to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin

Due to growth, we are adding an Analyst, Contract Operations to our team.

This role is ideal for a data-driven professional with experience in pharmacy benefit management (PBM), managed care, pharmaceutical contracting, or healthcare analytics. A successful candidate will possess strong analytical skills, a solid understanding of pharmacy claims and manufacturer contracting, and the ability to translate complex data into actionable business insights.

The PBM Contract & Rebate Analyst supports the administration and optimization of Lumicera's pharmaceutical manufacturer discount and contracting programs.

They are responsible for operational aspects of Lumicera’s discount programs including, but not limited to contract compliance through direct pharmaceutical manufacturers, third party entities, contract optimization, contract reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client operations.

How do I make an impact on my team?

• Understand plan formulary design and contracting potentials for client specific set ups.
• Analyze claims data to ensure the accuracy of contract processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for contract optimization.
• Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. Work closely with the Lumicera Finance and Underwriting teams to assist with evaluating contracts and manage risk in pricing.
• Support contract review, data entry, evaluation, and reconciliation of Lumicera client contract financial guarantees.
• Understand the department and customer business needs and facilitate successful delivery of information for decision-making.
• Serve as direct contact for Lumicera Client Services attending client calls as needed regarding client specific contract reporting, guarantee questions, and data analysis.
• Coordinate with Analytics on the maintenance of the Lumicera Contract reporting environments. Assist in managing new contract program initiatives and the expansion of contract forecasting.
• Serve as the Lumiceraa representative and subject matter expert for Lumicera audits, to include internal, external, manufacturer, client, and regulatory program audits.
• Lead…