Network Reimbursement Analyst

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The Network Reimbursement Analyst position is responsible for developing and managing the data analytics for programs and/or network contracts across all customer segments. Conducts analysis and compilation of key business indicators that are tied to business strategies. Assists with administering various business operations by analyzing transactional and returns data, systems and/or dashboards.

Location: Remote, USA

Hours: Must be able to accomodate 6am-3pm PST

Responsibilities:

1. Responsible for designing, developing and implementing strategic contract analytics and reimbursement model(s) to identify area(s) for contract improvement and contract validation.

2. Accesses, analyzes and interprets all internal and external data sources to analyze reimbursement, gross profit, market position and market share to enhance contract negotiations and make objective, fact-based decisions.

3. Identifies trends in reimbursement and makes recommendations related to contracts, based on data-driven analysis.

4. Works directly with Cencora data team(s) to define data requirements and reports needed to extract and compile data to measure payer compliance with contracts.

5. Works directly with Cencora data team(s) to review external data feeds (e.g. IQVIA), to consistently improve methods to track and report contract related information.

6. Effectively communicates results and contract implications to management and internal departments.

7. Assists with the development of contract presentation materials for regional and national meetings, trade shows, and conventions.

8. Responsible for pre-negotiation preparations such as data gathering and contract analysis.

9. Participates in analysis to support negotiations with payers or proposals for new program opportunities.

10. Monitors customer activity, requiring the use of multiple systems within Cencora and Third-Party Provider data feeds.

11. Develops and maintains strategic relationships with peer-level contacts at PBMs or payers involved with retail pharmacy provider network contracting operations.

12. Through data analysis, identifies and resolves business issues that pertain to potential agreements and reviews and analyzes programs data to identify opportunities for Cencora sales executives and other stakeholders.

13. Participates and supports development of overall objectives along with the long-term goals of Cencora.

14. Participates in special projects and performs other duties …