Managed Care Claims Analyst
Novartis
Summary
Are you passionate about transforming data into actionable business insights while helping ensure operational excellence and financial accuracy? As a Managed Care Claims Analyst, you will play a critical role in supporting rebate operations, contract administration, financial reporting, and data analysis within Novartis. In this highly collaborative position, you will work across multiple systems and stakeholders to ensure accurate processing, meaningful reporting, and informed decision-making. This role offers an exciting opportunity to develop deep expertise in managed care operations while contributing to process improvements and exceptional customer support in a dynamic healthcare environment.
Job description
Job Description
- Ensure timely and accurate processing of managed care claims, rebates, payments, validations, reporting, and contract administration activities.
- Develop recurring and ad hoc analyses to evaluate performance, identify trends, and support business decisions.
- Partner with internal and external stakeholders to resolve issues, exchange information, and deliver outstanding customer support.
- Monitor and maintain data integrity across systems, processes, logs, policies, and standard operating procedures.
- Identify business opportunities, risks, and performance drivers while recommending actionable solutions.
- Support continuous process improvement initiatives to enhance operational efficiency, compliance, and reporting effectiveness.
Essential Requirements
- Bachelor's degree in Finance, Economics, Accounting, Business Administration, or a related field.
- Strong analytical skills with the ability to interpret complex datasets, identify trends, and develop meaningful recommendations.
- Excellent verbal and written communication skills with proven ability to partner effectively across diverse stakeholders.
- Proven ability to work independently, manage competing priorities, and meet deadlines in a fast-paced environment.
- Advanced proficiency in Microsoft Office applications, including Excel, PowerPoint, and Word.
- Strong problem-solving, decision-making, teamwork, and attention-to-detail capabilities.
Desirable Requirements
- Experience within the pharmaceutical, biotechnology, healthcare, or managed care industry.
- Experience with life sciences and enterprise applications such as Model N, Revitas, SAP, or similar systems.
- Experience leveraging data analytics, automation, artificial intelligence, or digital tools to improve business insights, operational efficiency, and decision-making.
- Model N, Qlik, Power BI, Business Planning and Consolidation, and dashboard automation solutions.
Requirements
- Bachelor's degree in Finance, Economics, Accounting, Business Administration, or a related field
- Strong analytical skills with the ability to interpret complex datasets, identify trends, and develop meaningful recommendations
- Excellent verbal and written communication skills with proven ability to partner effectively across diverse stakeholders
- Proven ability to work independently, manage competing priorities, and meet deadlines in a fast-paced environment
- Advanced proficiency in Microsoft Office applications, including Excel, PowerPoint, and Word
- Strong problem-solving, decision-making, teamwork, and attention-to-detail capabilities
Benefits
- Health insurance
- Life insurance
- Disability benefits
- 401(k) with company match
- Vacation
- Personal days
- Holidays
- Performance-based cash incentive
- Annual equity awards
Company overview
Novartis is a global pharmaceutical company headquartered in Basel, Switzerland, dedicated to reimagining medicine to improve and extend people's lives. As an innovative medicines company, Novartis focuses on developing high-value treatments that address society's greatest disease burdens through technology leadership in research and development. The company operates across five core therapeutic areas: cardiovascular, renal and metabolic diseases; immunology; neuroscience; oncology; and hematology. With a workforce of approximately 75,883 employees worldwide, Novartis reaches nearly 300 million patients across 118 countries. The company leverages advanced technology platforms including targeted protein degradation, cell therapy, gene therapy, radioligand therapy, and xRNA to develop breakthrough treatments. Novartis maintains a strong portfolio of oncology drugs and generics while continuously expanding its pipeline through strategic acquisitions and internal research. The company's commitment extends beyond drug development to ensuring global access to medical innovations through novel access approaches and patient assistance programs.