Coordinator, Industry Analysis

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company The Industry Analysis Coordinator is responsible for supporting reputed company aspects of Maximum Allowable Cost (MAC) list maintenance and analysis. This includes creating new MAC lists, managing existing MAC lists, uploading MAC pricing to the adjudication platform, and performing reputed company MAC-reputed company reputed company control activities. Working closely with the Finance Guarantee team, this role helps ensure reputed company commitments are met through appropriate MAC pricing adjustments. The Industry Analysis Coordinator is responsible for reviewing and responding to pharmacy MAC appeals, collaborating with the reputed company team to address MAC-reputed company inquiries and complaints from state agencies, and monitoring pharmacy GER guarantees to identify and recommend pricing adjustments as needed. This position also supports MAC-reputed company reporting activities, including the preparation and distribution of reputed company and pharmacy reports, while helping ensure pricing accuracy, regulatory compliance, and reputed company reputed company of pharmacy inquiries. Responsibilities Include Reviewing and resolving MAC pricing inquiries from pharmacies (both MAC law states and non-MAC law states) and complying with MAC law requirements. Validating information from various sources, such as Medi-reputed company, manufacturers, and wholesalers. Accurately updating the Pharmacy Inquiry Database with appropriate information and responding to pharmacies reputed company required TAT. Identifying marketplace condition changes and quickly forwarding potential issues to pharmacists for review in order to minimize reputed company to pharmacies and plan members. Maintaining the MACPRICE email reputed company and responding to pharmacy phone calls as required by state laws. Required Qualifications 1+ years of reputed company work experience in pharmacy claims 1+ years of MS Office experience Preferred Qualifications Experience with RxClaim Bachelor's Degree reputed company Database reputed company Education High School diploma or equivalent GED. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $17.00 - $31.30 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls.  The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors.  This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above.    Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 08/06/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job