Job Description
Job Description
As a Rebate Formulary Analyst, you will perform a critical
role in the analysis of Medicare and Commercial
formularies to determine client eligibility for rebates with
respect to manufacturer contractual guidelines. To support
accurate rebate invoicing, you will be responsible for
meeting manufacturer contractual obligations by
completing a thorough interpretation of the contract and
thorough analysis of formulary and plan design data on a
monthly/quarterly basis.
In this role, you will support overall team production by
assisting during pharmaceutical disputes and collaborating
on day-day tasks such as:
- Conducting specific formulary research to support Rebate
forecasting and underwriting teams during the
manufacturing contract negotiating process; Clinical
Managers and Client Support Services as they work with
clients in the development of formularies; Rebate audit
team as questions arise on audits by manufacturers and
clients
- Adhering to quality control process in review of formulary
rebate eligibility and contributing to enhancing our quality
control processes
- Providing recommendations to Negotiating and Contract
teams on enhancing contract language necessary to
support formulary rebate contracts
- Maintaining filings for Caremark and client specific
formulary publications
- Exhibiting strong analytical skills
working with contract language
- Demonstrating flexibility and adaptability to take on
additional tasks to support the department
- Very light travel if any may be requested to support
business activity
Required Qualifications
- 6 or more months of professional work experience, preferably in a dynamic, office environment (including internship experience)
- 1 or more years of MS Office experience
Preferred Qualifications
- Experience in a formulary, health care, contracting, or
similar role
- Caremark Formulary and/or Rebate knowledge beneficial
- Experience with Caremark business systems, claims
adjudication, formulary, drug, and client systems with an
emphasis on the RxClaim adjudication platform beneficial
- Medicare knowledge beneficial
- Spreadsheet creation/maintenance; Microsoft Excel
- Ability to work independently and with people across
functional areas
- Ability to work in a virtual team environment
Education
Bachelor's Degree or equivalent work experience required or currently enrolled in a four year Bachelor's program with an anticipated graduation date in 2021 required.
Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
As a Rebate Formulary Analyst, you will perform a critical
role in the analysis of Medicare and Commercial
formularies to determine client eligibility for rebates with
respect to manufacturer contractual guidelines. To support
accurate rebate invoicing, you will be responsible for
meeting manufacturer contractual obligations by
completing a thorough interpretation of the contract and
thorough analysis of formulary and plan design data on a
monthly/quarterly basis.
In this role, you will support overall team production by
assisting during pharmaceutical disputes and collaborating
on day-day tasks such as:
- Conducting specific formulary research to support Rebate
forecasting and underwriting teams during the
manufacturing contract negotiating process; Clinical
Managers and Client Support Services as they work with
clients in the development of formularies; Rebate audit
team as questions arise on audits by manufacturers and
clients
- Adhering to quality control process in review of formulary
rebate eligibility and contributing to enhancing our quality
control processes
- Providing recommendations to Negotiating and Contract
teams on enhancing contract language necessary to
support formulary rebate contracts
- Maintaining filings for Caremark and client specific
formulary publications
- Exhibiting strong analytical skills
working with contract language
- Demonstrating flexibility and adaptability to take on
additional tasks to support the department
- Very light travel if any may be requested to support
business activity
Required Qualifications
- 6 or more months of professional work experience, preferably in a dynamic, office environment (including internship experience)
- 1 or more years of MS Office experience
Preferred Qualifications
- Experience in a formulary, health care, contracting, or
similar role
- Caremark Formulary and/or Rebate knowledge beneficial
- Experience with Caremark business systems, claims
adjudication, formulary, drug, and client systems with an
emphasis on the RxClaim adjudication platform beneficial
- Medicare knowledge beneficial
- Spreadsheet creation/maintenance; Microsoft Excel
- Ability to work independently and with people across
functional areas
- Ability to work in a virtual team environment
Education
Bachelor's Degree or equivalent work experience required or currently enrolled in a four year Bachelor's program with an anticipated graduation date in 2021 required.
Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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