Oct 14, 2019

Rebate Formulary Analyst

  • Professional Diversity Network
  • Northbrook, IL 60062, USA
Full-Time Retail

Job Description

CVS Health

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
- Supporting the internal team with process improvement
working with IT and in-house MS Access applications
- Exhibiting strong analytical and organizational skills
working with large data sets
- 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+ months of professional work experience, preferably in
a dynamic, office environment (including internship
experience)
- 1+ 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.

Business Overview
It's a new day in health care.


Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.


We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.


CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.


If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.rj6_OG4nK.I-K

States

IL  

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