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.
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