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Rebate Formulary Analyst - Senior

at CVS Health

Posted: 6/22/2019
Job Reference #: 1005031BR
Keywords:

Job Description

Job Title :
Rebate Formulary Analyst - Senior
Job ID :
1005031BR
Location :
IL - Northbrook
Street Address :
2211 Sanders Road
Category :
Accounting|Finance|Analytics|Information Systems|Strategy
Description :
Job Description
As the Senior Rebate Formulary Analyst, you will support the Point of Sale (POS) Rebates program. This includes supporting: clients, management and the Formulary Research Team.

Additional Responsibilities include:
Support POS Rebates operations, processes and client implementations. Serve as backup subject matter expert on the POS Rebates program. Provide inquiry support for account teams, client underwriting, legal, internal audit, client audit and clients. Support issues and program enhancements to resolution. Present to account teams and clients on the product and value proposition.

Support POS Rebates quarterly underwriting rate, National Drug Code (NDC) load and invoice-to-POS Rebates achievement audits and analysis. Support quarterly POS Rebate client analysis, statement generation confirmation and rate/forecast/modulator adjustment activities. Assist in coordinating and documenting business requirements for product enhancement. Develop and document business requirements and operational specifications. Help provide and validate client reporting. This position will have primary responsibility to provide formulary research support to Rebate Invoicing and Clinical Operations for the purpose of researching and evaluating client formulary positioning to determine rebate eligibility for POS Rebate clients.

Perform detailed analysis at NDC level to reconcile and perform quality checks on POS Rebate rates, PA and Step Therapy flag parameters, and pharmacy exclusions. Assist in assessing any client or member issues and service warranties as needed.

Support formulary research on a monthly & quarterly basis on drugs on each company/client formulary to determine relative to the appropriate Manufacturer contract its eligibility for rebate invoicing for that period.

Conduct specific formulary research to support rebate and forecasting teams during the contract negotiating process, rebate invoicing team as questions are identified during the invoicing process, rebate audit team as questions arise on audits by Manufacturers, and Clinical Managers and Client Support Services as they work with clients in the development of formularies.

Required Qualifications
2+ years experience in an analytical or related position

2+ years experience using MS Excel including working with large data sets

Preferred Qualifications
* PBM or Healthcare experience
* Working knowledge of client and or pharmaceutical
contracts
* Proficient in Visio/flowcharting and data query
tools experience desired
* Attention to detail and analytical abilities required. Ability to work closely with key business counterparts to facilitate business solutions and to manage/influence individuals in cross functional teams.
* Excellent verbal and written communication skills.

Education
Bachelors 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.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!