CVS Health Rebate Formulary Analyst in Northbrook, Illinois
As a Rebate Formulary Analyst, you will perform a criticalrole in the analysis of Medicare and Commercialformularies to determine client eligibility for rebates withrespect to manufacturer contractual guidelines. To supportaccurate rebate invoicing, you will be responsible formeeting manufacturer contractual obligations bycompleting a thorough interpretation of the contract andthorough analysis of formulary and plan design data on amonthly/quarterly basis.In this role, you will support overall team production byassisting during pharmaceutical disputes and collaboratingon day-day tasks such as:- Conducting specific formulary research to support Rebateforecasting and underwriting teams during themanufacturing contract negotiating process; ClinicalManagers and Client Support Services as they work withclients in the development of formularies; Rebate auditteam as questions arise on audits by manufacturers andclients- Adhering to quality control process in review of formularyrebate eligibility and contributing to enhancing our qualitycontrol processes- Providing recommendations to Negotiating and Contractteams on enhancing contract language necessary tosupport formulary rebate contracts- Maintaining filings for Caremark and client specificformulary publications- Exhibiting strong analytical skillsworking with contract language - Demonstrating flexibility and adaptability to take onadditional tasks to support the department- Very light travel if any may be requested to supportbusiness activity
- 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
- Experience in a formulary, health care, contracting, orsimilar role- Caremark Formulary and/or Rebate knowledge beneficial- Experience with Caremark business systems, claimsadjudication, formulary, drug, and client systems with anemphasis on the RxClaim adjudication platform beneficial- Medicare knowledge beneficial- Spreadsheet creation/maintenance; Microsoft Excel- Ability to work independently and with people acrossfunctional areas- Ability to work in a virtual team environment
Must be enrolled in a four year Bachelor's program with an anticipated graduation date in 2021 with a verifiable high school diploma or GED completed.
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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