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As a Rebate Formulary Analyst - Manufacturer Rebates 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.
Job Responsibility:
Analysis of Medicare and Commercial formularies to determine client eligibility for rebates
Conducting specific formulary research to support Rebate forecasting and underwriting teams
Adhering to quality control process in review of formulary rebate eligibility
Review 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
Requirements:
1+ year of professional experience or internships utilizing analytical skills
Experience working in Microsoft Excel
Bachelor's Degree preferred or currently enrolled in a four year Bachelor's program with an anticipated graduation date in fall or winter (August-December) 2025
Nice to have:
Experience in a formulary, health care, contracting, or similar role
Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on the RxClaim adjudication platform beneficial
Medicare knowledge beneficial
Ability to work independently and with people across functional area
Ability to work in a hybrid team environment
Strong reading comprehension skills
Capability to communicate details clearly and accurately
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