Job Details
Rebate Formulary Analyst - Remote
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
- 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
- Very light travel if any may be requested to support business
activity
Pay Range
The typical pay range for this role is:
Minimum: 40,560
Maximum: 81,100
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
- 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
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications
:
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
- 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
- Very light travel if any may be requested to support business
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
Yes
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully
vaccinated against COVID-19 (including any booster shots if
required), where allowable under the law, unless they are
approved for a reasonable accommodation based on disability,
medical condition, pregnancy, or religious belief that prevents
them from being vaccinated.
If you are vaccinated, you are required to have received at
least one COVID-19 shot prior to your first day of
employment and to provide proof of your vaccination status
within the first 30 days of your employment. For the two
COVID-19 shot regimen, you will be required to provide
proof of your second COVID-19 shot within the first 60
days of your employment. Failure to provide timely proof
of your COVID-19 vaccination status will result in the
termination of your employment with CVS Health.
If you are unable to be fully vaccinated due to disability,
medical condition, pregnancy, or religious belief, you will
be required to apply for a reasonable accommodation
within the first 30 days of your employment in order to
remain employed with CVS Health. As a part of this
process, you will be required to provide information or
documentation about the reason you cannot be
vaccinated. If your request for an accommodation is not
approved, then your employment may be terminated.
- 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
- 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 or
currently enrolled in a four year Bachelor's program with an
anticipated graduation date in 2021 required.
Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.