Posted:
9/23/2024, 3:06:59 AM
Location(s):
Illinois, United States ⋅ Northbrook, Illinois, United States
Experience Level(s):
Junior
Field(s):
Customer Success & Support
Workplace Type:
Hybrid
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.
Position Summary
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
Required Qualifications:
1+ year of professional experience or internships
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
Ability to work independently and with people across functional areas
Ability to work in a hybrid team environment. Three in-office days required.
Education:
Bachelor's Degree or equivalent work experience or currently enrolled in a four year Bachelor's program with an anticipated graduation date in 2024 required.
**This is a hybrid position with 3 in office days per week required.**
Additional Hybrid Work Locations:
Downers Grove, IL
Chicago, IL
Woonsocket, RI
Hartford, CT
New York, NY
Richardson, TX
Scottsdale, AZ
Pay Range
The typical pay range for this role is:
$43,888.00 - $93,574.80This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Website: https://cvshealth.com/
Headquarter Location: Woonsocket, Rhode Island, United States
Employee Count: 10001+
Year Founded: 1963
IPO Status: Public
Last Funding Type: Post-IPO Equity
Industries: Health Care ⋅ Medical ⋅ Pharmaceutical ⋅ Retail ⋅ Sales