Drug Rebate Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist members, providers, and pharmacies by addressing pharmacy-related inquiries, benefit questions, prior authorization requests, and claims issues.

• Investigate and resolve pharmacy claims, eligibility, coverage, and medication-related matters while adhering to service level expectations.

• Review, document, and process pharmacy transactions and requests in compliance with client, regulatory, and operational standards.

• Utilize various systems and resources to effectively investigate issues, offer solutions, and maintain thorough documentation.

• Work collaboratively with internal teams, healthcare professionals, and external stakeholders to enhance service delivery and member satisfaction.

⛳️ Requirements

• Active Certified Pharmacy Technician (CPhT) certification is preferred.

• Experience in supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service is preferred.

• Strong customer service, communication, and problem-solving abilities, with the capacity to perform effectively in a fast-paced, high-volume environment.

• Proficient in using pharmacy systems, various computer applications, and documentation tools while ensuring accuracy and attention to detail.

🏝️ Benefits

• Medical

• Dental

• Vision

• 401(k) with company match

• Flexible paid time off

• Paid holidays

• Wellness programs

• Additional employee support resources