PBM Contract & Rebate Analyst

This is a fully remote position, open to applicants in Alabama, +26 more states.

📋 Description

• Comprehend formulary design and contracting opportunities tailored for client-specific configurations.

• Evaluate claims data to verify the accuracy of contract processing and direct pharmaceutical manufacturer agreements.

• Provide recommendations to clients aimed at optimizing contracts.

• Offer sales and RFP assistance for potential clients, client renewals, and market assessments.

• Collaborate with Finance and Underwriting teams to assess contracts and manage pricing risk effectively.

• Aid in contract review, data entry, assessment, and reconciliation of financial guarantees related to client contracts.

• Facilitate the provision of information for informed business decision-making.

• Act as the primary contact for Client Services during client calls concerning contract reporting, guarantee inquiries, and data analysis.

• Work in conjunction with Analytics to maintain contract reporting systems.

• Support new contract program initiatives and the expansion of contract forecasting efforts.

• Function as a subject matter expert for internal and external audits, including those from manufacturers, clients, and regulatory bodies.

• Lead and coordinate reporting related to government regulations.

• Assess discount strategies and agreements with pharmaceutical manufacturers.

• Configure and sustain parameters within the contract processing system and ensure accurate payment allocations.

• Undertake other tasks as assigned.

⛳️ Requirements

• A bachelor’s degree is required.

• 3-5 years of experience in managed care/pharmacy benefits management or the pharmaceutical industry is required.

• A pharmacy technician license is preferred.

• Experience in pharmacy technician roles, trade, industry relations, and/or analytical positions is preferred.

• Familiarity with pharmaceutical manufacturer contracts, rebate or discount programs, contract invoicing and reconciliation, or industry relations is essential.

• Strong analytical, problem-solving, and organizational abilities, with a keen eye for detail.

• Proven experience in data analysis, identifying trends, and translating insights into actionable business strategies.

• Knowledgeable in formulary management, pharmacy claims, manufacturer agreements, and PBM financial structures.

• Experience in supporting audits, regulatory reporting, financial guarantees, pricing analysis, forecasting, or RFP submissions.

• Commitment to participate in, adhere to, and promote compliance program objectives.

• Ability to consistently interact in a cooperative and respectful manner with colleagues.

• Remote work is available exclusively for residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin.

🏝️ Benefits

• Comprehensive industry-leading benefits for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match up to 5% with no vesting requirement.

• Adoption Assistance Program available.

• Flexible Spending Account options.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program offering up to $750!

• STAR Bonus % (At-Risk Maximum): 7.50.