PBM Contract & Rebate Analyst

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

📋 Description

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

• Examine claims data to verify the accuracy of contract processing and direct contracts with pharmaceutical manufacturers.

• Provide clients with recommendations for optimizing contracts.

• Offer support in sales and RFP processes for potential clients, contract renewals, and market assessments.

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

• Assist in reviewing contracts, entering data, evaluating, and reconciling client contract financial guarantees.

• Ensure successful dissemination of information for decision-making purposes.

• Act as a primary contact for Client Services regarding client-specific contract reporting, inquiries about guarantees, and data analysis.

• Work with Analytics on contract reporting environments.

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

• Be recognized as a subject matter expert for internal, external, manufacturer, client, and regulatory audits.

• Lead and coordinate reporting related to government regulations.

• Assess discount strategies and contracts with pharmaceutical manufacturers.

• Configure and maintain parameters within the contract processing system and ensure proper payment allocations.

• Carry out additional duties as required.

⛳️ Requirements

• A Bachelor's degree is mandatory.

• 3-5 years of experience in managed care, pharmacy benefits management, or the pharmaceutical sector is essential.

• A pharmacy technician license is preferred.

• Experience in pharmacy technician roles, trade, Industry Relations, or analytical fields is desirable.

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

• Strong analytical, problem-solving, and organizational skills with a keen attention to detail.

• Proven experience in data analysis, trend identification, and converting insights into actionable business recommendations.

• Knowledge of formulary management, pharmacy claims, manufacturer contracting, and PBM financial frameworks.

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

• Engage in, adhere to, and support the objectives of the compliance program.

• Ability to consistently interact cooperatively and respectfully with colleagues.

• Must reside in one of the designated remote-work states as outlined in the posting.

🏝️ 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 of up to 5% with no vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance and Professional Membership support.

• Referral Bonus Program offering up to $750!

• STAR Bonus percentage (At Risk Maximum): 7.50.