CVS Health→
Rebate Analyst, Financial Operations at CVS Health in Irving
Entry LevelHybridFull-timeIrving$44k–$94k/yr
Skills
formulary analysiscontract interpretationrebate eligibility analysiscaremark formulary knowledgerxclaim adjudication platformmedicare knowledge
Job Description
Summary: CVS Health is committed to building a world of health around every individual. They are seeking a Financial Operations Analyst to analyze Medicare and Commercial formularies for client rebate eligibility, ensuring compliance with manufacturer contractual guidelines and supporting rebate invoicing processes.
Responsibilities:
- 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 area
- Ability to work in a hybrid team environment
- Strong reading comprehension skills
- Capability to communicate details clearly and accurately
- Bachelor's Degree preferred
Required Skills: Formulary analysis, Contract interpretation, Rebate eligibility analysis, Caremark Formulary knowledge, RxClaim adjudication platform, Medicare knowledge
Benefits: Medical, dental, and vision coverage, Paid time off, Retirement savings options, Wellness programs, Other resources, based on eligibility
Benefits
Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources, based on eligibility