Job Information
The Cigna Group Pharma Rebate Analyst -Express Scripts in Morris Plains, New Jersey
Program Management Lead Analyst- BDRO-Benefit Driven Rebate Optimization
OVERVIEW
This position may be responsible for review and interpretation of over 120,000 current clinical rules impacting rebate eligible drugs. Review and interpret for rebate impact over custom & standard formularies. Continuously review changes, additions and deletions to client clinical rules impacting rebate eligible dugs estimated to be over 150,000 changes annually. This position may be responsible for drug rebate eligibility evaluation based on the review and interpretation of applicable clinical drug policies and benefit coverage criteria (including drug utilization management strategy) against the corresponding pharmaceutical manufacturer contract requirements.
ESSENTIAL FUNCTIONS
Interprets rebate requirements contained within manufacturer rebate agreements to determine client rebate eligibility through clinical rules and criteria
Possesses the knowledge and understanding of manufacturer contracts to effectively present any and all changes impacting rebate eligibility, displaying mastery of less complex contracts, while requiring assistance for medium to high complexity contracts
Develop knowledge of Formulary Rebate Processing systems to provide consultative support for contract set up.
Provides professional support for Benefit Driven Rebate Optimization assignments and/or projects.
Other duties as deemed essential by business to support rebates optimization process
QUALIFICATIONS
Bachelor's degree in Finance, Business or related. HS Diploma required
At least 2-3 years experience in financial analysis or related field.
Strong proficiency in MS Excel
Ability to work cross-functionally to resolve issues and collect reports
Ability to handle analysis from issue identification to proposal of potential solutions
Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines
Knowledge of PBM or Healthcare industry preferred
Strong business, organizational and communication skills
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.