Program Management Advisor - Hybrid - Express Scripts (Rebate Optimization)

Express Scripts • Morris Plains, NJ

107d • $93,300 - $155,500 • Hybrid

About The Position

Benefit Driven Rebate Optimization works cross functionally with a variety of business partners to manage client rebate eligibility for our full service and externally adjudicated clients. Our Mission is to perform timely and accurate review of drug rebate eligibility based on the interpretation of applicable clinical drug policies and clients' benefit coverage against the corresponding pharmaceutical manufacturer contract requirements. This role is integral to ensuring proper rebate invoicing set up to drive the best outcomes for all parties involved.

Requirements

• Bachelor's Degree required.
• 21 years of benefit analysis in PBM industry.
• CAE or CPM experience a major plus.
• Excellent PC skills including Microsoft Office with a high degree of proficiency in Access and Excel required.
• Familiarity with SQL would be considered a strong plus.
• Excellent problem solving and communication skills required.
• Must be able to work under pressure and perform continual follow up in a timely manner in order to meet tight deadlines.

Responsibilities

• Work cross-functionally with Pharma Contracting, Formulary Consulting, Clinical Account Executives and Pharma Invoicing to assure appropriate interpretation of clinical rules and benefit set up impacts on rebated drug products.
• Provide clinical support in documentation of appropriate policies and procedures for analysis and appropriate determination of client eligibility for rebate enhancement and exclusion options.
• Provides clinical/professional support for Benefit Driven Rebate Optimization assignments and/or projects.
• Provide consultative clinical support in the interpretation of rebate requirements contained within manufacturer rebate agreements.
• Provide consultative support determining rebate impacts due to considered changes to formulary and benefits on rebate eligible products.
• Other duties as deemed essential by business to support rebates optimization process.

Benefits

• Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) with company match.
• Company paid life insurance.
• Tuition reimbursement.
• Minimum of 18 days of paid time off per year.
• Paid holidays.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree