Senior Analyst, Rebate and Audit - SMC

Blue Cross Blue Shield Association•Washington, DC

1d•$88,500 - $110,500•Remote

About The Position

Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs — ones that are injected or infused by a health care professional in a clinical setting — for nearly 100 million Americans. The Senior Analyst performs complex, specialized financial analysis for rebate and value-based contract invoicing as part of Trade Relations. This position is also responsible for assisting contract negotiators, client engagement, and analytics teams to assess and manage the financial analyses and strategies related to rebates and value-based contracts with client pharmaceutical manufacturers.

Requirements

Bachelor’s degree in business, healthcare, or other related field
5-8 years of work experience in a health care analyst, including health plan, health system, pharmacy and medical experience in managed care or specialty pharmacy with 3 years minimum at a health plan or PBM experience in medical and/or pharmacy drug management
Strong data management and analytics skills with the ability to manage large data effectively
340B experience required
Ability to facilitate changes, capture detailed information, and client support while maintaining Synergie’s best interests
Ability to develop relationships and influence with internal and external stakeholders
Critical thinking skills and ability to anticipate issues and develop solutions
Must be eligible to work in the United States without need for work visa or residency sponsorship

Nice To Haves

Proven project management skills
Strong data analytical skills
Proficient in Microsoft products including Access, Excel, and Word
Knowledge of PBM and/or health care industry
Medical Pharmacy rebate knowledge
Experience in database management
Experience in Big Data and data analytics
Experience with database (i.e., SAS, Teradata, Tableau, SQL, Power BI )

Responsibilities

Assist in the development and implementation of additional reporting support tools, and the proactive investigation of various manufacturer contract issues and identify opportunities for process improvement
In collaboration with other internal teams, implement non-financial tools, including proactive marketplace assessments, exploration of internal support requirements to implement contractual agreements, and the tracking of client elections
Represent Trade Relations on corporate projects, including interaction with leadership; includes but limited to, IT projects, client ad hoc reporting, and Finance/Treasury projects
Assist in invoicing process, financial analysis, rebate audit, client elections, and responding to inquiries; may facilitate client questions related to invoiced products/process and corresponding rates and qualification
Assess, implement and communicate critical information to rebate invoicing vendors for maintenance of client elections, pricing bid grid, manufacturer contract updates, and other changes that impact the rebate invoicing process
Analyze and resolve contract disputes working with invoicing vendors to ensure timely payment of rebates from manufacturers
Reconcile manufacturer payments as compared to invoiced amounts to prepare for allocation of payments to clients
Supports client implementation and audit requests
Supervise and train rebate analyst
Other duties as assigned