Financial Operations Analyst - Rebate Research
Core
Analyze Medicare and Commercial formularies to determine client eligibility for rebates based on manufacturer contractual guidelines and support accurate rebate invoicing.
Role type
Financial Operations Analyst (Rebate Research)
Builds
Rebate forecasts, underwriting support, and formulary publications for Caremark and clients.
Domain
Health insurance / Pharmaceutical contracting
Required skills
Contract interpretation, formulary analysis, data analysis, quality control review, regulatory compliance (Medicare/Commercial), Excel proficiency
Preferred skills
Caremark Formulary knowledge, RxClaim adjudication platform experience, Medicare knowledge, claims adjudication system familiarity
Responsibilities
Conduct formulary research for rebate forecasting and underwriting; Review contract language for rebate eligibility; Maintain filings for Caremark and client-specific formulary publications; Support pharmaceutical disputes and audit questions.
Seniority
Junior, entry-level analyst