This position supports the Senior Manager and Senior Analyst in continued review of additions, changes or deletions to client clinical rules and determination of their impact on client rebate eligibility. Will be responsible for establishing queries to gather data from appropriate resources for analysis.
Continuously interrogate Clinical Rules System database for additions, changes or deletions to client clinical rules with impacts to rebate eligible products. Work with manager when new rules are identified to determine appropriate interpretation of the clinical rule impact on rebates.
Consolidate clinical rules with impacts to rebate drug products to a single list of assigned ids for upload and utilization within the FRS rebate system.
Prepare files for auto and manual upload process to FRP rebate System.
Control tables are accurate and updated timely when new rule ids are added.
Work with externally adjudicated clients and account management to assure all custom formulary rules not housed within Express Scripts systems are received and populated within control tables.
Assure new rules identified are forwarded to senior manager for appropriate interpretation and addition to control tables.
Responsible for monitoring reports and proactively perform analyses and report findings to internal/external clients.
Other duties as deemed essential by business to support rebates optimization process..
ABOUT THE DEPARTMENT
If your niche is in financial reporting and analysis, underwriting, cash management, audit or investor relations, our Finance department may be a perfect fit for you. Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader. We're always on the lookout for innovative people who will bring outside-the-box thinking to our team.
ABOUT EXPRESS SCRIPTS
At Express Scripts, we dare to imagine a better health care system, and we're driven to make it happen. Where some see obstacles, we see possibilities. We're challengers, difference-makers and opportunity-seekers, united with our partners in pursuit of a simpler, more sustainable system and better health for all.
We have always acted first to take on the toughest challenges. We uniquely partner across the health care ecosystem to uncover opportunities, take action, advance health care and deliver better outcomes like no one else can. We believe health care can do more. We are Champions For BetterSM.
Express Scripts, part of Cigna Corporation, unlocks new value in pharmacy, medical and beyond to further total health for all.