Rebate Analyst
HealthVerity is a leader in privacy-protected real-world data exchange, and they are seeking a Rebate Analyst to support clients using their contract management platform. The role involves analyzing manufacturer contract terms, managing client deliverables, and ensuring the accuracy of rebate processes.
Responsibilities
- Plan and schedule the necessary activities for supporting client utilization of the Smart Contracts rebate technology
- Analyze manufacturer contract terms to ensure compatibility with rebate technology
- Perform contract set up support as required for each rebate period
- Assist with the coordination, analysis and validation of rebate reports and distribution of invoices for the rebate period
- Assess, implement and communicate critical information for maintenance of rebate modules; including, contract amendments and other changes that impact the rebate process
- Analyze and support contract disputes working with clients to ensure timely payment of rebates and admin fees
- Research and analyze client questions related to invoiced products and corresponding rates and qualification, and provide explanation, information and interpretation within area of expertise
- Prioritize and manage multiple projects and deliverables across various stakeholders
- Maintain proper records and reports to track progress of client deliverables
- Ensure Smart Contract rebate technology user manuals and other client support resources are up to date
Skills
- Experience working within a PBM, pharmaceutical manufacturer or managed care organization; preferably PBM background, with pharmacy claims data, drug formularies, reimbursement, and pharmaceutical rebate contract experience
- Strong understanding of the claims adjudication process and pharmaceutical manufacturer rebate contract language and terms and conditions
- Familiarity with NCPDP field formats, 340B and payor contract reimbursement terms
- Knowledge of pharmacy claims reimbursement (ex. WAC, ASP, AWP, discounts, rebates, admin fees, etc.)
- Proficient in Microsoft products including Excel and Word
- Strong analytical skills
- Comfortable working with large datasets, including different healthcare data types such as: claims, enrollment, clinical, medical, pharmacy, contract and financial data from payers/providers
- Experience with Medispan data and medical coding (ex. HCPCs)
- Understanding of data sent to payers/providers and how to utilize it for benchmarking and measuring value-based contract performance
- Experience building dashboards around rebates, cost, and utilization metrics of patient populations
- Ability to assess, interpret and translate client needs into business requirements
- Working experience with relational databases and a data visualization tool (i.e., Tableau, PowerBI, Flexionis QuickSight), plus knowledge of query tools
Benefits
- 401(k) plan and stock options.
- Health, dental, and vision coverage start on day 1, while 401(k) eligibility and stock options follow soon after.
- Generous PTO: Take time off as needed, targeted at 4 weeks per year, including vacation, personal and sick time, plus paid parental leave.
- 12 weeks paid leave for childbearing, surrogacy, and adoption; 6 weeks for non-childbearing parents.
- Comprehensive and individualized onboarding: mentorship program, departmental talks, and a library of resources are available beginning day 1 for each new team member to minimize the stress of starting a new job.
- Professional development: biweekly 1:1s, hands-on leadership that is goal-and growth-oriented for each team member, and an annual budget to support professional development pursuits.
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