Program Management Advisor – Express Scripts – Rebate Optimization
Company | Cigna Group |
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Location | St. Louis, MO, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | |
Experience Level | Mid Level |
Requirements
- 2-4 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.
Preferred Qualifications
- CAE or CPM experience a major plus
- Familiarity with SQL would be considered a strong plus