Express Scripts Sr Mgr - Pharmacy Business Analysis in St. Louis, Missouri
Job ID: REQ20004888
Sr Manager – Pharmacy Business Analysis will be primarily responsible
for the analysis and interpretation of clinical rules, their impact on
client rebate eligibility and timely updating of the FRS rebate system
for appropriate invoicing to the manufacturers.
analytical team evaluating clinical rules; assuring assessment is
timely and accurate. Assure clients are appropriately assigned and
submission to FRP rebate system is in proper format for invoicing + Work
cross-functionally with Pharma Contracting, Clinical Account Executives
and Pharma Invoicing to assure appropriate interpretation of clinical
rules and impacts on rebated drug products + 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. + Develop
and document appropriate policy and procedures for analysis and
appropriate determination of client eligibility for rebate enhancement
and exclusion options. Continually update documents as processes change
and review at a minimum on an annual basis + Work
with externally adjudicated clients to assess custom formulary rules
not housed within Express Scripts systems for determination of rebate
eligibility. Work as a liaison in support of these clients to assist in
appropriate benefit decisions to maximize rebate opportunities. + Evaluate
all Express Scripts clients, both full service and externally
adjudicated, on an annual basis to determine level of control
designation: open, controlled, closed. Prepare appropriate documentation
for loading to FRP rebate system. Evaluate new clients throughout the
year for determination of level of control and assure appropriately
relayed to FRP system.
B.S. Pharmacy or PharmD
8 - 12 years of benefit analysis in PBM industry. CAE or CPM experience a major plus
Pharmacist License required
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.
ABOUT THE DEPARTMENT
Pharma & Retail Relations combines the coordination
and management of the company’s key supplier groups under a single
management team. Major suppliers include brand and generic
pharmaceutical manufacturers, retail pharmacies and drug wholesalers.
ABOUT EXPRESS SCRIPTS
Advance your career with the company that makes it easier for people to choose better health.
Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes.
Join the company that Fortune magazine ranked as one of the 'Most Admired Companies' in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services.
We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan.
Express Scripts is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation.
Express Scripts is a VEVRAA Federal Contractor.