Express Scripts Sr Mgr - Pharmacy Business Analysis in St. Louis, Missouri

Schedule: Full-time
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.


  • Oversee

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.


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.


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.