Provider Contracting Lead Analyst

Intake Call Notes
- able to handle big data
- determine client eligibility through contracts
- standard hours Monday to Friday, 8-5
- Fully remote, but must be close enough to occasionally come to Morris Plains office

• Interprets rebate requirements contained within manufacturer rebate agreements to determine client rebate eligibility based on clinical rules and criteria
• Possesses the knowledge and understanding of manufacturer contracts to effectively present any and all changes impacting rebate eligibility, displaying mastery of less complex contracts, while requiring assistance for medium to high complexity contracts
• Develop knowledge of Formulary Rebate Processing systems to provide consultative support for contract set up.
• Provides professional support for Benefit Driven Rebate Optimization assignments and/or projects.
• Other duties as deemed essential by business to support rebates optimization process

Skills

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2+ years related pharmacy benefits experience
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 or-der to meet tight deadlines.
Education

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Bachelors Degree required