Offer summary

Qualifications:

Bachelor's degree in a related field or equivalent experience., Strong understanding of rebate client contractual requirements and compliance., Experience in processing invoicing and quality reviews., Excellent communication skills for resolving disputes with manufacturers..

Key responsabilities:

Maintain compliance with service level agreements for rebate clients.

Process quarterly manufacturer rebate invoicing and conduct quality validation.

Produce reports related to federal rebate programs.

Act as the primary contact for manufacturers regarding rebate inquiries.

Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 24 years. In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US. In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products: • NetResults™ • Specialty Drug Management • Best in Care™ • GuidedHealth® • Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations • Prime Analytics™ • CareCentered Contracting™Controlled Substance Management Program Join us! Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career. At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact. Prime’s recruiting team will only contact you via phone call or through a corporate email address. Do not respond to suspicious emails or social media messages. If you have questions or are skeptical about any follow-up communications, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

Job description

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Pharmacy Rebate Analyst - Remote

Job Description

Maintains a clear understanding of rebate client contractual requirements, ensuring compliance with service level agreements.
Understands and adheres to departmental policies and procedures.
Processes quarterly manufacturer rebate invoicing for assigned clients or manufacturers.
Reviews invoicing practices, including pre-invoicing quality reviews and adjustments for fee for service, managed care, diabetic supply and supplemental rebate programs.
Produces reports, including federal rebate 64.9R.
Works directly with manufacturers pertaining to dispute resolution.
Acts as primary contact for manufacturers to answer/resolve rebate questions.
Conducts quality validation and approval of claim files.

Potential pay for this position ranges from $23.08 - $37.02 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.   

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Required profile