pharmacy benefit manager analyst

MedImpact

<div></div><div><div>Exemption Status:</div>
United States of America (Exempt)<div></div>
$60,987 - $80,808 - $100,628<div></div><div>
&ldquo;Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.&rdquo;</div><div></div><div>
This position is not eligible for Sponsorship.</div><div></div><div>
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!</div><div></div><div>
Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.</div><div></div><div>
At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!</div><div></div><div>
Job Description</div><div>
Essential Duties and Responsibilities include the following. Other duties may be assigned.</div><ul><li>
Creates client reports specified by contracts and submit data to the client plans. Creates group client reports and other pertinent data for clients as requested; Reviews data and reporting created by other team members, providing support and approval as needed.</li></ul><ul><li>
Builds unique SQL queries to understand and interpret complex data quickly and accurately.</li></ul><ul><li>
Utilizes creative approaches with data analysis and interpretation, managing and adapting data to meet the unique needs of immediate requests.</li></ul><ul><li>
Develops superior customer relations within Trade Relations department and others across organization by proactively addressing any issue; may serve as a primary contact for escalations and resolutions.</li></ul><ul><li>
Continuous improvement mindset, always looking for new ways to best meet internal and external requirements with a focus on improving departmental KPIS and metrics.</li></ul><ul><li>
Performs Quality Control functions as requested by management. Establish and maintain controls for internal and external audit functions, maintain the highest control environment as possible.</li></ul><ul><li>
Prepares ad hoc analysis to identify customer, plan or drug performance as required. Communicate with internal and external parties to determine appropriate analysis needs and provide necessary data for business decisions.</li></ul><ul><li>
Prepares State and Customer audit requests as required. Interprets contract and request language to determine and provide specific requested data. Ability to pull data from various sources, ensure accuracy and review requests for completion on a timely basis.</li><li>
Other duties as assigned</li></ul><div></div><div>
Supervisory Responsibilities</div><div>
No supervisory responsibilities</div><div></div><div><br>
Client Responsibilities</div><div>
This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.</div><div></div><div>
Qualifications</div><div>
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><div></div><div>
Education and/or Experience</div><div>
BS/BA and 3+ years&rsquo; experience or equivalent combination of education and experience, and 4 years' of SME in respective areas</div><div></div><div>
Computer Skills</div><div>
To perform this job successfully, an individual should have strong knowledge of Microsoft Office Suite software including Word, Excel, and Access. Demonstrated SQL experience required.</div><div></div><div>
Certificates, Licenses, Registrations</div><div>
None Required</div><div></div><div>
Other Skills and Abilities</div><ul><li>
Excellent communication skills (both verbal and written), analytical and financial reasoning skills. Requires experience in operational application of database applications, accounting, finance, or data analysis.</li><li>
Demonstrated attention to detail and leading quality or process improvement initiatives.</li><li>
Understanding of Pharmacy Benefit Management process or managed healthcare experience.</li></ul><ul><li>
Demonstrated track record of approaching all projects with a continuous improvement mindset, always looking for new ways to best meet internal and external requirements with a focus on improving departmental KPIS and metrics.</li></ul><div>
Reasoning Ability</div><ul><li>
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.</li></ul><ul><li>
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.</li></ul><div>
Mathematical Skills</div><ul><li>
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.</li></ul><div>
Language Skills</div><ul><li>
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.</li><li>
Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.</li></ul><div></div><div>
Competencies To perform the job successfully, an individual should demonstrate the following competencies:</div><ul><li>
Composure</li><li>
Decision Quality</li><li>
Organizational Agility</li><li>
Problem Solving</li><li>
Customer Focus</li><li>
Drive for Results</li><li>
Peer Relations</li><li>
Time Management</li><li>
Dealing with Ambiguity</li><li>
Learning on the Fly</li><li>
Political Savvy</li></ul><div></div><div>
Physical Demands</div><div>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><div>
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.</div><div></div><div>
Work Environment</div><div>
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.</div><div>
The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic.</div><div></div><div>
Work Location</div><div>
This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.</div><div></div><div>
Working Hours</div><div>
This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.</div><div></div><div>
Travel</div><div>
This position requires no travel however attendance may be required at various local conferences and meetings less than 10% of the time.</div><div></div><div>
The Perks:</div><ul><li>
Medical / Dental / Vision / Wellness Programs</li><li>
Paid Time Off / Company Paid Holidays</li><li>
Incentive Compensation</li><li>
401K with Company match</li><li>
Life and Disability Insurance</li><li>
Tuition Reimbursement</li><li>
Employee Referral Bonus</li></ul><div></div><div>
To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to <div>www.medimpact.com/careers</div></div><div></div><div>
MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,<br>
California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.</div><div></div><div>
Equal Opportunity Employer, Male/Female/Disabilities/Veterans</div><div>
OSHA/ADA:</div><div>
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.<br>
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><div></div><div>
Disclaimer:</div><div>
The above<br>
statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.</div></div>

Rebate Analyst II

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b></p><p>
As a member of the Client and Network Pricing Team you will be responsible for supporting drug pricing initiatives aimed at driving efficient pricing to our members for Commercial, Medicaid, Med D, and other Lines of Business. Some of your key responsibilities will include:</p><ul><li>
Reviewing MAC prices and communicate recommendations to the client</li><li>
Respond to client requests for information and reports</li><li>
Establish and implement MAC prices</li><li>
Performing QC steps to confirm the accuracy of price updates</li><li>
Developing a core understanding of drug pricing, underwriting, network pharmacy performance, and PBM operations</li><li>
Identifying opportunities for process and documentation improvements</li></ul><p><br>
To be successful, you will work as part of a team to optimize MAC prices, implement MAC prices as needed to meet pricing commitments and requirements, perform QC processes, develop reports, and perform other tasks as needed to support business needs. You will collaborate with both the client and internal business partners as needed to accomplish required tasks.<br>
<br>
<b>Required Qualifications</b></p><ul><li>
3+ years work experience in underwriting, network provider relations, finance or analytics.</li><li>
SAS, SQL or Python experience</li><li>
Strong Excel skills</li><li>
Ability to work independently</li></ul><p><b><br>
Preferred Qualifications</b></p><ul><li>
1+ year experience in healthcare, pharmacy or PBM.</li><li>
Strong organizational skills &amp; time management</li><li>
Effective problem-solving and analytical skills</li><li>
Possess a desire to learn and grow through tackling new challenges</li><li>
Adept at execution and delivery (planning, delivering, and supporting) skills</li><li>
Experience with business intelligence</li><li>
Adept at collaboration and teamwork</li><li>
Innovative thinker who is not afraid to propose new ideas and alternative solutions to a problem</li><li>
History of problem solving and decision-making skills</li><li>
Mastery of growth mindset (agility and developing yourself and others) skills</li><li>
Understanding of how a PBM works</li></ul><p><b><br>
Education</b></p><ul><li>
Bachelor's degree preferred</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$46,988.00 - $122,400.00<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 04/11/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Senior Analyst, Business Analytics

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Rebate Analyst II

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