[Remote] Senior Analyst, Rebate and Audit - SMC

Note: The job is a remote job and is open to candidates in USA. Blue Cross Blue Shield Association is a medication contracting organization focused on improving affordability and access to costly medical benefit drugs. The Senior Analyst will perform complex financial analysis for rebate and value-based contract invoicing, assist contract negotiators, and manage financial strategies related to rebates and contracts with pharmaceutical manufacturers.

Responsibilities

• Assist in the development and implementation of additional reporting support tools, and the proactive investigation of various manufacturer contract issues and identify opportunities for process improvement
• In collaboration with other internal teams, implement non-financial tools, including proactive marketplace assessments, exploration of internal support requirements to implement contractual agreements, and the tracking of client elections
• Represent Trade Relations on corporate projects, including interaction with leadership; includes but limited to, IT projects, client ad hoc reporting, and Finance/Treasury projects
• Assist in invoicing process, financial analysis, rebate audit, client elections, and responding to inquiries; may facilitate client questions related to invoiced products/process and corresponding rates and qualification
• Assess, implement and communicate critical information to rebate invoicing vendors for maintenance of client elections, pricing bid grid, manufacturer contract updates, and other changes that impact the rebate invoicing process
• Analyze and resolve contract disputes working with invoicing vendors to ensure timely payment of rebates from manufacturers
• Reconcile manufacturer payments as compared to invoiced amounts to prepare for allocation of payments to clients
• Supports client implementation and audit requests
• Supervise and train rebate analyst
• Other duties as assigned

Skills

• Bachelor's degree in business, healthcare, or other related field
• 5-8 years of work experience in a health care analyst, including health plan, health system, pharmacy and medical experience in managed care or specialty pharmacy with 3 years minimum at a health plan or PBM experience in medical and/or pharmacy drug management
• Strong data management and analytics skills with the ability to manage large data effectively
• 340B experience required
• Ability to facilitate changes, capture detailed information, and client support while maintaining Synergie's best interests
• Ability to develop relationships and influence with internal and external stakeholders
• Critical thinking skills and ability to anticipate issues and develop solutions
• Must be eligible to work in the United States without need for work visa or residency sponsorship
• Proven project management skills
• Strong data analytical skills
• Proficient in Microsoft products including Access, Excel, and Word
• Knowledge of PBM and/or health care industry
• Medical Pharmacy rebate knowledge
• Experience in database management
• Experience in Big Data and data analytics
• Experience with database (i.e., SAS, Teradata, Tableau, SQL, Power BI)

Benefits

• Annual bonus incentive pay
• Paid time off
• 11 holidays
• Medical/dental/vision insurance
• Generous 401(k) matching
• Lifestyle spending account
• Many other benefits

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