Sr Analyst Rebate and Audit - Synergie Medication Collective

Company: Blue Cross Blue Shield Association
Location: Providence
Posted on: February 12, 2025

Job Description:

The hiring range for this role is: $85,000.00 - $100,000.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs - ones that are injected or infused by a health care professional in a clinical setting - for nearly 100 million Americans.

The Rebate Analyst-340b performs complex, specialized financial analysis, and collections for rebate and value-based contract invoicing as part of Invoicing. This position is also responsible for assisting contract negotiators, client engagement, and analytics teams to assess and manage the financial analyses and strategies related to rebates and value-based contracts with client pharmaceutical manufacturers.Primary Job Functions

• 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
• Lead for 340b exclusion disputes and collections with manufacturers
• 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
• 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
• Supervise and train rebate analyst
• Other duties as assignedRequired Education, Certifications and Experience
  • 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
  • 340b medical rebate experience
  • Strong data management and analytics skills with the ability to manage large data effectively
    • 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 sponsorshipPreferred Qualifications: 340b experienceAdditional Qualifications
      • 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#LI-REMOTE

Keywords: Blue Cross Blue Shield Association, Providence , Sr Analyst Rebate and Audit - Synergie Medication Collective, Professions , Providence, Rhode Island