The candidate is responsible for accurate and timely processing of pharmaceutical rebates by establishing and maintaining contract databases in the rebate billing system, verifying rebate eligibility by client, formulary and line of business, and by preparing rebate billing reports and invoices sent to pharmaceutical manufacturers.
location: Cypress, California
job type: Contract
work hours: 8 to 5
education: Bachelor's degree
experience: 1 Years
Establishes PC or system databases of contract information used in rebate billing process. Works with Industry Relations, Client Management, Clinical Services and assigned Pharmaceutical Manufacturers to identify accurate rebate eligibility and formulary information. Works with Accounting to identify issues related to payment and reconciliation. Evaluates pharmaceutical rebate contracts and amendments on an ongoing basis to determine need for updating rebate billing information. Analyzes competitive drug utilization data and develops recommendations based on Net Cost To Payor analysis. May be involved in the training of others on the rebate billing process and other projects.
- Demonstrates capability to get results in a complex, often ambiguous environment.
- Excellent written and verbal communication skills.
- Demonstrates initiative and innovation in achieving results.
- Consistently accomplishes the expected objectives and takes on extra tasks or projects as needed.
- Builds and leverages a network of experts to supplement one's own expertise. Establishes trust and credibility at all levels of the organization.
- Capable of managing a variety of issues while driving momentum of key projects. Must be able to multi-task efficiently.
- Ability to build strong relationships within and outside of UHC.
- Actively listens to understand the perspective of others - seeks first to understand.
- Openly and actively communicates information and takes initiative to communicate extensively.
- Handles difficult situations diplomatically.
- Asks questions to clarify expectations and issues.
- Confronts issues directly and speaks candidly.
- Effective interpersonal influence, collaboration and listening skills.
- Develops effective working relationships with peers and supervisors across organizational lines.
- Holds herself / himself mutually accountable with their team.
- Models and supports effective team interactions.
- Realizes the performance potential of teams.
- Encourages diverse opinions and expression of constructive disagreement.
- Seeks opportunities for team play.
- BS / BA degree in business, finance or related field. Appropriate work experience may be acceptable.
- A minimum of one year of progressively more responsible experience in finance, contractual analysis and/or data analysis with strong preference for managed care experience is preferred. However, recent graduates are also acceptable.
- PC literacy with proficiency in use of spreadsheet software and data base management.
- Pharmacy or pharmacy industry background is a plus but not required.
- Must be detail-oriented and able to analyze financial information.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.