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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
This is a hybrid position.
Position Summary
As a Rebate Formulary Analyst, you will perform a critical role in the analysis of Medicare and Commercial formularies to determine client eligibility for rebates with respect to manufacturer contractual guidelines. To support accurate rebate invoicing, you will be responsible for meeting manufacturer contractual obligations by completing a thorough interpretation of the contract and thorough analysis of formulary and plan design data on a monthly/quarterly basis. In this role, you will support overall team production by assisting during pharmaceutical disputes and collaborating on day-day tasks such as:
Conducting specific formulary research to support Rebate forecasting and underwriting teams during the manufacturing contract negotiating process; Clinical Managers and Client Support Services as they work with clients in the development of formularies; Rebate audit team as questions arise on audits by manufacturers and clients.
Adhering to quality control process in review of formulary rebate eligibility and contributing to enhancing our quality control processes.
Review contract language necessary to support formulary rebate contracts.
Maintaining filings for Caremark and client specific formulary publications.
Exhibiting strong analytical skills working with contract language
Demonstrating flexibility and adaptability to take on additional tasks to support the department.
Very light travel, if any, may be requested to support business activity.
Required Qualifications:
- 1+ year of professional experience or internships.
Preferred Qualifications:
- Experience in a formulary, health care, contracting, or similar role
- Caremark Formulary and/or Rebate knowledge beneficial.
- Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on the RxClaim adjudication platform beneficial.
- Medicare knowledge beneficial.
- Ability to work independently and with people across functional area.
- Ability to work in a hybrid team environment.
- Strong reading comprehension skills.
- Capability to communicate details clearly and accurately.
Education:
- Bachelor's Degree Preferred or currently enrolled in a four year Bachelor's program with an anticipated graduation date in spring or summer (May-October) 2025 required.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $102,081.00This 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.
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.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits – 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:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues 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.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 07/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health Chicago, Illinois, USA Office
525 W Monroe St, Chicago, IL, United States, 60661
CVS Health Northbrook, Illinois, USA Office
2211 Sanders Road, Northbrook, IL, United States, 60062
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