Senior Analyst, Rebate and Audit - SMC

Job Description Synergie Medication Collective is a new medication contracting organization founded by a group of BlueCrossandBlueShield 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 100million Americans. Responsibilities Assist in the development and implementation of additional reporting support tools and proactively investigate various manufacturer contract issues to identify opportunities for process improvement. Collaborate with other internal teams to 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, interacting with leadership on IT projects, client ad hoc reporting, and Finance/Treasury projects. Assist in the invoicing process, financial analysis, rebate audit, client elections, and respond to inquiries; 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. Support client implementation and audit requests. Supervise and train rebate analysts. Perform other duties as assigned. Required Education, Certifications and Experience Bachelor’s degree in business, healthcare, or a related field. 5–8 years of work experience as a health care analyst, including experience in a health plan, health system, pharmacy or medical specialty pharmacy with at least 3 years at a health plan or PBM in medical and/or pharmacy drug management. Strong data management and analytics skills with the ability to manage large data sets effectively. 340B experience is required. Ability to facilitate changes, capture detailed information, and provide client support while maintaining Synergie’s best interests. Ability to develop relationships and influence with internal and external stakeholders. Critical thinking skills and the ability to anticipate issues and develop solutions. Must be eligible to work in the United States without the need for work visa or residency sponsorship. Additional 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. Preferred Qualifications Experience in database management. Experience in big data and data analytics. Experience with database tools such as SAS, Teradata, Tableau, SQL, and PowerBI. Reporting Structure Reports to the Sr. Director, Trade Relations. Salary Annual salary range: $88,500.00 – $110,500.00. Salary may be modified in the future and additional compensation may be available through an annual bonus incentive program. Benefits Eligible employees receive a comprehensive benefits package including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, a lifestyle spending account, and other benefits. #J-18808-Ljbffr 001_BCBSA Blue Cross and Blue Shield Association