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Rebate Analyst
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How you will help
As a Rebate Analyst at HealthVerity, you will contribute your skills to support clients using our contract management platform empowering them to efficiently negotiate, execute and manage the increasing complexity of traditional rebate agreements while introducing enhanced capabilities to facilitate next generation medical rebate and value-based contract designs. You will communicate between our clients and our engineering teams on queries and requests for enhancements.
What you will do
- Plan and schedule the necessary activities for supporting client utilization of the Smart Contracts rebate technology
- Analyze manufacturer contract terms to ensure compatibility with rebate technology
- Perform contract set up support as required for each rebate period
- Assist with the coordination, analysis and validation of rebate reports and distribution of invoices for the rebate period
- Assess, implement and communicate critical information for maintenance of rebate modules; including, contract amendments and other changes that impact the rebate process
- Analyze and support contract disputes working with clients to ensure timely payment of rebates and admin fees
- Research and analyze client questions related to invoiced products and corresponding rates and qualification, and provide explanation, information and interpretation within area of expertise
- Prioritize and manage multiple projects and deliverables across various stakeholders
- Maintain proper records and reports to track progress of client deliverables
- Ensure Smart Contract rebate technology user manuals and other client support resources are up to date
How success will be defined
- Percent of completed and on-time projects and client deliverables
- Number of complete and open client trouble tickets
- Turnaround time for correcting contract or invoice related processing mistakes/errors or change requests
- Accuracy and completeness of control records and contract analyses
- Client satisfaction score measured through “Stop Light Surveys”
Required skills and experience
- Experience working within a PBM, pharmaceutical manufacturer or managed care organization; preferably PBM background, with pharmacy claims data, drug formularies, reimbursement, and pharmaceutical rebate contract experience
- Strong understanding of the claims adjudication process and pharmaceutical manufacturer rebate contract language and terms and conditions
- Familiarity with NCPDP field formats, 340B and payor contract reimbursement terms
- Knowledge of pharmacy claims reimbursement (ex. WAC, ASP, AWP, discounts, rebates, admin fees, etc.)
Desired skills and experience
- Proficient in Microsoft products including Excel and Word
- Strong analytical skills
- Comfortable working with large datasets, including different healthcare data types such as: claims, enrollment, clinical, medical, pharmacy, contract and financial data from payers/providers
- Experience with Medispan data and medical coding (ex. HCPCs)
- Understanding of data sent to payers/providers and how to utilize it for benchmarking and measuring value-based contract performance
- Experience building dashboards around rebates, cost, and utilization metrics of patient populations
- Ability to assess, interpret and translate client needs into business requirements
- Working experience with relational databases and a data visualization tool (i.e., Tableau, PowerBI, Amazon QuickSight), plus knowledge of query tools
Base salary for the role is commensurate with experience and can range between $60,000 - 80,000 + annual bonus opportunity.
Hiring Locations
Our main office is located in Center City, Philadelphia, where we operate on a hybrid model with in-office work required three days a week for local employees. We believe collaboration is most effective when teams come together, which is why we prioritize hiring in the Philadelphia area.
For certain roles, we also hire from hub locations—regions where we have an established presence with multiple team members working remotely. While these employees primarily work from home, we bring them together in person at least once a year for team-building, collaboration, and strategic planning.
Due to tax and labor regulations, we can only hire from specific states. Remote work is supported in the following key hub locations and approved states:
Hub Locations:
- Philadelphia, Pennsylvania
- Boston, Massachusetts
- New York City, New York
- Baltimore, Maryland
- Washington, D.C.
- Charlotte, North Carolina
- Raleigh-Durham, North Carolina
- Atlanta, Georgia
- Chicago, Illinois
Approved States for Remote Work:
CT, DE, FL, GA, IL, IN, MA, MD, MI, NC, NJ, NY, OH, PA, TN, and VA.
About HealthVerity
HealthVerity is the leader in privacy-protected real-world data exchange, transforming how healthcare and life sciences organizations connect and analyze disparate patient data. By enabling access to the industry’s largest RWD ecosystem, HealthVerity supports critical applications in clinical development, commercial strategy, regulatory decision-making, and public health. To learn more about HealthVerity, visit healthverity.com.
Why you'll love working here
We are making a difference – Our technology is at the forefront of some of the biggest healthcare challenges in the world.
We are one team – Our people define our culture and always will. We take time out to celebrate each other, and acknowledge the value that each of us adds towards our greater mission. Come share all you have to offer.
We are learners – Every team member is continually learning, no matter if we've been in a role for one year or much longer. We are committed to learning and implementing what is best for our clients, partners, and each other.
Benefits & Perks
Our benefits package is thoughtfully designed to support and enrich the experience of our full-time employees, with eligibility limited to those in permanent positions.
- Compensation: competitive base salary & annual bonus opportunity (for non-commissioned roles)
- Benefits: We offer health, dental, and vision coverage starting on day 1. We also offer a 401(k) plan and an equity program, with new hire equity grants beginning at the Director level and above.
- Flexible location: Remote workdays and 3 days a week of in-office collaboration for team members in the Philadelphia area. Check location requirements with the recruiting team.
- Generous PTO: Take time off as needed, targeted at 4 weeks per year, including vacation, personal and sick time, plus paid parental leave.
- Parental Leave: 12 weeks paid leave for childbearing, surrogacy, and adoption; 6 weeks for non-childbearing parents.
- Comprehensive and individualized onboarding: mentorship program, departmental talks, and a library of resources are available beginning day 1 for each new team member to minimize the stress of starting a new job
- Professional development: biweekly 1:1s, hands-on leadership that is goal-and growth-oriented for each team member, and an annual budget to support professional development pursuits
We believe incorporating different ideas, perspectives and backgrounds make us stronger and encourages an environment where ageism, racism, sexism, ableism, homophobia, transphobia or any other form of discrimination are not tolerated. All qualified job applicants will be given consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or on the basis of disability. At HealthVerity, we’re working towards an innovative and connected future for healthcare data and believe the future is better together. We can only do that if everyone has a seat at the table.
If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to careers@healthverity.com
Remote opportunities are not available in all areas and require team members to work from a fixed location due to tax and labor law implications - specific questions about remote positions can be discussed during the interview process with your recruiter.
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