Remote Clinical Program & Rebate Advisor

Express Scripts Pharmacy Benefit Services; St. Louis (MO); Hybrid; USD 96,000 - 159,000; Full time

Benefits offered by this job

Annual bonus plan

Health benefits package

401(k)

Tuition reimbursement

Paid time off

Job summary

Express Scripts Pharmacy Benefit Services in the United States is seeking a Clinical Program Advisor with a clinical background to interpret utilization management criteria and rebate contract requirements.

This role collaborates with contracting, clinical consulting, and invoicing teams to ensure formulary rules and clinical criteria are correctly applied and to assess client eligibility for rebate enhancements.

Qualifications

• B.S. in Pharmacy with experience or Doctor of Pharmacy
• Current U.S. pharmacist license
• Experience in PBM, Pharmaceutical and Healthcare industry
• Good to have – General knowledge of Medicare and/or Medicaid pharmacy benefits
• Experience with Pharmaceutical Contracts and Pharmacy Benefits strongly preferred
• Experience with clinical utilization criteria evaluation strongly preferred
• Excellent presentation and communication skills required
• Successfully function while handling multiple tasks and ability to prioritize
• Detail-oriented with strong organizational skills
• Ability to adapt to a dynamic work environment and learn quickly, solve problems, and make decisions with minimal assistance or direction from leader when interfacing clients and other internal partners
• Ability to work independently and prioritize work to meet client needs
• Proficiency in Microsoft Office applications required

Responsibilities

• Support client with formulary, rebate, and utilization management strategies to service all current and future needs
• Participate in Clinical Program team functions, including maintaining formulary status changes for all actively maintained formularies, assessing utilization management policy updates, and consulting on anticipated clinical and financial impacts of strategies under consideration by the client
• Keep abreast with industry pipelines, such as new drugs, patent expirations, generic and biosimilar approvals and launch dates, etc.
• Act in concert with internal teams, such as Account Management, to service all needs of the client
• Participate in developing tools and training for carrying out goals of work plans, including continuous process improvement activities
• Represent the strategic market division as a point of contact for various corporate clinical initiatives, including participation in client meetings

Skills

Presentation skills

Communication skills

Independence

Time management

Education

Pharmacist license (US)

BS in Pharmacy or PharmD

Tools

Microsoft Office

Job description

Express Scripts Pharmacy Benefit Services in the United States is seeking a Clinical Program Advisor with a clinical background to interpret utilization management criteria and rebate contract requirements.

This role collaborates with contracting, clinical consulting, and invoicing teams to ensure formulary rules and clinical criteria are correctly applied and to assess client eligibility for rebate enhancements.