EXPRESS SCRIPTS SERVICES COMPANY Sr. Business Analyst in Saint Louis, Missouri
POSITION SUMMARY This position is responsible for continued review of additions, changes or deletions to client clinical rules and determination of their impact on client rebate eligibility. Will perform annual review of all clients to determine control positioning based on provided criteria. Assure files are uploaded appropriately to the FRP rebate system timely. ESSENTIAL QUALIFICATIONS * Works under minimal supervision, through established procedures, to ensure appropriate assessment of client clinical rules impacting rebate eligible products. * Recommends resolution of identified issues during assessment as well as efficiency process improvements. * Identify deficiencies and work with Manager/Supervisor to determine corrective actions as needed. * Work cross-functionally with Pharma Contracting, Clinical Account Executives and Pharma Invoicing to ascertain appropriate interpretation of clinical rules and impacts on rebated drug products. * Continuously interrogate Clinical Rules System database for additions, changes or deletions to client clinical rules with impacts to rebate eligible products. * Work with manager when new rules are identified to determine appropriate interpretation of the clinical rule impact on rebates. * Work with externally adjudicated clients and account management to assure all custom formulary rules not housed within Company systems are received and populated within control tables. * Assure new rules identified are appropriately interpreted for rebate impact and then added to tables for future rebating. * Consolidate clinical rules with impacts to rebate drug products to a single list of assigned ids for upload and utilization within the FRS rebate system. * Other duties as deemed essential by business to support rebates optimization process. QUALIFICATIONS * Bachelor s degree in related field or 11 to 14 years of experience. * 5-8 years relevant experience with Bachelor s Degree or Master s degree and 3-5 years of relevant experience. * Related work experience in PBM, Pharmaceutical, or Healthcare industry preferred. * Strong analytical, planning, problem identification and resolution skills required. * Effective communication with internal and external individuals in various functional areas and at all levels of management. * Knowledge of ESI s products and services preferred. * Experience with client benefits and formularies highly preferred. * Understanding of and experience with quality and process improvement concepts, methodologies. * Requires experience in business analysis and production testing. * Demonstrated self-initiative. * Proven ability to plan for and integrate multiple tasks concurrently as well as work independently. ABOUT THE DEPARTMENT If your niche is in financial reporting and analysis, underwriting, cash management, audit, or investor relations, our Finance department may be a perfect fit for you Company is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine ranked as one of the \\"Most Admired Companies\\" in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services. We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401k with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan. Express Scripts is an equal opportunity employer/disability/veteran *LI-JB3.Employer's Job# ESMEUS7213Please visit job URL for more information about this opening and to view EOE statement..