Drug Rebate Analyst - Remote US

Summary

The Drug Rebate Analyst – Remote, supports pharmacy operations by assisting members, providers, and pharmacies with prior authorizations, pharmacy claims inquiries, benefit questions, and other pharmacy-related services. This role works in a fast-paced, high-volume environment while ensuring accuracy, compliance, and exceptional customer service.

Responsibilities

• Support members, providers, and pharmacies by responding to pharmacy-related inquiries, benefit questions, prior authorization requests, and claims-related issues.
• Research and resolve pharmacy claims, eligibility, coverage, and medication-related concerns while maintaining service level expectations.
• Review, document, and process pharmacy transactions and requests in accordance with client, regulatory, and operational guidelines.
• Utilize multiple systems and resources to accurately investigate issues, provide resolutions, and maintain complete documentation.
• Collaborate with internal teams, healthcare professionals, and external stakeholders to support quality service delivery and member satisfaction.

Requirements

• Preferred Active Certified Pharmacy Technician (CPhT) certification.
• Experience supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service preferred.
• Strong customer service, communication, and problem-solving skills with the ability to work effectively in a fast-paced, high-volume environment.
• Proficiency using pharmacy systems, multiple computer applications, and documentation tools while maintaining accuracy and attention to detail.

Qualifications

• High school diploma or equivalent.
• Experience in a similar role preferred.

Skills

• Strong understanding of pharmacy operations and regulations.
• Excellent communication and interpersonal skills.
• Ability to work independently and manage multiple tasks simultaneously.
• Proficiency in Microsoft Office Suite and pharmacy-specific software.

Benefits

• Inclusive remote work environment.
• Comprehensive benefits package including medical, dental, vision, 401(k) with company match, flexible paid time off, paid holidays, wellness programs, and additional employee support resources.
• Opportunities for professional growth and development.

Pay

The pay range for this position is $35,900.00 - $51,300.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.