FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy benefit management, pharmaceutical pricing, and healthcare compliance, with a strong focus on data analysis and financial modeling. Proficient in managing MAC lists and collaborating with cross-functional teams to ensure client commitments are met.
Highest-signal resume keywords
Pharmacy Benefit ManagementPharmaceutical PricingData AnalysisRxClaim PlatformHealthcare Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
MAC List ManagementQuality Control ProcessesFinancial ModelingMAC AdjustmentsReporting Preparation
Soft Skills
CollaborationProblem SolvingCommunication
Tools & Technologies
Adjudication PlatformRxClaim
Certifications & Qualifications
Associate DegreeBachelor's Degree
Industry Keywords
Regulatory AffairsPharmacy MAC AppealsClient CommitmentsPharmacy GER Guarantees
About the role
Key responsibilities & impact- Create new MAC lists and manage existing MAC lists
- Upload MAC prices to the adjudication platform
- Perform MAC-related quality control processes
- Collaborate with the Finance Guarantee team to help ensure client commitments are met
- Make MAC adjustments as appropriate and as needed
- Review and respond to pharmacy MAC appeals
- Work with the Legal team to respond to MAC-related complaints from state agencies
- Monitor pharmacy GER guarantees
- Prepare MAC-related reporting, including client and pharmacy reports
Requirements
What you’ll need- 2–5 years of experience in pharmacy benefit management (PBM), pharmaceutical pricing or reimbursement, healthcare compliance or regulatory affairs, data analysis or financial modeling
- Experience with RxClaim platform (AS 400) preferred
- Associate Degree or equivalent work experience
- Bachelor's Degree preferred
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program