Benefit Program Senior Specialist

About the role

The MO HealthNet Division seeks a Benefit Program Senior Specialist within the Medicaid Drug Rebate Unit. The position is semi-monthly salary: $2,020.69 annually, with potential for higher rates based on additional factors. The location is at the Howerton State Office Building, Jefferson City, MO.

Responsibilities

• Manage pharmaceutical manufacturer accounts as assigned.
• Resolve disputes submitted by pharmaceutical manufacturers in response to invoices generated from drug claims data.
• Prepare routine reports and documentation needed to reconcile pharmaceutical manufacturer outstanding balances.
• Analyze and evaluate claims to identify patterns of utilization to recognize possible abuse or errors in claim filing.
• Review and evaluate detailed payment data from reports in order to identify and initiate recoupment and/or adjustment of claims.
• Monitor unit and program operations, regulations, procedures and audit recommendations to ensure compliance with Centers for Medicare and Medicaid Services (CMS) for the Medicaid Drug Rebate Program (MDRP).
• Answer program inquiries from providers and pharmaceutical manufacturers.
• Locate, organize, and perform routine analysis on information from various sources pertaining to all aspects of the Medicaid Drug Rebate Unit.
• Communicate effectively with manufacturers, providers and co-workers regarding program requirements related to the MDRP.
• Participate with other staff members in meetings to identify problem areas and develop solutions; and perform other related work as assigned.

Requirements

• Bachelor’s degree and 1-3 years of relevant experience.
• (Substitutions may be allowed.)
• Preferred qualifications include experience within a pharmaceutical setting (working as a pharmaceutical technician or billing pharmaceutical claims), experience with collections, and good written and verbal communication skills.
• Lack of post-secondary education will not be used as the sole basis denying consideration to any applicant.

Qualifications

• Minimum qualifications include a bachelor’s degree and 1-3 years of relevant experience.
• Preferred qualifications include experience within a pharmaceutical setting, experience with collections, and good written and verbal communication skills.

Benefits

• The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage.
• Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator.

Pay

Semi-monthly salary: $2,020.69. Annual Salary: $48,496.56.

Schedule

Not specified.

Skills

• Strong organizational and prioritization skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple tasks and projects simultaneously.
• Knowledge of Medicaid Drug Rebate Program regulations and procedures.

Benefits

• Defined pension plan.
• Generous amounts of leave and holiday time.
• Eligibility for health insurance coverage.

Pay

Semi-monthly salary: $2,020.69. Annual Salary: $48,496.56.

Schedule

Not specified.

Skills

• Strong organizational and prioritization skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple tasks and projects simultaneously.
• Knowledge of Medicaid Drug Rebate Program regulations and procedures.

Benefits

• Defined pension plan.
• Generous amounts of leave and holiday time.
• Eligibility for health insurance coverage.

Contact Information

To learn more about this position, contact: Jaime Jones at Jaime.M.Jones@dss.mo.gov. For accessibility issues, contact: Courtney Hall at Courtney.A.Hall@dss.mo.gov.

Recruitment Area

All qualified applicants.

Application Deadline

September 8, 2026.