Government Medicaid Contract Analyst

Role Summary

Government Medicaid Contract Analyst Role Summary

Key Responsibilities

• Process mandated and supplemental quarterly rebate invoices using established validation controls and perform financial reconciliations to deliver accurate and timely state settlement packages.
• Support rebate cycle activities including intake, scanning, and processing of incoming invoices to ensure timely workflow execution.
• Strong ability to analyze claims, payment trends, and claims level data to reconcile.
• Manage contract setup and maintenance, including amendments, pricing updates, and product lifecycle changes.
• Ensure all activities align with CMS regulations, Medicaid Drug Rebate Program (MDRP) guidelines, contractual terms, and internal policies.
• Serve as a key point of contact for state rebate departments and external partners.
• Conduct detailed claim-level data analysis to validate invoice submissions and reconcile discrepancies.
• Partner directly with state Medicaid agencies and third-party processors to investigate and resolve disputed historical claims.
• Maintain clear, concise communication and strong relationships to support efficient issue resolution.
• Maintain comprehensive documentation in accordance with record retention policies to support SOX (Level 1 & 2), OIG, and external audit requirements.
• Execute processes that reinforce audit readiness and mitigate financial and compliance risk through peer reviews and established ways of working.
• Identify opportunities to improve efficiency, reduce cycle times, and enhance operational effectiveness.
• Apply system and process knowledge to test new system enhancements or operational improvements.

Qualifications

• Bachelor’s degree in Business Administration, Finance, Audit, Business Systems, Analytics, or related field
• 3+ years of relevant experience in a financial analyst role
• Strong customer service orientation and communication skills
• Preferred Experience with pharmaceutical or government rebate contract management
• Advanced Excel skills with complex data analysis experience

Work Arrangement

This role is hybrid (2:3) working. You will be expected to work from the GSK Durham office part of the week and have flexibility to work remotely for the remainder. Specific on-site expectations will be discussed during the interview.

GSK US Benefits Summary

Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees.

Why GSK?

Uniting science, technology and talent to get ahead of disease together. GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases – to impact health at scale.

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