Medicaid Rebate Operations Analyst

About the role

This position is responsible for all drug rebate activities, both financial and operational. This includes the processing of quarterly rebate invoices, preparing and delivering monthly and quarterly rebate reports and working through dispute resolution process with manufacturers.

Responsibilities

• Analyzes disputed data and works with drug manufacturers to fairly and accurately resolve disputes.
• Aids clients with Pharmacy audits providing requested information and support.
• Assists with payment posting, collections, and maintaining all client service agreements.
• Executes billing processing for over 800 manufacturers per program; performs quality assurance activities and corrects any errors prior and post invoice generation within timelines required under contract.
• Invoicing practices, including pre-invoicing review for fee for service, managed care, diabetic supply and supplemental rebate programs.
• Reviews drug rebate claims for errors that will impact invoicing.
• Sends out past due notices to drug manufacturers.
• Main point of contact for State for all rebate programs.
• Fulfills client requests for reporting, invoicing and any other rebate related needs.
• Attends meetings and conference calls as needed.

Qualifications

• BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years' of SME in respective areas.
• Competent with Microsoft Word, Excel, and Outlook software.
• To develop competence with MedInvoice rebate system or other business intelligence software, as well as with proprietary systems/databases used by MedImpact.

Skills

• Excellent communication skills (both verbal and written).
• Analytical and/or financial reasoning skills.
• Familiar with service contracts and contract interpretation.
• Strong knowledge of pharmacy services with an emphasis on the managed health care environment.