Senior Consultant, Managed Care Rebates

About the role

Analyze, Advise, Deliver—Your Consulting Career Starts Here Work shouldn't just be something we do; it should have a purpose. At Envision, we believe in creating life-changing outcomes through the work we do with our clients, giving back to our communities, while creating a company culture where our people thrive. We believe success starts with a workplace where everyone feels valued, supported, and empowered to grow. Being part of a collaborative team means there's no limit to what you can achieve. With us, you can be a part of a growing company you want to work for. Our Vision: To unleash the power of combined intelligence to accelerate patient access to life-changing treatments. Our Mission: Delivering smarter and faster solutions to create, communicate, and commercialize value for our clients. Our Values: Excellence, People, Growth The opportunity At Riparian, we offer innovative software, expert consulting, and outsourcing solutions to the life sciences industry. Our comprehensive solutions help manufacturers navigate the complexities of revenue management, government pricing, revenue leakage, contracting strategy, and more. With a client-focused approach, we drive transformative outcomes, ensuring regulatory success and operational efficiency. As a Senior Consultant, you'll be responsible for providing strategic guidance and support to healthcare organizations in managing their relationships with insurance providers and optimizing reimbursement for services. You will analyze and negotiate contracts, evaluate payment models, and develop strategies to improve cost-effectiveness and quality of care. You will also provide expertise on regulatory compliance, network development, and financial analysis. How will you make an impact at Envision Pharma Group?

Responsibilities

• Manage executed managed care contracts from system entry through to rebate validations and payment using multiple systems in a timely and compliant manner.
• Ensure accurate and timely processing of assigned accounts including system entry, rebates, validation, reporting, correspondence, and all other aspects of commercial contract administration.
• Perform detailed analysis and validation of rebate claim data in order to accurately adjudicate the managed care rebates according to the terms specified in the contracts.
• Perform formulary review on a quarterly basis to confirm formulary position of products on contract.
• Set up and maintain contracts pertaining to assigned accounts in rebate adjudication system and ensure that they properly reflect the contract terms and requirements.
• Reviews key financial, membership and utilization report to monitor trends and research any significant changes in