07 October 2021
Analyst, Medical Rebates

Analyst, Medical Rebates
Job Summary:
This is an intermediate level position.  Employee performs an expanding range of professional Medicaid utilization analyst assignments in a developing capacity. Responsible for all aspects of government rebate invoices including validating, disputing and processing invoices related to the following programs: 1) Medicaid Fee-for-Service, 2) Managed Medicaid and 3) State Supplemental programs, Coverage Gap Discount Program, etc. Tasks may include, but are not limited to, rebate processing, coordinating the timely issuance of payments and reporting to various states and 3rd party agencies.
Job Responsibilities:
  • Organize the receipt, validation and processing of all government rebate invoices, such as Medicaid Fee-for-Service, Managed Medicaid and State Supplemental Rebates, Coverage Gap Discount Program.
  • Process all claims including prior quarter adjustments in an accurate and timely manner.
  • Work closely with States to quickly resolve any disputes and discrepancies, then communicate outcomes with management.
  • Investigate and challenge apparent discrepancies.
  • Maintain accurate and comprehensive documentation to support disputes and adjustments.
  • Work closely with Accounts Payables to ensure timely disbursements of rebate payments to state agencies within the statutory 38 days.
  • Work closely with Sr. Government Pricing Analyst to prepare month end accruals and reports
  • Maintain SOP’s for the Medicaid Rebate system to reflect current procedures, business processes and compliance with all centers for Medicare and Medicaid Services (CMS).
  • Participate in maintaining the Medicaid Rebate system, including performing system data validation, updating product Master Data, system maintenance and version upgrade testing.
  • Ability to take on special analytical assignments with minimum supervision.
  • Ability to prioritize tasks and meet deadlines.
  • Ability to work both independently and in team environment.
  • Strong communication skills, both written and oral, with the ability to communicate across multiple functions and levels.
  • Works as a member of a team to achieve all outcomes
  • Operates in accordance with our Code of Conduct and Business Ethics, and all established regulatory, compliance and safety requirements.
  • Performs all work in support of our Values: Collaboration, Courage, Perseverance, and Passion
  • All other relevant duties as assigned
Job Requirements
  • Bachelor’s degree in Accounting or Finance; or Associate of Arts degree in Finance, Accounting or Business
  • Knowledge, Skills and Abilities
  • Must have Microsoft Excel skills.
  • SAP R/3 and Vistex application knowledge is a plus.
  • Works independent of others operating within policy guidelines.
  • Uses independent judgment and creativity in achieving assigned objectives.
  • Organizational skills, with strong attention to detail
  • Must be able to handle multiple tasks and prioritize
  • Proven to meet deadlines
  • Willingness to learn and expand knowledge
  • Strong team player
  • A minimum of two to four years of experience in a similar role
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