Medicaid Rebate Operations Analyst

About this role

Exemption Status: United States of America (Exempt)

$71,614 - $95,784 - $119,953 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description Summary   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.

Essential Duties and Responsibilities include the following. Other duties may be assigned. • Analyzes disputed data and works with drug manufacturers to fairly and accurately resolve disputes. • Assists clients with Pharmacy audits providing requested information and support. • Assisting 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. • Review drug rebate claims for errors that will impact invoicing. • Performs provider audits in order to verify product and quantity dispensed. • Sends out past due notices to drug manufacturers. • Main point of contact for State for all rebate programs. • Performs monthly and quarterly financial reconciliation with the State. • Fulfills client requests for reporting, invoicing and any other rebate related needs. • Attends meetings and conference calls as needed.

Supervisory Responsibilities No supervisory responsibilities                                     Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years' of SME in respective areas

Computer Skills To perform this job successfully, an individual must be competent with Microsoft Word, Excel, and Outlook software. The individual is expected to develop competence with MedInvoice rebate system or other business intelligence software, as well as with proprietary systems/databases used by MedImpact.

Certificates, Licenses, Registrations None required.

Other Skills and Abilities • Possess 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.

Reasoning Ability               • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. • Ability to define problems, collect data, establish facts, and draw valid conclusions.

Mathematical Skills • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry.

Language Skills • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. • Ability to write reports, business correspondence, and procedure manuals. 

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Jo

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