[Hiring] Medicaid Rebate Analysis Services Specialist @Conduent State Healthcare, LLC

Role Description

As a Medicaid Rebate Analysis Services Specialist, you will provide document review and data support to our client. Your assistance will make a positive difference in the organization you support. You will be able to provide successful administration.

Qualifications

• Bachelor's degree in Healthcare Administration, Finance, or Accounting
• Pharmacist Technician (preferred)

Requirements

• Must be able to submit to a pre-employment screening
• Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship
• 2-3 years Medicaid rebate operations
• 4-6 years in Pharmacy operations and Accounts receivable

Preferred Skills/Experience

• Advanced Microsoft Excel proficiency
• Financial reconciliation experience
• Experience working with large datasets and reporting tools
• Strong analytical and organizational skills
• Medicaid Drug Rebate Program (MDRP) experience
• Experience using Medical Rebate Systems, MMIS, and Rebate Administration Platforms
• Operations of Pharmacy Claim Processing, National Drug Codes (NDCs), Unit Rebate Amounts (URAs), and Manufacture Rebate Calculations
• Support quarterly Medicaid rebate invoice generation
• Calculate, validate, freeze, and distribute rebate invoices
• Verify invoice accuracy using utilization, NDC, labeler, and program data
• Maintain invoice distribution records
• Create CMS-required utilization and invoicing files
• Ensure invoicing deadlines are met
• Process rebate payments received via EFT, lockbox, and checks
• Allocate payments to the 11-digit NDC level
• Reconcile principal and interest payments against invoices
• Research allocation discrepancies and unapplied balances
• Maintain accurate accounts receivable records
• Ensure payments are properly allocated within service-level expectations
• Assist with manufacturer dispute research and documentation
• Enter and maintain dispute records in rebate systems
• Review exception reports and invoice audits
• Research invoice variances and reconciliation issues
• Support reporting and collections activities
• Monitor outstanding receivables
• Identify process improvement opportunities
• Support quarterly and ad hoc reporting initiatives

Key Competencies

• Financial Reconciliation
• Accounts Receivable Management
• Data Analysis
• Regulatory Compliance
• Problem Solving
• Audit Readiness
• Time Management
• Attention to Detail
• Written & Verbal Communication
• Stakeholder/Customer Service

Benefits

• Paid Training
• Pay is $30.00/hour
• Medical, dental, 401K/matching, vision benefits, and more!
• PerkSpot - Employee discount program
• Career growth opportunities
• Positive employee-friendly culture
• Schedules from 9:00 AM – 6:00 PM (EST) Monday to Friday with a 1-hour unpaid lunch
• Equipment is provided

Company Description

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them.