Senior Drug Rebate Analyst

🕒 il y a 4 jours

🤠 Texas – Distant

🤠 Texas – Remote

💵 $51 700 - $73 800 / an

⏰ Temps Plein

🟠 Senior

🧐 Analyste

🦅 Parrain de Visa H1B

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Gainwell Technologies

Site WebLinkedInTous les Emplois

10 000+ employés

⚕️ Assurance santé

💰 Grant en 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies est le principal fournisseur national de solutions numériques et en mode cloud dans l'écosystème des services sociaux et de la santé publique. Avec une approche axée sur les missions, Gainwell sert des clients dans les 50 états américains, en se concentrant sur l'amélioration des résultats de santé et la fourniture d'expériences intuitives centrées sur l'humain. Leur gamme complète de solutions comprend la modernisation de l'entreprise Medicaid, l'analyse de données, les services aux prestataires et les solutions pharmaceutiques, toutes conçues pour faire progresser l'avenir des soins de santé et améliorer le bien-être communautaire.

Description

• Reviews Medicaid Drug Rebate payments from drug manufacturers to identify rebate disputes and resolve outstanding balances • Contact pharmacy and medical providers to verify claims data • Contact drug manufacturers for information on disputed rebates • Provide training for new hires and act as a subject matter expert to team • Assist in required CMS reporting and invoicing as needed • Act as backup for Drug Rebate Supervisor tasks as needed • Assist the Supervisor in monitoring dispute workflow • Lead efforts to focus efforts on the highest materiality disputes • Assist with claim load file quality validation • Research disputed pharmaceutical utilization to prepare dispute resolution proposals • Negotiate with drug manufacturers to resolve disputes fairly and accurately • Complete required productivity tracking reports • Track and prioritize dispute resolution activities on an ongoing basis • Review and resolve invoices in assigned workflow queues on a daily basis • Follow up with drug manufacturers to secure payment for unpaid invoices • Interact with internal and external customers to accomplish goals • Other tasks as directed

🎯 Exigences

• 5+ years’ experience with Medicaid Drug Rebates, Medical/Pharmacy claims processing, Pharmacy and/or medical billing is highly preferred • Drug Rebate system experience such as PRIMS, SSRS Reports, Process Manager, or other drug rebate systems • MS Office Suite, PDF Editing Software (Adobe, Nitro Pro, PDF Escape) • Ability to work in a paper free environment • Excellent organizational skills • Excellent verbal and written communication skills

🏖️ Avantages

• generous, flexible vacation policy • educational assistance • comprehensive health benefits • 401(k) employer match • leadership and technical development academies