Medicaid Rebate Analysis Services Specialist

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🏥 Healthcare

📦 Logistics

💼 Consulting

💰 Venture Round on 2009-01

Healthcare • Logistics • Consulting

Conduent is a leading provider of technology-led solutions aimed at enhancing customer experiences and improving operational efficiency for businesses and government agencies. The company offers a wide range of services, including customer experience management, finance and accounting solutions, human capital management, integrated digital solutions, and specialized services for healthcare and public sector clients. By leveraging automation and analytics, Conduent helps organizations streamline processes and drive business success.

📋 Description

• Provide document review and data support to the client • Support state Medicaid Drug Rebate Programs (MDRP) • Operate rebate invoicing, payment allocation, reconciliation, accounts receivable activities, dispute tracking, and audit documentation • 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

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Finance, or Accounting • Pharmacist Technician preferred • Must be able to submit to pre-employment screening • Legal authorization to work permanently in the United States without requiring visa transfer or visa sponsorship • 2–3 years of Medicaid rebate operations experience • 4–6 years of pharmacy operations and accounts receivable experience • Advanced Microsoft Excel proficiency • Financial reconciliation experience • Experience working with large datasets and reporting tools • Medicaid Drug Rebate Program (MDRP) experience • Experience using Medical Rebate Systems, MMIS, and rebate administration platforms • Knowledge of pharmacy claim processing, National Drug Codes (NDCs), Unit Rebate Amounts (URAs), and manufacturer rebate calculations • Ability to support quarterly Medicaid rebate invoice generation • Ability to calculate, validate, freeze, and distribute rebate invoices • Ability to verify invoice accuracy using utilization, NDC, labeler, and program data • Ability to create CMS-required utilization and invoicing files • Ability to process rebate payments via EFT, lockbox, and checks • Ability to allocate payments to the 11-digit NDC level • Ability to reconcile principal and interest payments against invoices • Ability to research allocation discrepancies and unapplied balances • Ability to maintain accurate accounts receivable records • Ability to assist with manufacturer dispute research and documentation • Ability to enter and maintain dispute records in rebate systems • Ability to review exception reports and invoice audits • Ability to research invoice variances and reconciliation issues • Ability to support reporting and collections activities • Ability to monitor outstanding receivables • Ability to support quarterly and ad hoc reporting initiatives

🏖️ Benefits

• Paid training • Medical, dental, 401(k) matching, and vision benefits • PerkSpot employee discount program • Career growth opportunities • Positive employee-friendly culture • Monday–Friday schedule from 9:00 AM–6:00 PM EST with a 1-hour unpaid lunch • Equipment provided • Health insurance coverage • Voluntary dental and vision programs • Life and disability insurance • Retirement savings plan • Paid holidays • Paid time off (PTO), vacation and/or sick time • Potential bonus or incentive based on business need

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