Overview
A remote opportunity is available for a Medicaid Rebate Analyst Services Specialist to provide document review and data support related to Medicaid Drug Rebate Programs (MDRP). This role involves managing rebate invoicing, payment allocation, reconciliation, accounts receivable activities, dispute tracking, and audit documentation.
Responsibilities
- Support state Medicaid Drug Rebate Programs by managing rebate invoicing and payment allocation
- Calculate, validate, freeze, and distribute rebate invoices
- Verify invoice accuracy using utilization, National Drug Codes (NDCs), labeler, and program data
- Maintain invoice distribution records and 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
- 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, Accounting, or related field
- 2-3 years of Medicaid rebate administration experience
- 4-6 years of experience in healthcare finance, pharmacy operations, and accounts receivable
- Legal authorization to work permanently in the United States without requiring visa sponsorship or transfer
- Ability to pass pre-employment screening
Preferred Skills and Experience
- Advanced proficiency in Microsoft Excel
- Financial reconciliation experience
- Experience working with large datasets and reporting tools
- Strong analytical and organizational skills
- Experience with Medicaid Drug Rebate Program (MDRP)
- Familiarity with 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
Key Competencies
- Financial reconciliation
- Accounts receivable management
- Data analysis
- Regulatory compliance
- Problem solving
- Audit readiness
- Time management
- Attention to detail
- Written and verbal communication
- Stakeholder and customer service
Compensation and Benefits
- Hourly pay rate: $30.00
- Paid training
- Medical, dental, vision benefits
- 401(k) with matching
- Employee discount program
- Career growth opportunities
- Positive employee-friendly culture
- Equipment provided
Work Schedule
- Monday to Friday, 9:00 AM to 6:00 PM EST
- 1-hour unpaid lunch
Location
- Remote
- Note: This position is not open to applicants residing in AK, CA, HI, MA, IL, MT, NY, Puerto Rico, or the following metro areas: Minneapolis (MN), Chicago (IL), New York City (NY), Portland (OR), Montgomery County (MD), Seattle (WA), Washington, DC.
This role requires candidates to consider that the hourly pay rate may be below their state’s minimum wage. Applicants should evaluate this before applying.