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: $30.00 (may be below some state minimum wages; applicants should consider this)
- Paid training
- Medical, dental, vision insurance
- 401(k) with matching
- Employee discount program
- Paid holidays, paid time off (PTO), and vacation/sick time
- Equipment provided
Work Schedule
- Monday to Friday, 9:00 AM to 6:00 PM Eastern Standard Time (EST)
- One-hour unpaid lunch break
Location
- Remote position
- Not hiring in the following states and metro areas: Alaska, California, Hawaii, Massachusetts, Illinois, Montana, New York, Puerto Rico; Minneapolis (MN), Chicago (IL), New York City (NY), Portland (OR), Montgomery County (MD), Seattle (WA), Washington, DC
Equal Opportunity
The employer is an Equal Opportunity Employer and considers applicants without regard to race, color, creed, religion, ancestry, national origin, age, gender identity or expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, genetic information, or any other protected group by law.
Applicants with disabilities who require reasonable accommodation to apply or compete for employment may request accommodations through the employer's designated process.