Rebates Analyst

Overview

This role ensures assigned payments—such as rebates to customers—are accurately calculated in accordance with contract and policy guidelines and executed on time. Responsibilities include high-quality analysis, forecasting, and recommendations to help achieve business goals.

Responsibilities

• Perform analyses, forecasts, and modeling to manage pricing, reimbursement, and rebate functions, including:
  • Monthly discount and rebate accruals
  • Contract commitment performance analysis
  • Evaluation of rebate discount reserve
  • What-if analysis
• Own end-to-end processes to accurately calculate and timely pay rebates and fees for assigned customers and/or geographical region(s), including:
  • Review of contracts, contract amendments, and SOL (Special Offer Letter)
  • Customer contract performance analysis and forecasting
• Coordinate with clinical, Legal, and Compliance Departments to ensure compliance with applicable business rules and relevant legal decisions
• Drive resolution and prevention of future EDI chargeback errors
• Process chargeback claims or adjustments submitted manually
• Stay current on and assess the impact of new healthcare regulations, including the new ESRD bundle and healthcare reform (PPACA)
• Address and correct operational, audit, and compliance issues identified
• Identify and develop initiatives to support department business needs, increase automation, and improve productivity
• Assist with additional projects as assigned by the direct supervisor
• Support one or more departments or locations as outlined in applicable addenda

Education

• Bachelor’s Degree required (quantitative field preferred)
• Master’s Degree (MBA or other healthcare related) a plus

Requirements

• 2–5 years of related experience (pricing, rebates, reimbursement, chargeback, finance, accounting, etc.)
• 2 years of experience in a medical products industry (device and pharmaceutical sectors ideal)
• Solid understanding of finance and accounting; ideal background includes financial analysis as well as pricing, rebates, and reimbursement
• Ability to work at a high level and with close attention to detail, including working with large volumes of data
• Understanding of calculation rules (as defined by CMS), logic, and regulation of pharmaceutical/government pricing metrics including:
  • AMP (Average Manufacturer’s Price)
  • BP (Best Price)
  • ASP (Average Sales Price)
  • Non FAMP
• Understanding of various COT (Class of Trade) definitions
• Desire and ability to learn
• Ability to prioritize and manage multiple tasks and projects simultaneously
• Working knowledge and experience in Excel and Access
• Knowledge of SAP and proven track record in using SAP to improve productivity
• Solid track record in process improvement or transformation

Compensation & Benefits

• The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Additional Information

• The employer maintains a drug-free workplace in accordance with applicable federal and state laws.
• The employer is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors.