Gainwell Technologies logo
Gainwell Technologies

Gainwell Technologies is an award-winning digital health technology company that supports the administration of healthcare and human services programs. In past

Senior Drug Rebate Analyst

Location

Mississippi

Posted

4 days ago

Salary

$51.7K - $73.8K / year

Seniority

Senior

High School5 yrs expEnglish

Job Description

Senior Drug Rebate Analyst

Gainwell Technologies

• 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

Job Requirements

  • 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

Benefits

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

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