Analyst, Gov't Reimbursement

UCB • Atlanta, GA

3d • $68,000 - $90,000 • Hybrid

About The Position

The Government Reimbursement Analyst is responsible for a range of activities related to but not limited to the payment of Government Programs, including State Medicaid, Coverage Gap, TriCare, Manufacturer’s Discount Program and Medicare Inflation Rebates within required timeframes.

Requirements

• Bachelor’s degree in Finance, Accounting, or other analytical-related field
• 2+ years of relevant experience required.
• Pharmacy Benefit Management (PBMs), pharmacy claims knowledge and/or pharmacy-related experience is preferred
• Strong MS Excel working knowledge; SAP & Model N preferred
• Hands-on knowledge of and/or experience with Model N or other Government Pricing software platforms strongly preferred
• Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred
• Pharmacy Technician experience preferred
• Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred

Responsibilities

• Manage contracts and pricing updates & process payments related to assigned Government programs
• Manage Medicaid Payment Master for all assigned programs
• Process & pay all Medicaid claims and other programs assigned within required time periods
• Serve as the key contact with State Medicaid agencies and must be able to communicate clearly and reconcile discrepancies within required timeframes usually through email
• Analyze summarizes and interprets results and makes recommendations regarding the need to dispute any Claim submissions
• Responsible for the settlement of programs in both Model N and SAP
• Manage or assist with any system testing and upgrades as assigned
• Ensure compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards, and guidelines, etc.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees