Drug Rebate Team Lead - Remote US
About The Position
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. SummaryThe Drug Rebate Team Lead is responsible for overseeing day-to-day Drug Rebate operations in support of Medicaid and pharmacy programs. This role serves as a subject matter expert for rebate dispute resolution, claims validation, and manufacturer communications, while ensuring compliance with regulatory requirements. The Team Lead supports accurate reporting and invoicing, monitors workflow and productivity, and collaborates with internal teams, clients, and external partners to ensure timely, high-quality outcomes across rebate operations.Your role in our mission Lead and support Drug Rebate operations, ensuring timely and accurate dispute resolution across Medicaid and pharmacy programs Serve as a subject matter expert and escalation point for complex rebate, claims, and compliance issues Monitor workflows, prioritize high-materiality disputes, and track productivity and quality metrics Collaborate with manufacturers, providers, clients, and internal stakeholders to achieve program goals Support training, mentoring, and knowledge sharing for team members and new hires Update, maintain and build drug rebate policy and procedure documents.
Requirements
- 5–10 years of experience in Drug Rebates, Medicaid, pharmacy claims processing, or medical billing
- Strong understanding of HIPAA, confidentiality, and healthcare compliance standards
- Proven analytical, organizational, and problem-solving skills in a regulated environment
- Experience leading, mentoring, or serving as a subject matter expert for team members
- Proficiency with Microsoft Office and document management tools, including PDF editing and scanning
- Extensive experience in managing the Medicaid Drug Rebate Program with expertise in executing all phases of the quarterly rebate cycle including invoicing, disputes resolution and payment processing.
Responsibilities
- Lead and support Drug Rebate operations, ensuring timely and accurate dispute resolution across Medicaid and pharmacy programs
- Serve as a subject matter expert and escalation point for complex rebate, claims, and compliance issues
- Monitor workflows, prioritize high-materiality disputes, and track productivity and quality metrics
- Collaborate with manufacturers, providers, clients, and internal stakeholders to achieve program goals
- Support training, mentoring, and knowledge sharing for team members and new hires
- Update, maintain and build drug rebate policy and procedure documents.
Benefits
- Gainwell’s comprehensive benefits package, including medical, dental, vision, 401(k) with company match, paid time off, 80 hours of sick leave, 12 paid holidays (9 company-observed and 3 floating holidays), and employee wellness programs
- flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
