Medicaid Drug Rebate Supervisor
About The Position
The Medicaid Drug Rebate Supervisor oversees day-to-day Medicaid Drug Rebate Program (MDRP) operations across Conduent Medicaid accounts. The role is accountable for accurate and timely rebate invoicing, payment processing, reconciliation, dispute resolution, and accounts receivable activities while ensuring compliance with CMS requirements, state contractual obligations, audit standards, and performance commitments. The Supervisor leads a team of rebate analysts and specialists, serves as a subject matter expert, supports client relationships, and drives process improvements that strengthen quality, service, and financial outcomes. This is a remote, home-based position with a Monday through Friday schedule from 8:00 a.m. to 5:00 p.m. Eastern Time. Occasional evening or weekend work may be required during quarterly invoicing cycles or other critical business periods.
Requirements
- Bachelor’s degree in business administration, Healthcare Administration, Finance, Accounting, Pharmacy, or a related field.
- At least 5 years of Medicaid Drug Rebate Operations experience.
- At least 2 years of leadership, supervisory, or team lead experience.
- Knowledge of Medicaid Drug Rebate Program regulations and CMS requirements.
- Advanced proficiency in Microsoft Excel and data analysis tools.
- Experience with accounts receivable, reconciliations, and financial reporting.
- Demonstrated ability to lead teams and manage multiple priorities.
Nice To Haves
- Pharmacy Technician certification or equivalent pharmacy operations experience.
- Experience with Medicaid rebate administration systems, MMIS platforms, or rebate processing solutions.
- Knowledge of pharmacy claims processing, NDCs, URAs, AMP, and rebate calculations.
- Experience supporting state Medicaid agencies.
- Lean, Six Sigma, or another operational excellence certification.
Responsibilities
- Supervise and coordinate the daily activities of Medicaid Drug Rebate Analysts and Specialists.
- Manage workload distribution and resource planning to ensure timely completion of quarterly and ongoing rebate activities.
- Monitor team productivity, quality, adherence to procedures, and delivery of client service-level agreements.
- Coach, mentor, and support the professional development and performance evaluation of team members.
- Oversee quarterly Medicaid drug rebate invoicing, including accurate calculation, validation, freezing, and invoice generation.
- Review utilization, NDC, labeler, and rebate data to ensure invoice accuracy.
- Monitor manufacturer payment receipt, allocation, reconciliation, and accurate application of principal and interest payments at the NDC level.
- Oversee accounts receivable tracking and collection activities.
- Ensure compliance with CMS MDRP requirements and state contractual obligations.
- Develop and maintain analyst standard operating procedures and update project-specific operational guides at least annually.
- Maintain audit-ready documentation and support federal, state, and internal audits.
- Review quality assurance reports, exception reports, and reconciliation findings, and implement corrective actions.
- Monitor changes to CMS regulations and communicate their impacts to staff and leadership.
- Oversee manufacturer dispute management and resolution, including review of supporting documentation and coordination with manufacturers, states, and internal stakeholders.
- Monitor dispute aging and ensure timely resolution of discrepancies.
- Develop and review operational, financial, and performance reports; track collections, outstanding receivables, invoice accuracy, and team productivity.
- Identify trends, risks, and process-improvement opportunities, and present operational updates and performance metrics to management and clients.
- Serve as a primary operational contact for Account Managers, state agencies, and internal leadership.
- Participate in client meetings, support contract deliverables, and assist with implementation of new programs, enhancements, and regulatory changes.
- Collaborate with pharmacy, finance, compliance, and technology teams.
Benefits
- Health and welfare benefits, with eligibility beginning on the first day.
- Retirement savings programs.
- Employee discounts on merchandise, services, travel, and more.
- Career growth opportunities.
- Paid training and access to learning platforms.
- Paid time off.
- Health insurance coverage.
- Voluntary dental and vision programs.
- Life and disability insurance.
- Retirement savings plan.
- Paid holidays.
- PTO, vacation, and/or sick time.
- May be eligible for a bonus or incentive based on business need.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
