Medicaid Rebate Analyst Services Specialist

Conduent State Healthcare, LLC,
Remote

About The Position

As a Medicaid Rebate Analyst Services Specialist, you will provide document review and data support to our client. Your assistance will make a positive difference in the organization you support. You will be able to provide successful administration. The Medicaid Rebate Analyst Services Specialist supports state Medicaid Drug Rebate Programs (MDRP) by managing rebate invoicing, payment allocation, reconciliation, accounts receivable activities, dispute tracking, and audit documentation. This role combines healthcare finance, data analysis, accounts receivable, and regulatory compliance responsibilities.

Requirements

  • Have a Bachelor's degree in (Healthcare Administration, Finance, and Accounting).
  • Must be able to submit to a pre-employment screening.
  • Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship.
  • 2-3 years Medicaid rebate administration experience.
  • 4-6 years in Healthcare finance, Pharmacy operations, and Accounts receivable.

Nice To Haves

  • Advanced Microsoft Excel proficiency.
  • Financial reconciliation experience.
  • Experience working with large datasets and reporting tools.
  • Strong analytical and organizational skills.
  • Medicaid Drug Rebate Program (MDRP) experience.
  • Experience with (Medical Rebate Systems, MMIS, and Rabate Administration Platforms).
  • Knowledge of (Pharmacy Claim Processing, National Drug Codes (NDCs), Unit Rebate Amounts (URAs), and Manufacture Rebate Calculations).

Responsibilities

  • Support quarterly Medicaid rebate invoice generation.
  • Calculate, validate, freeze, and distribute rebate invoices.
  • Verify invoice accuracy using utilization, NDC, labeler, and program data.
  • Maintain invoice distribution records.
  • Create CMS-required utilization and invoicing files.
  • Ensure invoicing deadlines are met.
  • Process rebate payments received via EFT, lockbox, and checks.
  • Allocate payments to the 11-digit NDC level.
  • Reconcile principal and interest payments against invoices.
  • Research allocation discrepancies and unapplied balances.
  • Maintain accurate accounts receivable records.
  • Ensure payments are properly allocated within service-level expectations.
  • Assist with manufacturer dispute research and documentation.
  • Enter and maintain dispute records in rebate systems.
  • Review exception reports and invoice audits.
  • Research invoice variances and reconciliation issues.
  • Support reporting and collections activities.
  • Monitor outstanding receivables.
  • Identify process improvement opportunities.
  • Support quarterly and ad hoc reporting initiatives.

Benefits

  • Paid Training
  • Medical, dental, 401K/matching, vision benefits, and more!
  • PerkSpot - Employee discount program
  • Career growth opportunities
  • Positive employee friendly culture
  • health insurance coverage
  • voluntary dental and vision programs
  • life and disability insurance
  • a retirement savings plan
  • paid holidays
  • paid time off (PTO) or vacation and/or sick time
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