Rebate Account Specialist II
About The Position
Navitus Health Solutions is seeking a Rebate Account Specialist II to analyze, understand, and implement pharmacy benefit manager (PBM) to group purchasing organization (GPO) and pharmaceutical manufacturer rebate submission and reconciliation processes. The role works closely with the Manager of Rebate Operations to ensure eligible claim data is audited completely, accurately, and on time for rebate invoicing. It also works with the IRC Contracting/strategy team to ensure rebate submission standards are met. The specialist reconciles rebate payments and investigates and resolves discrepancies. The position is remote and is available only to residents of the states and Washington, DC listed in the job posting. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.
Requirements
- Associate’s degree or CPhT is required.
- At least 1 year of experience in Pharmacy or Medical Claims Processing, Trade or Industry Relations, or Drug Claim Analysis is required.
- Proficiency in Word and Excel at an intermediate level.
- Ability to consistently interact cooperatively and respectfully with other employees.
Nice To Haves
- Experience working in a remote setting.
- Pharmacy experience, including knowledge of drug names, classes, and terminology.
Responsibilities
- Oversee multiple complex rebate setups following the batch formulary listing with minimal oversight.
- Review GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system.
- Submit quarterly rebate reports to applicable pharmaceutical manufacturers.
- Collect rebate payments from manufacturers, directly or through the GPO, on time according to contract terms, and audit payments for accuracy.
- Communicate with pharmaceutical manufacturers or GPOs about payment discrepancies and make necessary changes in the rebate processing system to correct errors.
- Work with Finance to allocate and process client rebate payments.
- Serve as a direct contact for drug company representatives or the IRC Contracting team on GPO issues for information exchange and problem resolution.
- Read and understand client formularies and prior authorization forms as they relate to rebate contracts and GPO strategy.
- Support testing of rebate invoicing application enhancements.
- Perform other duties as assigned.
- Participate in, adhere to, and support compliance program objectives.
- Interact cooperatively and respectfully with other employees.
Benefits
- Health, dental, and vision insurance.
- 20 days of paid time off.
- 4 weeks of paid parental leave.
- 9 paid holidays.
- 401(k) company match of up to 5%, with no vesting requirement.
- Adoption Assistance Program.
- Flexible Spending Account.
- Educational Assistance Plan and professional membership assistance.
- Referral Bonus Program of up to $750.
- STAR bonus opportunity of up to 7.5%.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
