Rebate Operations Analyst-1

MedImpact•San Diego, CA

12d•Onsite

About The Position

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Summary This position is responsible for all drug rebate activities, both financial and operational. This includes the processing of quarterly rebate invoices, preparing and delivering monthly and quarterly rebate reports and working through dispute resolution process with manufacturers.

Requirements

BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years' of SME in respective areas
To perform this job successfully, an individual must be competent with Microsoft Word, Excel, and Outlook software.
Possess excellent communication skills (both verbal and written), analytical and/or financial reasoning skills.
Familiar with service contracts and contract interpretation.
Strong knowledge of pharmacy services with an emphasis on the managed health care environment.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Ability to write reports, business correspondence, and procedure manuals.

Responsibilities

Analyzes disputed data and works with drug manufacturers to fairly and accurately resolve disputes.
Assists clients with Pharmacy audits providing requested information and support.
Assisting with payment posting, collections, and maintaining all client service agreements.
Executes billing processing for over 800 manufacturers per program; performs quality assurance activities and corrects any errors prior and post invoice generation within timelines required under contract.
Invoicing practices, including pre-invoicing review for fee for service, managed care, diabetic supply and supplemental rebate programs.
Review drug rebate claims for errors that will impact invoicing.
Performs provider audits in order to verify product and quantity dispensed.
Sends out past due notices to drug manufacturers.
Main point of contact for State for all rebate programs.
Performs monthly and quarterly financial reconciliation with the State.
Fulfills client requests for reporting, invoicing and any other rebate related needs.
Attends meetings and conference calls as needed.