Managed Care Rebate Analyst 100% Remote

Employer Industry: Pharmaceutical Manufacturing

Why consider this job opportunity...
• Opportunity to gain experience with a large, reputable company that is rapidly growing
• Work directly with key leaders, including the director of contracts
• The company experienced a strong financial year in 2023 and is poised for growth in 2024
• Fantastic work culture, flexibility, and low turnover rate
• 100% remote work opportunity based in NJ with standard business hours of Monday-Friday, 9:00 AM - 5:00 PM EST

What to Expect (Job Responsibilities):
• Process Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims according to rebate contracts and internal procedures
• Analyze utilization data to determine included and excluded claims and apply appropriate rebate percentages
• Interpret contract language and maintain plans, products, and reimbursement thresholds in the Model N/Flex System
• Process rebates through Model N/Flex Revenue Manager Submissions, resolving errors and rejecting lines as necessary
• Communicate payment calculation details and rejected claim explanations to management and/or customers

What is Required (Qualifications):
• Bachelor's degree in accounting, finance, or a relevant field
• Experience with Model N/Flex/Revitas and Validata and Revenue Manager modules
• Experience validating utilization data from PBMs, Managed Care Contract maintenance, and Managed Care Rebate Processing
• Intermediate Excel skills, including Pivot Tables and VLOOKUPs
• Strong analytical and communication skills

How to Stand Out (Preferred Qualifications):
• Experience in analyzing utilization data for completeness and accuracy
• Familiarity with PBM networks and drug formularies
• Previous experience in Managed Care rebate and fee types, including Base Rebates and Administrative Fees
• Strong problem-solving skills and attention to detail
• Ability to assist with system testing as needed

#PharmaceuticalManufacturing #RemoteWork #CareerGrowth #AnalyticalSkills #RebateConsultant

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