Rebate Operations Analyst

Job 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. Essential Duties and 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. Supervisory Responsibilities No supervisory responsibilities. Client Responsibilities This internal and external client-facing position requires excellent customer service skills and interpersonal communication skills. Must be able to manage difficult or emotional client situations, respond promptly to client needs, solicit client feedback, respond to requests for service and assistance, and meet commitments to clients. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years of subject matter expertise in respective areas. Computer Skills Competent with Microsoft Word, Excel, and Outlook. Expected to develop competence with MedInvoice rebate system or other business intelligence software, as well as proprietary systems/databases used by MedImpact. Other Skills and Abilities 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. Reasoning Ability Interpret instructions provided in written, oral, diagram, or schedule form. Define problems, collect data, establish facts, and draw valid conclusions. Mathematical Skills Apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume; apply basic algebra and geometry. Language Skills Present information and respond to questions from groups of managers, clients, customers, and the general public. Write reports, business correspondence, and procedure manuals. Competencies Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands Employee is regularly required to sit and talk or hear; must stand, walk, use hands to finger, handle, feel, and reach. Must occasionally lift or move up to 25 pounds. Work Environment Typical work environment is a business office with computers and printers, light traffic. May be exposed to moving mechanical parts, high or precarious places, fumes, chemicals, outdoor weather conditions, risk of electrical shock or vibration. Noise level usually moderate. Work Location On-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work. Working Hours Exempt position requiring the incumbent to work hours necessary to accomplish responsibilities. May need to work beyond traditional hours, nights, weekends, or holidays as required. Core business hours Monday through Friday 8:00 am–5:00 pm but subject to change. Travel No travel required; attendance may be needed at local conferences and meetings. Perks Medical / Dental / Vision / Wellness Programs Paid Time Off / Company Paid Holidays Incentive Compensation 401K with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus Equal Opportunity Employer, Male/Female/Disabilities/Veterans Reasonable accommodations may be made to allow individuals with disabilities to perform essential functions. #J-18808-Ljbffr MedImpact Healthcare