Rebate Account Specialist II

CompanyNavitus

About Us

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $56,806.00 - USD $68,441.00 /Yr.

STAR Bonus % (At Risk Maximum)

7.50 - Salaried Non-Management except pharmacists

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm

Remote Work Notification

ATTENTION: Navitus is only able to offer remote work to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin.

Overview

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team!

The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure rebate submission standards are met. The Rebate Account Specialist II will also reconcile rebate payments and investigate and resolve any discrepancies.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Oversees multiple complex rebate setups following the batch formulary listing with minimal oversight
• Reviews GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system
• Submits quarterly rebate reports to applicable pharmaceutical manufacturers
• Collects rebate payments from manufacturer, either directly or through the GPO, on a timely basis according to contract terms, and audit these for accuracy
• Communicates with Pharma or GPO on payment discrepancies and makes necessary changes in rebate processing system to ensure any errors have been corrected
• Works with Finance in the allocation and processing of client rebate payments
• Serves as direct contact for drug company representatives or with IRC Contracting team (GPO issues) in information exchange and problem resolution
• Able to read and comprehend client formularies/PA forms as they relate to rebate contracts and GPO strategy.
• Supports testing of rebate invoicing application enhancements
• Other duties as assigned

Qualifications

What our team expects from you?

• Associate’s degree or CPhT required
• Minimum of 1 year of experience in Pharmacy or Medical Claims Processing, Trade or Industry Relations, or Drug Claim Analysis required
• Proficient in Word and Excel (intermediate level)
• Experience working in a remote setting preferred
• Pharmacy experience (including drug names, classes and terminology) preferred
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees.

What can you expect from Navitus?

• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750!

#LI-Remote

Location : Address

Remote

Location : Country

US