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Rebate Account Specialist II at Navitus in Boston, Massachusetts

disABLEDperson Inc

Rebate Account Specialist IINavitus 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.ResponsibilitiesHow do I make an impact on my team?Oversees multiple complex rebate setups following the batch formulary listing with minimal oversightReviews GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing systemSubmits quarterly rebate reports to applicable pharmaceutical manufacturersCollects rebate payments from manufacturer, either directly or through the GPO, on a timely basis according to contract terms, and audit these for accuracyCommunicates with Pharma or GPO on payment discrepancies and makes necessary changes in rebate processing system to ensure any errors have been correctedWorks with Finance in the allocation and processing of client rebate paymentsServes as direct contact for drug company representatives or with IRC Contracting team (GPO issues) in information exchange and problem resolutionAble to read and comprehend client formularies/PA forms as they relate to rebate contracts and GPO strategy.Supports testing of rebate invoicing application enhancementsOther duties as assignedQualificationsWhat our team expects from you? Associate's degree or CPhT requiredMinimum of 1 year of experience in Pharmacy or Medical Claims Processing, Trade or Industry Relations, or Drug Claim Analysis requiredProficient in Word and Excel (intermediate level)Experience working in a remote setting preferredPharmacy experience (including drug names, classes and terminology) preferredParticipate in, adhere to, and support compliance program objectivesThe 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 insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5% - No vesting requirementAdoption Assistance ProgramFlexible Spending AccountEducational Assistance Plan and Professional Membership assistanceReferral Bonus Program – up to $750!Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law. Equal employment opportunity, including veterans and individuals with disabilities.

Vacancy posted more than 2 months ago

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