Senior Drug Rebate Analyst

Role Description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

• Reviews Medicaid Drug Rebate payments from drug manufacturers to identify rebate disputes and resolve outstanding balances.
• Contact pharmacy and medical providers to verify claims data.
• Contact drug manufacturers for information on disputed rebates.
• Provide training for new hires and act as a subject matter expert to the team.
• Assist in required CMS reporting and invoicing as needed.
• Act as backup for Drug Rebate Supervisor tasks as needed.
• Assist the Supervisor in monitoring dispute workflow.
• Lead efforts to focus efforts on the highest materiality disputes.
• Assist with claim load file quality validation.
• Research disputed pharmaceutical utilization to prepare dispute resolution proposals.
• Negotiate with drug manufacturers to resolve disputes fairly and accurately.
• Complete required productivity tracking reports.
• Track and prioritize dispute resolution activities on an ongoing basis.
• Review and resolve invoices in assigned workflow queues on a daily basis.
• Follow up with drug manufacturers to secure payment for unpaid invoices.
• Interact with internal and external customers to accomplish goals.
• Other tasks as directed.

Qualifications

• 5+ years’ experience with Medicaid Drug Rebates, Medical/Pharmacy claims processing, Pharmacy and/or medical billing is highly preferred.
• Drug Rebate system experience such as PRIMS, SSRS Reports, Process Manager, or other drug rebate systems.
• MS Office Suite, PDF Editing Software (Adobe, Nitro Pro, PDF Escape).
• Ability to work in a paper-free environment.
• Excellent organizational skills.
• Excellent verbal and written communication skills.

Requirements

• United States remote opportunity.
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• The Deadline to submit applications for this posting is July 24, 2026.
• The pay range for this position is $51,700.00 - $73,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• A variety of leadership and technical development academies to help build your skills and capabilities.