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Medicaid Senior Analyst

$75k - $90k

Aurobindo Pharma USA, Inc.

Division Overview Aurobindo Pharma USA, Inc. is a generic pharmaceutical manufacturer and distributor and is a wholly owned subsidiary of Aurobindo Pharma Limited, a leading generic pharmaceutical company based in India. Headquartered in HITEC City, Hyderabad, India, founded in 1986 and becoming a public company in India in 1992. Aurobindo Pharma USA, Inc. is committed to delivering a broad portfolio of quality, affordable generic pharmaceuticals to pharmacists and patients. Aurobindo Pharma USA, Inc. adds value through superior customer service in the distribution of a broad line of generic pharmaceuticals, leveraging vertical integration and efficient controlled processes. Aurobindo has business operations in more than 125 countries around the world. Aurobindo is a global pharmaceutical company with a broad portfolio of generic drugs that includes more than 180 product families and 450 individual product packages. Aurobindo markets over 80% of the top 100 most prescribed products in the world. In past years, Aurobindo has received more ANDA approvals than any of our competitors. Aurobindo is now ranked 2nd among pharmaceutical companies based on Total Prescriptions Dispensed. (We are#27 in 2010) Job Overview The Assistant Manager, Medicaid supports end‑to‑end operations of the Medicaid Drug Rebate Program (MDRP) and related government programs. This role oversees state invoice processing, dispute management, data integrity, supplemental rebate contract administration, and coordination of cross‑functional inputs impacting government price reporting and Gross‑to‑Net (GTN). The ideal candidate brings strong operational discipline, knowledge of MDRP and 340B interfaces, and business acumen to improve accuracy, cycle time, and compliance. Responsibilities Medicaid Rebate Operations Manage the full invoice lifecycle for all 50 states and territories: receipt, validation, eligibility checks, unit/URA alignment, and timely payments in line with policy. Investigate and resolve invoice discrepancies (e.g., NDC/labeler mismatches, utilization anomalies, packaging conversions, dual‑eligible rejections, duplicate claims). Maintain accurate Unit Rebate Amount (URA) usage and coordination with Government Pricing for restatements/retroactive adjustments. Track and report weekly/Monthly status: open disputes, credits taken, average days to resolve, and aging. Dispute Management & Analytics Analyze state utilization trends and outliers (e.g., spikes by NDC/state, abrupt mix changes). Lead structured dispute packages (data, rationale, precedent, correspondence) to states; monitor outcomes and elevate when needed. Build dashboards/KPIs for leadership (claims volume, acceptance rate, dispute success rate, recovery dollars, cycle time, resolution aging). Supplemental Rebates & Contracts Administer state supplemental rebate programs: maintain contract repository, pricing terms/effective dates, product addenda, and termination/renewal calendars. Validate invoice adherence to supplemental rebate terms and coordinate accrual/true‑up with Finance. Government Pricing & Policy Interface Collaborate with GP team on pricing changes impacting URA , NDC changes, product launches, and restatements. Support GP with data validation needed for CMS reporting and coordinate impacts to Medicaid rebates and GTN. Monitor 340B interactions and potential duplicate discount risk; ensure appropriate processes with covered entities/third‑party administrators. Controls, Compliance & Documentation Maintain SOPs/work instructions for rebate processing, disputes, supplemental rebates, and evidence retention. Support internal/external audits (Medicaid, GP, 340B) with complete, accurate documentation and timely responses. Systems, Data & Process Improvement Own day‑to‑day utilization of the Medicaid rebate system -iContracts and interfaces with ERP/BI tools. Drive automation and standardization to reduce manual touchpoints, error rates, and cycle times. Partner with IT/Data to improve data quality(inner NDCs, unit of measure, package size conversions) and enhance reporting. Cross‑Functional Collaboration & GTN Work closely with Commercial Finance on accruals, true‑ups, cash forecasting, and gross‑to‑net analytics. Provide Medicaid insights for business cases (product launches, pricing actions, channel mix shifts). Required Bachelor’s degree in Accounting, Finance, Business, Supply Chain, Data/Analytics, or related field. 3–6 years of relevant pharma experience, including Medicaid rebates. Hands‑on with a Medicaid rebate processing platform (e.g., iContract, Model N, Vistex/Revitas/Revenue Cloud, or similar) and ERP (e.g Oracle, NetSuite). Strong Excel and data analysis skills; comfort with large datasets and reconciliations. Demonstrated understanding of MDRP fundamentals (AMP, Best Price, URA, invoicing cycles) and dispute methodologies. Proven ability to manage deadlines across multiple states while maintaining high accuracy and controls. Preferred Experience with 340B, VA/FSS, TRICARE, and state supplemental rebate programs. Exposure to Government Pricing calculations (AMP, BP, NFAMP, PHS Ceiling Price). Knowledge of GTN accounting concepts (accruals, true‑ups, reserves). Education & Experience BS/BA preferred. Two to Three years of experience. Generic Pharmaceutical experience highly preferred (generic or brand). Compensation Min: USD $75,000.00/Yr. Max: USD $90,000.00/Yr. Physical Requirements Stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach, stoop kneel to install computer equipment. Specific vision abilities required by this job include close vision requirements due to computer work. Light to moderate lifting is required. Moderate noise (i.e. business office with computers, phone, and printers, light traffic). Ability to sit at a computer terminal for an extended period of time Sedentary work Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Additional Physical Requirements No Additional Requirements Blood/Fluid Exposure Risk Category III: Tasks involve no exposure to blood, body fluids or tissues. Category I tasks are not a condition of employment. #J-18808-Ljbffr Aurobindo Pharma USA, Inc.

Vacancy posted 1 day ago
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