You are viewing a preview of this job. Log in or register to view more details about this job.

FTE Medicaid Rebate Program Specialist

  • Collaborate with Purdue's third-party Medicaid processing vendor to validate all state Medicaid rebate invoices in accordance with industry best practices and within their respective payment deadlines and coordinate payments to the States.
  • Validate Medicaid payment packages for accuracy.
  • Manage state Medicaid invoice identification of disputes, and implement and monitor dispute tracking log, and liaise with States and Purdue's third-party Medicaid processing vendor on dispute identification and resolution.
  • Build and maintain strong State and Pharmacy Benefit Administrator relationships and manage the relationships with state Medicaid agencies.
  • Manage the Medicaid dispute resolution process to maintain current and accurate books between Purdue and state Medicaid agencies.
  • Perform trending analysis and invoice reconciliation to identify utilization disparities, and abnormal trends, and research trends with states.
  • Calculate and validate state supplemental rebate and State Pharmaceutical Assistance Program (SPAP) invoice amounts.
  • Understand Purdue's Revitas Flex Medicaid system, train other users on software.
  • Support Purdue's third-party Medicaid processing vendor with testing of new software due to government pricing systems upgrades and/or changes in pricing methodology.
  • Ensure all invoice data is properly archived and maintained to comply with all Federal guidelines and audit requirements.
  • Perform financial modeling to aide in financial accruals process related to Medicaid rebate liability, and to support inquiries from other company stakeholders.
  • Update and maintain SOPs as appropriate.
  • Depending on skill set, provide back up support to government pricing functions for the calculation of Average Manufacturer Price (AMP), Best Price (BP), and potentially other government price reporting obligations.

  • Minimum 3-5 years of industry experience in healthcare, pharmaceutical and/or medical device industry preferred
  • Minimum 2 years of experience working in the areas of, Medicaid, government pricing, rebate adjudication, contract management process/systems, document control, etc.
  • Bachelor's degree
  • Technical Skills: Proficient in Outlook, MS Excel and MS Word. Knowledge of SAP and Revitas Flex Medicaid / Contract Sphere or other pharmaceutical contract/rebate/membership systems a plus. Must possess technical skills sufficient to learn new systems, understand system functionality well, and test systems when required.
  • Market understanding – Good understanding of the Medicaid Drug Rebate Program, and general understanding of government price calculations such as Average Manufacturer Price (AMP), Medicaid Best Price (BP) and reporting processes.
  • Understanding of the involvement of legal/regulatory and compliance in the government market.
  • Proven understanding of current health care environment, regulations, and health care reform laws.
  • Contract Interpretation – Ability to understand and interpret contract language related to government price calculations.
  • Organization skills – Must possess good capability of organizational skills and ability to manage multiple projects at one time.
  • Ability to adjust to changing needs within the organization and flexibility to change priorities as needed. Must be able to work under strict deadlines.
  • Communication – Must possess strong written and verbal communication skills to interact with external and internal customers.
  • Analytics: must be good with numbers, able to analyze data and trends and data discrepancies, good critical reasoning skills.
  • Strong analytical skills and attention to detail with the capability to appropriately define issues, questions data; to comprehend qualitative and quantitative methods to perform accurate analysis.
  • Ability to creatively think about different problems and devise pragmatic solutions.
  • Strong interpersonal skills with demonstrated ability to work well with others, manage work with counterpart(s) at Purdue and drive towards consensus.
  • Attention to detail and deadlines, a strong work ethic, and a history of adherence to policies and procedures are critical.