Medicaid Rebate Analyst will manage the day-to-day administration and processing of invoices associated with the State Medicaid Drug Rebate Program (MDRP); all associated reporting requirements for Medicaid pricing (monthly/quarterly AMP and Units) in the Medicaid DDR system and actively participate in the dispute resolution process with the State Medicaid Agencies.
Medicaid Drug Rebate Program (MDRP)/CMS
Ensure compliance with all Centers of Medicaid and Medicare Services (CMS) legislated pricing and reporting requirements
Coordinate receipt, validation and processing of Medicaid state rebate claims.
Coordinate and ensure timely disbursements of Medicaid state rebates to state Medicaid agencies.
Recognize known disputes with Amneal products and negotiate resolution with state Medicaid agencies.
Provide support in the data entry of monthly/quarterly AMP pricing within the CMS DDR system.
Support the development and maintenance of policies and standard operating procedures to ensure compliant operations.
Participate in internal and external audits, when needed, in order to demonstrate compliance with policies, laws and regulations.
Other duties as assigned
High School or GED - Required
Associate Degree - Preferred
Medicaid or Rebates experience OR a minimum of Associate’s degree and 1 year relevant experience
Ability to read, analyze, and interpret general technical procedures or governmental regulations. - Intermediate
Ability to write reports, business correspondence and procedure manuals. - Intermediate
Ability to effectively present information and respond to questions from groups of managers and customers. - Advanced
Ability to calculate figures and amounts such as rebates, admin fee, discounts, percentages and volume. - Intermediate
Ability to work independently with minimal supervision, demonstrating initiative & problem solving skills. - Advanced
Ability to implement systems as needed, including upgrades according to regulations. - Intermediate
Attention to detail, ability to prioritize and manage payment processes - Advanced
Proficiency in Microsoft Excel required
Solid concept of algebraic and financial formulas
Knowledge of Medicaid Processing systems such as CARS Medicaid and/or Model N