Managed Care Rebate Analyst 100% Remote
Employer Industry: Pharmaceutical Manufacturing
Why consider this job opportunity...
- Opportunity to gain experience with a large, reputable company that is rapidly growing
- Work directly with key leaders, including the director of contracts
- The company experienced a strong financial year in 2023 and is poised for growth in 2024
- Fantastic work culture, flexibility, and low turnover rate
- 100% remote work opportunity based in NJ with standard business hours of Monday-Friday, 9:00 AM - 5:00 PM EST
What to Expect (Job Responsibilities):
- Process Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims according to rebate contracts and internal procedures
- Analyze utilization data to determine included and excluded claims and apply appropriate rebate percentages
- Interpret contract language and maintain plans, products, and reimbursement thresholds in the Model N/Flex System
- Process rebates through Model N/Flex Revenue Manager Submissions, resolving errors and rejecting lines as necessary
- Communicate payment calculation details and rejected claim explanations to management and/or customers
What is Required (Qualifications):
- Bachelor's degree in accounting, finance, or a relevant field
- Experience with Model N/Flex/Revitas and Validata and Revenue Manager modules
- Experience validating utilization data from PBMs, Managed Care Contract maintenance, and Managed Care Rebate Processing
- Intermediate Excel skills, including Pivot Tables and VLOOKUPs
- Strong analytical and communication skills
How to Stand Out (Preferred Qualifications):
- Experience in analyzing utilization data for completeness and accuracy
- Familiarity with PBM networks and drug formularies
- Previous experience in Managed Care rebate and fee types, including Base Rebates and Administrative Fees
- Strong problem-solving skills and attention to detail
- Ability to assist with system testing as needed
#PharmaceuticalManufacturing #RemoteWork #CareerGrowth #AnalyticalSkills #RebateConsultant
At Talentify, we prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer
Why consider this job opportunity...
- Opportunity to gain experience with a large, reputable company that is rapidly growing
- Work directly with key leaders, including the director of contracts
- The company experienced a strong financial year in 2023 and is poised for growth in 2024
- Fantastic work culture, flexibility, and low turnover rate
- 100% remote work opportunity based in NJ with standard business hours of Monday-Friday, 9:00 AM - 5:00 PM EST
What to Expect (Job Responsibilities):
- Process Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims according to rebate contracts and internal procedures
- Analyze utilization data to determine included and excluded claims and apply appropriate rebate percentages
- Interpret contract language and maintain plans, products, and reimbursement thresholds in the Model N/Flex System
- Process rebates through Model N/Flex Revenue Manager Submissions, resolving errors and rejecting lines as necessary
- Communicate payment calculation details and rejected claim explanations to management and/or customers
What is Required (Qualifications):
- Bachelor's degree in accounting, finance, or a relevant field
- Experience with Model N/Flex/Revitas and Validata and Revenue Manager modules
- Experience validating utilization data from PBMs, Managed Care Contract maintenance, and Managed Care Rebate Processing
- Intermediate Excel skills, including Pivot Tables and VLOOKUPs
- Strong analytical and communication skills
How to Stand Out (Preferred Qualifications):
- Experience in analyzing utilization data for completeness and accuracy
- Familiarity with PBM networks and drug formularies
- Previous experience in Managed Care rebate and fee types, including Base Rebates and Administrative Fees
- Strong problem-solving skills and attention to detail
- Ability to assist with system testing as needed
#PharmaceuticalManufacturing #RemoteWork #CareerGrowth #AnalyticalSkills #RebateConsultant
At Talentify, we prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer