Government Medicaid Contract Analyst

Government Medicaid Contract Analyst

Responsible for the end-to-end administration of State Government Medicaid contracts across the U.S. and Puerto Rico, including accurate contract setup, maintenance, and rebate payment processing. Ensures full compliance with regulatory requirements, contractual obligations, and mandated payment timelines while supporting financial accuracy, audit readiness, and effective dispute resolution.

• Contract Administration & Rebate Operations:
  Process mandated and supplemental quarterly rebate invoices using established validation controls and perform financial reconciliations to deliver accurate and timely state settlement packages. Support rebate cycle activities including intake, scanning, and processing of incoming invoices to ensure timely workflow execution. Analyze claims, payment trends, and claims level data to reconcile. Manage contract setup and maintenance, including amendments, pricing updates, and product lifecycle changes.
  
  Ensure all activities align with CMS regulations, Medicaid Drug Rebate Program (MDRP) guidelines, contractual terms, and internal policies.
• Dispute Resolution & Stakeholder Engagement:
  Serve as the key point of contact for state rebate departments and external partners. Conduct detailed claim-level data analysis to validate invoice submissions and reconcile discrepancies. Partner directly with state Medicaid agencies and third-party processors to investigate and resolve disputed historical claims. Maintain clear, concise communication and strong relationships to support efficient issue resolution.
• Compliance, Controls & Audit Support:
  Maintain comprehensive documentation in accordance with record retention policies to support SOX (Level 1 &
  2), OIG, and external audit requirements. Execute processes that reinforce audit readiness and mitigate financial and compliance risk through peer reviews and established ways of working.
• Process Improvement & Operational Support:
  Identify opportunities to improve efficiency, reduce cycle times, and enhance operational effectiveness. Apply system and process knowledge to test new system enhancements or operational improvements.

• Bachelor’s degree in Business Administration, Finance, Audit, Business Systems, Analytics, or related field
• 3+ years of relevant experience in a financial analyst role
• Strong customer service orientation and communication skills

• Experience with pharmaceutical or government rebate contract management
• Advanced Excel skills with complex data analysis experience

This role is hybrid (2:3) working. You will be expected to work from the GSK Durham office part of the week and have flexibility to work remotely for the remainder. Specific on-site expectations will be discussed during the interview.

GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.