Rebate Analyst, Managed Care Rebate Operations Madison - Giralda - NJ - US R1605665 Posted

Working with Us

Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it.

You’ll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible.

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This role is responsible for contract administration, data validation, analysis, processing and payment of rebates associated with Managed Care contracts. Primary duties include interpretation and evaluation of contract terms, claims eligibility validation, formulary verification, rebate adjudication and external customer management to ensure proper determination and payment of contracted rebates.

• Review executed paper contract, develop summary of contract terms and set up contract to accurately reflect the intent of the contract.
• Maintain Managed Care rebate contracts including contract terms, membership and formulary status.
• Review and validate submitted Managed Care rebate claims data and make decisions on claims eligibility based on plan formulary status and compliance. Calculate rebates on eligible claims, review for accuracy through the thorough analysis and resolution of discrepancies and make decision on final payment due to customer per contract terms.
• Collaborate with Contract Operations team, as needed, to ensure that the intent of the contract is carried out in the rebate calculations and payments.
• Provide analytical thinking and business acumen to identify and make decisions to resolve variances in claims data trends or expected rebate rates. Evaluate invoices for year-to-date rebate payment trends and provide explanations for variances versus prior periods. Make decisions to esc..." (truncate) ...wait - recons.