Medicaid Specialist II

Prescription Analytics supports pharmaceutical companies in managing profitability through structured government pricing, rebate processing, and commercial contract management. The organization helps clients secure state and federal licenses and provides guidance for successful product launches. By focusing on compliance and detail-oriented oversight, Prescription Analytics ensures that government and commercial contracts are managed effectively and in the best interest of its clients. Team members work in a specialized environment that blends regulatory expertise, financial analysis, and contract administration to help pharmaceutical companies operate confidently and efficiently.

The Medicaid Specialist II is a full-time, on-site role based in the Greater Milwaukee area. This role is responsible for managing Medicaid-related pricing, rebates, and compliance activities for pharmaceutical clients, ensuring accurate interpretation and application of state and federal program requirements. Day-to-day tasks include reviewing and processing Medicaid claims and rebates, maintaining detailed records, preparing reports, and supporting audits and regulatory reviews.

The Medicaid Specialist II collaborates with internal teams and external stakeholders to resolve discrepancies, clarify program rules, and support accurate contract and pricing administration. This position also contributes to process improvements, documentation updates, and adherence to internal controls and quality standards.

• Strong analytical and data management skills, including proficiency with spreadsheets, databases, and reporting tools.
• Knowledge of Medicaid or other government healthcare programs, pricing regulations, and pharmaceutical reimbursement processes.
• Experience in contract administration, rebate processing, or revenue management within healthcare, pharmaceutical, or related industries.
• Excellent attention to detail, organizational skills, and ability to manage multiple deadlines in a fast-paced environment.
• Clear written and verbal communication skills, with the ability to explain complex regulatory or financial concepts to diverse stakeholders.
• Demonstrated ability to work collaboratively with cross-functional teams and build productive relationships with external partners.
• Bachelor's degree in business, finance, healthcare administration, or a related field; equivalent experience in a relevant role may be considered.
• Prior experience in Medicaid or government pricing roles and familiarity with audit and compliance processes is highly beneficial.