Medicaid Senior Analyst

Location: Hightstown

Job Title:

Medicaid Senior Analyst

Location:

East Windsor, New Jersey

Type:
Direct Hire

Compensation: $75,000.00 - $90,000.00

Work Model:
Onsite

Hours:

9 a.m.

- 6 p.m.

Overview:

This role owns end-to-end Medicaid rebate operations across all 50 states and territories, including invoice validation, payment processing, and discrepancy resolution. You'll lead dispute management and analytics, build dashboards and KPIs for leadership, and partner closely with Government Pricing and Finance on URA changes, restatements, accruals, and gross-to-net impacts. Ideal candidates bring 3-6 years of pharma Medicaid rebate experience, strong Excel and large-dataset skills, and hands-on experience with Medicaid rebate platforms (such as iContracts or Model N) plus an ERP (such as Oracle or Net Suite).

Responsibilities:

+ Manage the full invoice lifecycle for Medicaid rebate operations across all 50 states and territories, including receipt, validation, eligibility checks, unit/URA alignment, and timely payments in line with policy.

+ Investigate and resolve invoice discrepancies such as NDC/labeler mismatches, utilization anomalies, packaging conversions, dual-eligible rejections, and duplicate claims.

+ Maintain accurate Unit Rebate Amount (URA) usage and coordinate with Government Pricing for restatements and retroactive adjustments.

+ Track and report weekly/monthly status updates including open disputes, credits taken, average resolution days, and aging.

+ Lead structured dispute packages with data, rationale, precedent, and correspondence; monitor outcomes and escalate when necessary.

+ Build dashboards and KPIs for leadership, including claims volume, acceptance rate, dispute success rate, recovery dollars, cycle time, and resolution aging.

+ Administer state supplemental rebate programs by maintaining contract repositories, pricing terms, product addenda, and renewal calendars.

+ Ensure invoice adherence to rebate terms and coordinate accruals and true-ups with Finance.

+ Collaborate with the Government Pricing team on pricing changes impacting URA, NDC updates, product launches, and restatements.

+ Support CMS reporting and coordinate impacts to Medicaid rebates and GTN, monitor 340B interactions, and address duplicate discount risks.

+ Maintain SOPs for rebate processing, disputes, supplemental rebates, and documentation for audits.

+ Own day-to-day utilization of Medicaid rebate systems such as iContracts, interfaces with ERP/BI tools, and drive automation and process standardization.

+ Partner with IT and Data teams to improve data quality and reporting capabilities.

+ Work closely with Commercial Finance on accruals, true-ups, cash forecasting, and provide Medicaid insights for business initiatives like product launches and pricing.

Requirements:

+ Bachelor's degree in Accounting, Finance, Business, Supply Chain, Data/Analytics, or related field

+ 3-6 years of relevant pharma experience, including Medicaid rebates

+ Hands-on experience with Medicaid rebate processing platforms (e.g., iContract, Model N, Vistex/Revitas/Revenue Cloud) and ERP systems (Oracle, Net Suite)

+ Strong Excel and data analysis skills; comfortable working with large datasets and reconciliations

+ Understanding of MDRP fundamentals (AMP, Best Price, URA, invoicing cycles) and dispute methodologies

+ Proven ability to manage deadlines across multiple states with high accuracy and controls

+ Preferred: experience with 340B, VA/FSS, TRICARE, and state supplemental rebate programs

+ Knowledge of Government Pricing calculations (AMP, BP, NFAMP, PHS Ceiling Price) and GTN accounting concepts (accruals, true-ups, reserves)

Benefits:

Health insurance, paid time off, 401(k)

#M1

: #562-Joule Staffing - Edison

System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.