Drug Rebate SME

Job Title:

Drug Rebate SME

Duration: 12+ months

Location:

Remote (Travel to the East Coast once a month)

Job Description:

• Supported the transition of Medicaid Drug Rebate operations during leadership turnover to ensure continuity of financial and compliance activities.
• Gathered, analyzed, and documented business requirements from subject matter experts for drug rebate invoicing, dispute resolution, reconciliation, and CMS reporting.
• Participated in market research to identify vendors capable of assuming full drug rebate operational responsibilities.
• Reviewed existing workflows, system touchpoints, reporting processes, and data dependencies to support modernization planning and process improvement.
• Coordinated cross-functional discussions between operational teams, finance, IT, and program leadership to align rebate operations with overall Medicaid system updates.
• Facilitated knowledge transfer activities to preserve operational continuity and reduce risk during organizational change.

Key/Skills Requirements:

• Must have a comprehensive understanding of Drug Rebate operations, including rebate processing, financial management, CMS Reporting, and dispute resolution.
• Medicaid experience is key.
• Must be familiar with Drug Rebate legislation and federal guidelines.
• Understanding of the various claims associated with Drug Rebate, including pharmacy and 340B.
• Must always be professional and presentable to the client.
• Experience developing presentations, executive summaries, requirements documents, and research papers as needed to support project work.