Business Analyst; Medicaid

Contractor, Government Rebate Operations

Strong analytical and time management skills are required. Ability to work with large amounts of data is required. Sophisticated knowledge of Microsoft Office (Excel, Word and Outlook) is required. Able to work independently and as part of a team is required. Knowledge of SOP's (Standard Operating Procedure) and Work Instructions process is required. The ability to balance multiple priorities simultaneously, with strong attention to detail, while meeting strict deadlines is required.

Being able to understand and respond to customers' requests in a timely manner is required. Strong interpersonal and communication skills are required. Bachelors Degree

The Contractor, Government Rebate Operations will report to the Senior Manager, and will oversee the critical operational aspects of Medicaid Payments. The Contractor will provide oversight on all issues relating to rebate analysis and payments, adjudication of such payments on a timely basis and resolution of any disputes on rebate claims.

Key Responsibilities:

• Review and analyze data to process payments for outstanding disputes.
• Deliver on expectations and activities to ensure accuracy, timeliness and completeness of payment packages in alignment with guidance documents.
• Ensure accuracy and completeness of payment packages, claim review, and commentary per identified metrics and the Medicaid Operational Guidelines.
• Use various sources of data, state updates and industry knowledge to collectively integrate, evaluate and provide a critical analysis of data/trending.