The opportunity
The Senior Managed Care Rebate Analyst is responsible for managing the reimbursement process for Teva’s largest PBM Customer(s). This individual will collaborate with Contracting on terms and conditions, analyze utilization data, process and pay Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims in accordance with the terms and conditions of the rebate contract and internal processing procedures. This individual will work with customer to communicate and resolve discrepancies and will collaborate with internal teams to assist in the disputes process.
How you’ll spend your day
• The Senior Managed Care Rebate Analyst must interpret contract language and input and maintain plans, products, and rebate programs in the Model N/Flex System; this position must have a thorough understanding of PBM networks and contractual verbiage as stated in assigned account agreements; provides input on contractual terms and conditions related to reimbursements
• Aids in the delivery of key information in support of rebate forecasting, contract performance assessment, and financial and government reporting using the Model N/Flex system
• Provides first level approval, as required by SOX, of all outbound rebate claim documents for accuracy (dollars and coding) and completeness
• Understands formularies and can interpret rebate eligibility requirements
• Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed Market team or other internal teams as needed; leads meeting with customers and internal teams to quantify and communicate discrepancies
• Works cross functionally with Formulary Compliance, Revenue Accounting, Gross to Net and Contracting to optimize rebate strategies
• Tracks and communicates rebate trending, invoice to payment variances, and prior period analysis
• Assesses and defines areas of technological advancement, including key trends and metrics
• Assists in the training and development of other team members
• Recommends improvements to and provides assistance in the modification of systems and processes including User Acceptance and Regression Testing
• Helps in the exercise of rebate forecasting by providing timely information regarding current account dynamics
מלאה
פורסם לפני 3 שבועות
פורסמה ברשת
מידת ההתאמה שלי לתפקיד
התאמתך לתפקיד מחושבת על פי כישורך (כפי שסיפרת לנו עליהם) מול דרישות המעסיק - אין בכך כדי להעיד על קבלתך לעבודה (זה יחליט המעסיק)
משרות חדשות במערכת שיכולות לעניין אותך
IBI בית השקעות
דוברי שפות
אזור השרוןהוד השרוןהרצליה / רמת השרוןחדרהחולון / בת יםיבנהלוד / רמלהמודיעיןנתניהפתח תקווהראש העיןראשון לציוןרחובות / נס ציונה/ גדרהתל אביב
פורסם לפני חודש 1
* ניתוח וניהול סיכוני אשראי מורכבים של חברות שונות במגוון ענפים במשק.* ניתוח דוחות כספיים, מאזני בוחן, דוחות מע”מ וכיו”ב.* ...