Government Reimbursement Analyst to join us in our
Contracts & Pricing team, based in
Atlanta, GA (hyrbid, 2x per week in office)About the RoleThe Government Reimbursement Analyst is responsible for a range of activities related to but not limited to the payment of Government Programs, including State Medicaid, Coverage Gap, TriCare, Manufacturer's Discount Program and Medicare Inflation Rebates within required timeframes.
Who you'll work withInternally, you will work with Accounting and Finance, Government Pricing, Gross 2 Net (G2N) teams, Account Executives as required, SAP team (IT) and collaborate with others as required. Externally, you will work with the State Medicaid Agencies, Model N and other external solution partners.
What you'll do- Manage contracts and pricing updates & process payments related to assigned Government programs
- Manage Medicaid Payment Master for all assigned programs
- Process & pay all Medicaid claims and other programs assigned within required time periods\
- Serve as the key contact with State Medicaid agencies and must be able to communicate clearly and reconcile discrepancies within required timeframes usually through email
- Analyze summarizes and interprets results and makes recommendations regarding the need to dispute any Claim submissions
- Responsible for the settlement of programs in both Model N and SAP
- Manage or assist with any system testing and upgrades as assigned
- Ensure compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards, and guidelines, etc.
Interested? For this role we're looking for the followingMinimum requirements- Bachelor's degree in Finance, Accounting, or other analytical-related field
- 2+ years of relevant experience required
Preferred requirements- Pharmacy Benefit Management (PBMs), pharmacy claims knowledge and/or pharmacy-related experience is preferred
- Strong MS Excel working knowledge; SAP & Model N preferred
- Ability to levereage data analytics and artificial intelligence (AI) tools to generate insights, support decision-making and improve business outcomes
- Power BI and other data analytical software knowledge and experience helpful
- Hands-on knowledge of and/or experience with Model N or other Government Pricing software platforms strongly preferred
- Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred
- Pharmacy Technician experience preferred
Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred
This positions reasonably anticipated salary range is $88,000-116,000. The actual salary offered will take into account related knowledge, skills, experience and candidate location among other factors and may fall outside the expected range.
Are you ready to 'go beyond' to create value and make your mark for patients? If this sounds like you, then we would love to hear from you!
