Clinical Rebate & Analytics Manager

MedImpact Healthcare Systems, Inc.; San Diego (CA); On-site; USD 109,000 - 196,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Wellness

PTO / Holidays

Incentive compensation

401K with company match

Life and disability insurance

Tuition reimbursement

Employee referral bonus

Job summary

MedImpact Healthcare Systems, Inc. is seeking a Rebate Clinical Program Manager to optimize the clinical quality and cost-effectiveness of drug rebates.

You will analyze HCPCS/NDC data, CMS processes, and rebate billing to drive value for clients and MedImpact. In this role you will lead data-driven reviews, develop improvement recommendations, and support 340B initiatives while collaborating with account teams to meet financial goals.

Qualifications

• PharmD and 3+ years’ experience or equivalent combination of education and experience.
• 1 year of SME in respective areas.
• Analytical skills with Health Informatics experience (preferred).
• Experience in promoting drug cost management programs (preferred).

Responsibilities

• Provides recommendations to clients aligning with mutual goals and CMS processes.
• Performs provider audits and education for medical claim billing regarding rebates.
• Conducts claims analysis for incorrect quantities billed for rebate invoicing.
• Develops unit of measure conversion for NDC billing to CMS rebate units.
• Produces reports and financial/drug utilization data for state programs.
• Ensures timely and accurate review of claim data with intervention recommendations.
• Supports 340B strategic initiatives.

Skills

Analytical skills

Health informatics (preferred)

Drug cost management programs (promote

Education

PharmD

Tools

Microsoft Office Suite

Relational databases

Job description

MedImpact Healthcare Systems, Inc. is seeking a Rebate Clinical Program Manager to optimize the clinical quality and cost-effectiveness of drug rebates.

You will analyze HCPCS/NDC data, CMS processes, and rebate billing to drive value for clients and MedImpact. In this role you will lead data-driven reviews, develop improvement recommendations, and support 340B initiatives while collaborating with account teams to meet financial goals.