Pharmacist, Rebate Operations & Compliance

Prime Therapeutics; Cheyenne (WY); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is hiring a Rebate Operations Pharmacist to provide clinical pharmacy support for the Rebate Operations team and client accounts. You will interpret and communicate changes in federal legislation affecting Medicaid drug rebate programs and support DRUs/retro-DRUs as required by clients.

Responsibilities include acting as SME on claims accuracy, assisting with quarterly 64.9r reporting, invoicing reviews, and client dispute resolution.

Qualifications

• PharmD or Bachelor of Science Pharmacy degree is required or equivalent.
• Current Pharmacist license to practice in the applicable state(s).
• 1 year work experience in Pharmacy or Pharmacy Rebate Management.

Responsibilities

• Act as SME for Rebate Operations team regarding accuracy of medical and pharmacy claims.
• Support rebate operations and clients with 64.9r reporting and ad hoc reporting; assist in invoicing and disputes.
• Monitor CMS/MDP guidance and advise on changes affecting rebates.
• Collaborate with Account Management on rebate trends and client inquiries.

Skills

Strong communication

Analytical skills

Problem solving

Independent worker

Education

PharmD or Bachelor of Science Pharmacy degree

Tools

Microsoft Excel

Microsoft Word

Job description

Prime Therapeutics is hiring a Rebate Operations Pharmacist to provide clinical pharmacy support for the Rebate Operations team and client accounts. You will interpret and communicate changes in federal legislation affecting Medicaid drug rebate programs and support DRUs/retro-DRUs as required by clients.

Responsibilities include acting as SME on claims accuracy, assisting with quarterly 64.9r reporting, invoicing reviews, and client dispute resolution.