Pharmacist - Rebate Operations & Policy

Prime Therapeutics; Lincoln (NE); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is seeking a Rebate Operations Pharmacist to support the Rebate Operations team and clients by interpreting federal legislation changes affecting State Medicaid Drug Rebate programs and assisting with related reporting and invoicing.

The role requires a PharmD or BS Pharmacy, a current pharmacist license, and about 1 year of relevant experience. It includes client-facing responsibilities and collaboration with account management.

Qualifications

• PharmD or Bachelor of Science Pharmacy degree.
• Current Pharmacist license to practice in the applicable state(s).
• 1 year work experience in Pharmacy or Pharmacy Rebate Management.
• Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Responsibilities

• Act as SME resource for Rebate Operations team regarding accuracy and reasonableness of medical and pharmacy claims.
• Support Rebate Operation and clients in gathering and completion of quarterly 64.9r reporting and ad hoc reporting at client request.
• Assist in pre-invoice claims reviews and adjustments and invoicing activities.
• Assist in dispute resolution as needed.
• Partner with team leadership on decisions regarding Federal legislation changes and new reporting creation.
• Monitor CMS and Medicaid Drug Program guidance for changes and provide recommendations.

Skills

Communication

Problem solving

Analytical skills

Excel

Word

Independence

Adaptability

Education

PharmD

Bachelor of Science Pharmacy

Tools

Microsoft Office

Job description

Prime Therapeutics is seeking a Rebate Operations Pharmacist to support the Rebate Operations team and clients by interpreting federal legislation changes affecting State Medicaid Drug Rebate programs and assisting with related reporting and invoicing.

The role requires a PharmD or BS Pharmacy, a current pharmacist license, and about 1 year of relevant experience. It includes client-facing responsibilities and collaboration with account management.