Pharmacist, Rebate Operations & Policy Impact

Prime Therapeutics LLC; Albuquerque (NM); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics LLC is seeking a Rebate Operations Pharmacist to provide clinical pharmacy support for the Rebate Operations team and clients. The role interprets Federal legislation changes affecting State Medicaid Drug Rebate programs and supports related utilization reviews.

Responsibilities include serving as SME for claims accuracy, assisting with quarterly 64.9r reporting, and coordinating with management on regulatory changes while maintaining client relationships.

Qualifications

• PharmD or B.S. in Pharmacy required.
• 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 regarding accuracy and reasonableness of medical and pharmacy claims.
• Support rebate operations and clients in gathering and completion of quarterly reporting and ad hoc reporting; assist in pre-invoice reviews and invoicing.
• Partner with leadership on Federal legislation changes, new reporting, and audits; track contractual requirements.
• Monitor CMS/MDP guidance and provide recommendations on integrating changes.
• Partner with Account Management to support rebate trending discussions and serve as main contact for clients on rebate inquiries.
• Other duties as assigned.

Skills

Communication skills

Analytical skills

Problem solving

Education

PharmD or Bachelor of Science Pharmacy degree

Tools

Excel

Word

Job description

Prime Therapeutics LLC is seeking a Rebate Operations Pharmacist to provide clinical pharmacy support for the Rebate Operations team and clients. The role interprets Federal legislation changes affecting State Medicaid Drug Rebate programs and supports related utilization reviews.

Responsibilities include serving as SME for claims accuracy, assisting with quarterly 64.9r reporting, and coordinating with management on regulatory changes while maintaining client relationships.