Pharmacist, Rebate Ops & Regulatory Compliance

Prime Therapeutics; Salt Lake City (UT); Presencial; USD 108 000 - 184 000; Tempo integral

Resumo da oferta

Prime Therapeutics is seeking a Rebate Operations Pharmacist to provide clinical pharmacy support for the Rebate Operations team and clients. You will interpret federal legislation changes impacting State Medicaid Drug Rebate programs and support reporting and invoicing activities.

The role requires a PharmD or BS in Pharmacy, an active pharmacist license, and at least 1 year of pharmacy or rebate management experience, with strong communication and analytical skills.

Qualificações

• 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.

Responsabilidades

• Act as Subject Matter Expert (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 that aid in showing impacts to rebate programs; assist in pre-invoice claims reviews and adjustments and invoicing activities as needed; assist in dispute resolution as needed.
• Partner with team leadership in implementation decisions regarding Federal legislation changes, new reporting creation, and participation in Federal Office of Inspector General (OIG) and state audits; track and ensure all contractual requirements are being met.
• Monitor Centers for Medicare & Medicaid Services (CMS) and Medicaid Drug Program (MDP) for new guidance and changes that impact Rebate Operations; provide recommendations on integrating changes.
• Partner with Account Management to support rebate trending discussions (e.g., disputes status, program and invoicing trends) and serve as main point of contact for assigned clients on all rebate service-related inquiries.
• Other duties as assigned.

Conhecimentos

Communication skills

Analytical skills

Problem solving

Excel

Formação académica

PharmD or Bachelor of Science Pharmacy degree

Current Pharmacist license to practice

Descrição da oferta de emprego

Prime Therapeutics is seeking a Rebate Operations Pharmacist to provide clinical pharmacy support for the Rebate Operations team and clients. You will interpret federal legislation changes impacting State Medicaid Drug Rebate programs and support reporting and invoicing activities.

The role requires a PharmD or BS in Pharmacy, an active pharmacist license, and at least 1 year of pharmacy or rebate management experience, with strong communication and analytical skills.