Rebate Account Specialist II

Navitus Health Solutions, LLC; United States; Remote; USD 55,000 - 67,000; Full time

Job summary

An established industry player is seeking a Rebate Account Specialist II to join its Rebate Operations department. This role involves analyzing and implementing rebate submission processes, ensuring accurate audits of claim data, and reconciling rebate payments. The ideal candidate will have a strong background in pharmacy or medical claims processing and be proficient in relevant software. Join a diverse and innovative team that values creativity and growth while making a significant impact on the affordability of medications for those in need. This is a fantastic opportunity to contribute to a mission-driven organization dedicated to excellent service.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

20 Days Paid Time Off

4 Weeks Paid Parental Leave

9 Paid Holidays

401K Company Match

Adoption Assistance Program

Flexible Spending Account

Qualifications

• 1+ years of experience in Pharmacy or Medical Claims Processing required.
• Proficient in Microsoft Word and Excel at an intermediate level.

Responsibilities

• Oversee complex rebate setups and maintain parameters in the rebate processing system.
• Communicate with Pharma or GPO on payment discrepancies and ensure accuracy.

Skills

Pharmacy Knowledge

Medical Claims Processing

Analytical Skills

Communication Skills

Problem-Solving

Education

Associate’s Degree

CPhT Certification

Tools

Microsoft Word

Microsoft Excel

Job description

Company

Navitus

About Us

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.

Pay Range

USD $55,151.39 - USD $66,447.46 /Yr.

Work Schedule Description

M-F 8am to 5pm CST

Remote Work Notification

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our Rebate Operations department! The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure rebate submission standards are met. The Rebate Account Specialist II will also reconcile rebate payments and investigate and resolve any discrepancies.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Oversees multiple complex rebate setups following the batch formulary listing with minimal oversight
• Reviews GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system
• Submits quarterly rebate reports to applicable pharmaceutical manufacturers
• Collects rebate payments from manufacturer, either directly or through the GPO, on a timely basis according to contract terms, and audit these for accuracy
• Communicates with Pharma or GPO on payment discrepancies and makes necessary changes in rebate processing system to ensure any errors have been corrected
• Works with Finance in the allocation and processing of client rebate payments
• Serves as direct contact for drug company representatives or with IRC Contracting team (GPO issues) in information exchange and problem resolution
• Able to read and comprehend client formularies/PA forms as they relate to rebate contracts and GPO strategy.
• Supports testing of rebate invoicing application enhancements
• Other duties as assigned

Qualifications

What our team expects from you?

• Associate’s degree or CPhT required
• Minimum of 1 year of experience in Pharmacy or Medical Claims Processing, Trade or Industry Relations, or Drug Claim Analysis required
• Proficient in Word and Excel (intermediate level)
• Experience working in a remote setting preferred
• Pharmacy experience (including drug names, classes and terminology) preferred
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account

#LI-Remote

Location : Address

Remote

Location : Country

US