Remote Rebate Operations Specialist II

Navitus; City of Albany (NY); Remote; USD 45,000 - 70,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption assistance

Flexible Spending Account

Educational Assistance Plan and ProM b

Job summary

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team in a role focused on analyzing, implementing, and reconciling rebate submissions for PBM to GPO and manufacturers.

The position involves ensuring accurate audit of eligible claim data for rebate invoicing, working with the IRC Contracting/strategy team, and resolving discrepancies while supporting testing of rebate invoicing improvements. Remote work is possible.

Qualifications

• 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.

Responsibilities

• 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

Skills

Word

Excel

Remote work

Education

Associate’s degree or CPhT

Job description

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team in a role focused on analyzing, implementing, and reconciling rebate submissions for PBM to GPO and manufacturers.

The position involves ensuring accurate audit of eligible claim data for rebate invoicing, working with the IRC Contracting/strategy team, and resolving discrepancies while supporting testing of rebate invoicing improvements. Remote work is possible.