Remote Rebate Operations Specialist II

Navitus; Harrisburg (Dauphin County); Remote; USD 60,000 - 85,000; 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 Program

Flexible Spending Account

Educational Assistance Plan

Professional Membership assistance

Referral Bonus Program – up to $750

Job summary

Navitus Health Solutions seeks a Rebate Account Specialist II to analyze and implement PBM to GPO and manufacturer rebate submissions. You will reconcile rebates, verify data for invoicing, and coordinate with the IRC Contracting/strategy team to meet submission standards.

Responsible for auditing eligible claim data, resolving discrepancies, and supporting rebate invoicing enhancements. Remote work option available within the United States.

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.
• 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

Interpersonal skills

Education

Associate’s degree or CPhT

Tools

Word

Excel

Job description

Navitus Health Solutions seeks a Rebate Account Specialist II to analyze and implement PBM to GPO and manufacturer rebate submissions. You will reconcile rebates, verify data for invoicing, and coordinate with the IRC Contracting/strategy team to meet submission standards.

Responsible for auditing eligible claim data, resolving discrepancies, and supporting rebate invoicing enhancements. Remote work option available within the United States.