Remote Rebate Operations Specialist II

Navitus; Indianapolis (IN); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

Holidays

401K match

Adoption assistance

FSA

Education assistance

Professional membership

Referral bonus

Job summary

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team. This role analyzes, implements and reconciles PBM to GPO and manufacturer rebate submissions and payments, ensuring accurate data and timely invoicing.

Remote work is supported with occasional coordination to support client needs. The ideal candidate will have an Associate’s degree or CPhT, at least 1 year of pharmacy or medical claims processing experience, and proficiency with Word and Excel.

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.
• Proficient in Word and Excel (intermediate level).

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

Pharmacy knowledge

Claims processing

Microsoft Word

Microsoft Excel

Remote work experience

Regulatory/compliance

Education

CPhT or Associate degree

Job description

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team. This role analyzes, implements and reconciles PBM to GPO and manufacturer rebate submissions and payments, ensuring accurate data and timely invoicing.

Remote work is supported with occasional coordination to support client needs. The ideal candidate will have an Associate’s degree or CPhT, at least 1 year of pharmacy or medical claims processing experience, and proficiency with Word and Excel.