Remote Rebate Operations Specialist II

Navitus

Sacramento (CA)

Remote

USD 55,000 - 75,000

Full time

9 days ago

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Benefits offered by this job

Health, Dental, Vision insurance
20 days PTO
4 weeks parental leave
9 paid holidays
401K company match up to 5%
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan
Referral Bonus Program - up to $750

Job summary

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team. This role analyzes and implements PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes, ensuring audit accuracy and timely invoicing.

You will collaborate with the IRC Contracting team to meet rebate submission standards and reconcile payments. The position offers remote work options and a comprehensive benefits package, including health, dental and vision coverage, paid time

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

Microsoft Word
Microsoft Excel
Remote work
Pharmacy terminology

Education

Associate's degree
CPhT

Job description

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team. This role analyzes and implements PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes, ensuring audit accuracy and timely invoicing.

You will collaborate with the IRC Contracting team to meet rebate submission standards and reconcile payments. The position offers remote work options and a comprehensive benefits package, including health, dental and vision coverage, paid time

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