Senior Rebate Audit Specialist

UnitedHealth Group; Irvine (CA); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Telecommuter Policy

Job summary

UnitedHealth Group is seeking a Senior Rebate Audit Analyst to support the Client Audit Department in delivering best-in-class audit management and ensure rebates are accurately processed and corrected promptly.

The role requires interaction with internal teams and external audit entities, with opportunities to contribute to special projects and improve processes within a high-paced environment.

Qualifications

• 3+ years of PBM and/or Claims Audit experience.

Responsibilities

• Facilitate end-to-end management of external client audits focused mainly on rebate administration
• Support manufacturer billing rebate audits conducted virtually and, in some cases, physically on-site
• Request and obtain rebate documentation from internal teams to provide to external audit firms within established turn-around times
• Read and interpret client contracts, pharmaceutical rebate contracts, and rebate reporting
• Perform research to ensure claims were accounted for correctly in minimum rebate guarantee reconciliations
• Respond to claim sample inquiries and audit reports from external audit firms
• Actively participate on Department projects
• Consistently meet established productivity, deliverable timeline adherence, and Department quality standards

Skills

PBM experience

Claims Audit

Rebate Administration

Project management

Excel

Communication skills

Travel readiness

Education

High School Diploma or GED

Bachelor's degree

Tools

Microsoft Office Suite

Rebate Billing Systems

Job description

UnitedHealth Group is seeking a Senior Rebate Audit Analyst to support the Client Audit Department in delivering best-in-class audit management and ensure rebates are accurately processed and corrected promptly.

The role requires interaction with internal teams and external audit entities, with opportunities to contribute to special projects and improve processes within a high-paced environment.