Sr. Commercial & Medicaid Rebates Analyst

Syntagma Group; Bridgewater (MA); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare consulting firm is seeking a Sr. Commercial & Medicaid Rebates Analyst to manage the rebate processing for commercial and Medicaid programs. The ideal candidate will have strong knowledge of Vistex and will be responsible for ensuring compliance and accuracy in financial controls. Key responsibilities include validating commercial rebates, processing Medicaid invoices, and collaborating with various departments. Ideal candidates must have a Bachelor's degree and 3-5 years of relevant experience, with strong analytical and communication skills.

Qualifications

• 3-5 years of experience in Pharma rebate and Medicaid rebate operations.
• Highly organized and attentive to detail with accuracy.
• Proven ability to interact with upper management and external contacts.

Responsibilities

• Manage end-to-end rebate processing, validation, and reconciliation.
• Validate and process commercial rebate claims in Vistex.
• Maintain documentation for audit readiness.

Skills

Vistex rebate processing

Analytical skills

Problem-solving skills

Excel skills

Word skills

Education

Bachelor’s degree in business, Finance, or Accounting

Tools

SAP

Vistex

Job description

The Sr. Commercial & Medicaid Rebates Analyst is responsible for managing end-to-end rebate processing, validation, reconciliation, and dispute resolution for both commercial rebate programs (Managed Care, GPO, Wholesalers, Specialty) and Medicaid Drug Rebate Program (MDRP) activities. The role supports rebate operations using SAP + Vistex, ensuring accurate contract execution, timely payments, compliant rebate handling, and strong financial controls.

This role requires strong knowledge of Vistex rebate processing, contract eligibility, membership validation, and experience working with Medicaid rebate invoices, utilization, and dispute processes.

Essential Duties and Responsibilities

• Validate and Process Commercial Rebate and Admin Fee Claims in Vistex
• Identify root cause issues and coordinate corrections with contracting and Vistex master data teams.
• Support implementation and maintenance of rebate agreements and test new contracts and updates.
• Maintain documentation for audit readiness such as Process narratives, Control logs etc.
• Validate and Processes quarterly Medicaid invoices in Vistex to include retrieving e-invoices or scanning mail invoices, loading invoices in Vistex, identifying and resolving disputes with Medicaid state representatives, submitting invoices for payment, and creating payment packages with another team member.
• Collaborates with various departments to resolve all source system data issues identified in the data reconciliation and validation process prior to calculations being processed.
• Maintains appropriate written and electronic documentation consistent with approved policy and various state and federal requirements.
• Work on special projects as they arise.

Qualification Requirements

• Bachelor’s degree in business, Finance, or Accounting from an accredited college or university is required.
• 3-5 years of experience in Pharma rebate and Medicaid rebate operations is required.
• Organized and very attentive to detail with a high degree of accuracy to ensure compliance with timelines, internal policies, laws and regulations.
• Proven analytical and problem-solving skills.
• Strong Excel and Word skills are required, Vistex and SAP ERP experience is strongly preferred.
• Effective written and oral communication skills.
• A self-starter with ability to work independently to manage multiple tasks, priorities and timelines.
• Ability to successfully interact with upper management and external government contacts.
• Must have excellent oral and written communication skills as job responsibilities include communicating with various levels of management within and outside of the company.
• Additional responsibilities may be assessed as appropriate.