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Job Description

The Contractor, Government Rebate Operations will report to the Senior Manager, and will oversee the critical operational aspects of Medicaid Payments. The Contractor will provide oversight on all issues relating to rebate analysis and payments, adjudication of such payments on a timely basis and resolution of any disputes on rebate claims.

Key Responsibilities:

• Review and analyze data to process payments for outstanding disputes.

• Deliver on expectations and activities to ensure accuracy, timeliness and completeness of payment packages in alignment with guidance documents.

• Ensure accuracy and completeness of payment packages, claim review, and commentary per identified metrics and the Medicaid Operational Guidelines.

• Use various sources of data, state updates and industry knowledge to collectively integrate, evaluate and provide a critical analysis of data/trending.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

Strong analytical and time management skills are required.

Ability to work with large amounts of data is required.

Sophisticated knowledge of Microsoft Office (Excel, Word and Outlook) is required.

Able to work independently and as part of a team is required. Knowledge of SOP's (Standard Operating Procedure) and Work Instructions process is required.

The ability to balance multiple priorities simultaneously, with strong attention to detail, while meeting strict deadlines is required.

Being able to understand and respond to customers’ requests in a timely manner is required.

Strong interpersonal and communication skills are required.

Bachelors Degree • A minimum of 1 years of work experience in business discipline or related field.

• Experience in Medicaid, Rebate Management, and/or compliance is preferred. Knowledge and understanding of product, industry trends and contracting processes

• Familiarity with CORE/Medicaid, CCRA, Content Manager.

• A strong ability to develop innovative methods for performing tasks efficiently and effectively through workflow analysis is highly sought after.