Drug Rebate Manager

2 months ago

Any city, United States Gainwell Technologies LLC Full time
Summary

As a ​Drug Rebate Manager at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position.

Your role in our mission
  • Manages operations staff productivity and performance, including preparation and delivery of staff performance reviews and evaluations
  • Monitors staff attendance and timekeeping for accuracy and compliance with policies
  • Participates in the hiring, onboarding, and training of new operations staff
  • Reviews and provides feedback to staff on monthly and quarterly operations reports
  • Provides coaching and feedback to staff on conduct and performance, and supports skills development and professional growth that will lead to improved outcomes
  • Works with operations team to help ensure all monthly and quarterly Service Level Agreements (SLAs) are met
  • Reviews dispute resolution proposals
  • Performs quarterly invoicing tasks as delegated by QA Analyst or Rebate Manager
  • Reviews Supervisor Queue in Process Manager and addresses/delegates all items as necessary
  • Works with Rebate Manager to complete monthly updates to staff performance metrics
  • Assists with preparation and maintenance of operations documentation
  • Interacts with internal and external stakeholders to accomplish operations goals
  • Participates in project work plan tasks and ensures compliance with audit control objectives
  • Assists with special projects and ad-hoc client requests as required
  • Fosters a positive team environment and leads by example
What we're looking for
  • Excellent organizational skills – ability to track and prioritize operational activities on an ongoing basis
  • Experience with PRIMS, SSRS Reports, and Process Manager Drug Rebate Solutions preferred
  • Experience with Medicaid drug rebates, Medical/Pharmacy claims processing, Pharmacy, and/or medical billing is highly preferred.
  • Maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA)
  • Ability to establish and maintain positive and collaborative work relationships with coworkers, clients, and manufacturer and provider contacts

Required Education

  • Bachelor's Degree or equivalent experience

Preferred Experience

  • 2+ years managing office staff
  • 5+ years of Medicaid Drug Rebate experience
What you should expect in this role
  • Opportunities to travel through your work (0-10%)

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