Current jobs related to Managed Care Rebate Analyst/Consultant - Parsippany NJ United States - Cognizant
-
Managed Care Rebate Analyst/Consultant
2 months ago
Parsippany, NJ, United States Cognizant Full timeAbout Us:Cognizant (Nasdaq: CTSH) engineers’ modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com The role is encouraged to drive technology discussions and analyze the current...
-
Managed Care Rebate Analyst/Consultant
2 months ago
Parsippany, United States Cognizant Full timeAbout Us:Cognizant (Nasdaq: CTSH) engineers’ modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com The role is encouraged to drive technology discussions and analyze the current...
-
Managed Care Rebate Analyst/Consultant
4 weeks ago
Parsippany, New Jersey, United States Cognizant Full timeAbout UsCognizant is a leading provider of business consulting and technology services. We help our clients modernize their businesses and improve their operations.Job SummaryWe are seeking a skilled Managed Care Rebate Analyst/Consultant to join our team. The ideal candidate will have expertise in Model N and experience in processing Managed Care...
-
Managed Care Rebate Analyst
4 weeks ago
Parsippany, New Jersey, United States Cognizant Full timeAbout UsCognizant is a leading IT services company that helps clients modernize technology, reimagine processes, and transform experiences to stay ahead in a fast-changing world.Job SummaryWe are seeking a highly motivated and experienced Managed Care Rebate Analyst/Consultant to join our team. The ideal candidate will have expertise in Model N and a...
-
Senior Managed Care Rebate Analyst
1 month ago
Parsippany, New Jersey, United States Teva Pharmaceuticals Full timeJob Title: Senior Managed Care Rebate AnalystAt Teva Pharmaceuticals, we're committed to making good health more affordable and accessible. As a Senior Managed Care Rebate Analyst, you'll play a critical role in managing the reimbursement process for our largest PBM Customer(s).Key Responsibilities:Collaborate with Contracting on terms and conditions,...
-
Senior Managed Care Rebate Analyst
3 months ago
Parsippany-Troy Hills, United States Teva Pharmaceuticals Full timeThe opportunityThe Senior Managed Care Rebate Analyst is responsible for managing the reimbursement process for Teva’s largest PBM Customer(s). This individual will collaborate with Contracting on terms and conditions, analyze utilization data, process and pay Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims...
-
Medicaid Claims Analyst
2 months ago
Parsippany, NJ, United States Cognizant Full timeAbout Us: Cognizant (Nasdaq: CTSH) engineers’ modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com The role is encouraged to drive technology discussions and analyze the current...
-
Medicaid Claims Analyst
4 weeks ago
Parsippany, United States AMISEQ Full timePosition Summary:The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Analyst is accountable for submitting payments within deadlines and in compliance with CMS guidelines and...
-
Medicaid Claims Analyst
2 weeks ago
Parsippany, New Jersey, United States Teva Pharmaceuticals Full timeJob SummaryThe Medicaid Claims Analyst is responsible for ensuring accurate and timely Medicaid drug rebate processing. This includes validating, verifying, and remitting payments to assigned state Medicaid agencies, SPAPs, and Supplemental Rebates. The Analyst must have a strong understanding of CMS guidelines and Teva rebate contract terms.Key...
-
Medicaid Claims Analyst
2 months ago
Parsippany, United States Cognizant Full timeAbout Us: Cognizant (Nasdaq: CTSH) engineers’ modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com The role is encouraged to drive technology discussions and analyze the current...
-
Medicaid Claims Analyst
2 months ago
Parsippany, United States Cognizant Full timeAbout Us: Cognizant (Nasdaq: CTSH) engineers’ modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com The role is encouraged to drive technology discussions and analyze the current...
-
Pharma Medicaid Claims Analyst
2 weeks ago
Parsippany, New Jersey, United States Aston Carter Full timeJob Title:Medicaid Claims AnalystJob Description:The Medicaid Claims Analyst is responsible for the Medicaid Drug Rebate process, which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs, and Supplemental Rebates. The Analyst is accountable for submitting payments within deadlines and...
-
Medicaid Claims Analyst
4 weeks ago
Parsippany, United States Cynet Systems Full timeWe are looking for Medicaid Claims Analyst for our client in Parsippany, NJ Job Title: Medicaid Claims Analyst Job Location: Parsippany, NJ Job Type: Contract Job Description: Pay Range: $35hr - $40hr Responsibilities:Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure...
-
Medicaid Claims Analyst
4 weeks ago
Parsippany-Troy Hills, United States Sunrise Systems, Inc. Full timeJob Title: Medicaid Claims Analyst Job Id: 24-04565 Location: Fully Remote OR Hybrid (Parsippany, NJ) Duration: 08+ Months On W2 Contract Monday – Friday 8:00am – 5:00pm. Hybrid workers have Tuesday and Wednesday onsite and Monday, Thursday and Friday from home. Remote workers are fully remote. Core Essential Skill sets: - Medicaid rebate...
-
Medicaid Claims Analyst Position
4 weeks ago
Parsippany, New Jersey, United States Sunrise Systems, Inc. Full timeJob Title: Medicaid Claims AnalystJob Summary:We are seeking a highly skilled Medicaid Claims Analyst to join our team at Sunrise Systems, Inc. The successful candidate will be responsible for analyzing and resolving complex Medicaid claims, ensuring compliance with CMS guidelines and state-specific regulations.Key Responsibilities:Validate and verify...
-
Private Equity Analyst
4 weeks ago
, TX, United States LP Analyst Full timeJob Title: Private Equity AnalystWe are seeking a highly motivated and detail-oriented Private Equity Analyst to join our team at LP Analyst. As a Private Equity Analyst, you will play a key role in helping our clients achieve success by analyzing and structuring private asset fund data, creating client-specific reporting and dashboard analytics, and...
-
Contract Manager
1 month ago
Parsippany, New Jersey, United States Teva Pharmaceuticals Full timeAbout the RoleWe are seeking a highly skilled Contract and Formulary Compliance Manager to join our team at Teva Pharmaceuticals. As a key member of our Managed Care team, you will be responsible for supporting the development, performance, and analysis of Managed Care data, post-audit disputes, and PBM customer dispute analytics.Key ResponsibilitiesReview...
-
Medicaid Claims Specialist
7 days ago
Parsippany, New Jersey, United States Teva Pharmaceuticals Full timeJob SummaryThe Medicaid Claims Analyst is responsible for ensuring the accuracy and compliance of Medicaid drug rebate processes. This includes validating, verifying, and remitting payments for assigned state Medicaid agencies, SPAPs, and Supplemental Rebates. The Analyst must submit payments within deadlines and in compliance with CMS guidelines and Teva...
-
Contract Manager
1 month ago
Parsippany, New Jersey, United States Teva Pharmaceuticals Full timeJob Title: Manager, Contract & Formulary ComplianceWe are seeking a highly skilled and experienced professional to join our team as a Manager, Contract & Formulary Compliance. This role will be responsible for supporting the development, performance, and analysis of Managed Care data, post-audit disputes, and PBM customer dispute analytics.Key...
-
Pharmaceutical Contract Manager
1 week ago
Parsippany, New Jersey, United States Teva Pharmaceuticals Full timeJob SummaryThe Pharmaceutical Contract Manager will support the development, performance, and analysis of Managed Care data, post-audit disputes, and PBM customer dispute analytics. This role will focus on both Excel-driven analysis and superior presentation skills.Key Responsibilities Review Managed Care Contracts, data, and perform analysis on PBM/customer...
Managed Care Rebate Analyst/Consultant
2 months ago
About Us:
Cognizant (Nasdaq: CTSH) engineers’ modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com
The role is encouraged to drive technology discussions and analyze the current landscape for gaps in addressing business needs. Cognizant needs a motivated individual to challenge the status quo and provide thought leadership/standard methodologies to improve our current services and technologies.
Role: Managed Care Rebate Analyst/Consultant (Must have experience in Model-N)
Job Summary
The ideal candidate will have expertise in Model N
The Managed Care Rebate Analyst/Consultant is responsible for the processing of Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims in accordance with the terms and conditions of the rebate contract and internal processing procedures. This position is responsible for analyzing utilization data, applying rules to determine included and excluded claims, assigning appropriate rebate percentages to utilization claims, and initiating payment to customers within contractual guidelines.
• Must have a thorough understanding of PBM networks, drug formularies, and all Managed Care rebate and fee types, including Base Rebates, Administrative Fees, Price Inflation Rebates
• Interpret contract language; input/maintain plans, products, and reimbursement thresholds in the Model N/Flex System
• Analyzes utilization data for completeness and accuracy
• Applies appropriate validations to utilization data; exclude ineligible claims (duplicates, ineligible pharmacies, aberrant quantities)
• Processes rebates through Model N/Flex Revenue Manager Submissions, Adjudications and Settlement Modules, resolving all errors and rejecting lines where appropriate
• Ensures calculated reimbursements are approved at all levels and prepared for payment
• Tracks invoice and calculation amounts; analyzes and explains large variances period over period and invoice vs. calculated amounts
• Assists with system testing as needed
• Maintains and communicates payment calculation details and rejected claim explanation to management and/or customer
Experience and qualifications
• Must have extensive experience with Model N/Flex – Validate and Revenue Manager modules; Validating utilization data from PBMs, Managed Care Contract maintenance, and Managed Care Rebate Processing
• Intermediate Excel Level – extensive experience with pivot tables, vlookups
• Exemplary Analytical skills
• Minimum 2 years’ experience processing Managed Care Rebates •
• Minimum 2 years’ experience with Pharmaceutical Manufacturer.
• Thorough understanding of PBM networks and drug formularies
• Minimum 2 years’ experience with Model N/Flex, Legacy Model N, or Revitas
• Intermediate Excel Skills (pivot tables, vlookups)
Salary and Other Compensation:
The annual salary for this position is depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
Medical/Dental/Vision/Life Insurance
Paid holidays plus Paid Time Off
401(k) plan and contributions
Long-term/Short-term Disability
Paid Parental Leave
Employee Stock Purchase Plan
Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
