Managed Care Rebate Analyst

1 month ago

Parsippany, United States Tevapharm Full time

Together, we’re on a mission to make good health more affordable and accessible, to help millions around the world enjoy healthier lives. It’s a mission that bonds our people across nearly 60 countries and a rich, diverse variety of nationalities and backgrounds. Working here means working with the world’s leading manufacturer of generic medicines, and the proud producer of many of the products on the World Health Organization’s Essential Medicines List. Today, at least 200 million people around the world take one of our medicines every single day. An amazing number, but we’re always looking for new ways to continue making a difference, and new people to make a difference with.

The opportunity

The Managed Care Rebate Analyst 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 sales, and initiating payment to customers within contractual guidelines.

How you’ll spend your day

• The Managed Care Rebate Analyst must interpret contract language and input and maintain plans, products, and rebate programs in the Model N/Flex System; this position must have a thorough understanding of PBM networks and contractual verbiage as stated in assigned account agreements.
• Aids in the delivery of key information in support of rebate forecasting, contract performance assessment, and financial and government reporting using the Model N/Flex system.
• Provides first level approval, as required by SOX, of all outbound rebate claim documents for accuracy (dollars and coding) and completeness.
• Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed Market team or other internal teams as needed.
• Tracks and communicates rebate trending, invoice to payment variances, and prior period analysis.
• Recommends improvements to and provides assistance in the modification of systems and processes including User Acceptance and Regression Testing.
• Helps in the exercise of rebate forecasting by providing timely information regarding account current account dynamics.

Your experience and qualifications

• Bachelor’s degree or equivalent combination of education, training and/or direct work related experience.
• Preferred 2 years Pharmaceutical operational experience, preferably with reimbursements (Purchase Based or Managed Care Rebates, Medicaid Rebates, Chargebacks).
• Excel required; Model N Flex or comparable software and/or SAP a plus.

Enjoy a more rewarding choice

We offer a competitive benefits package, including:
• Comprehensive Health Insurance: Medical, Dental, Vision, and Prescription coverage starting on the first day of employment, providing the employee enrolls.
• Retirement Savings: 401(k) with employer match, up to 6% and an annual 3.75% Defined Contribution to the 401k plan.
• Time Off: Paid Time Off including vacation, sick/safe time, caretaker time, 13 paid Holidays and 3 paid floating holidays.
• Life and Disability Protection: Company paid Life and Disability insurance.
• Additional benefits include, but not limited to, Employee Assistance Program, Employee Stock Purchase Plan, Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life Style Spending Account, Volunteer Time Off, Paid Parental Leave, if eligible, Family Building Benefits, Virtual Physical Therapy, Accident, Critical Illness and Hospital Indemnity Insurances, Identity Theft Protection, Legal Plan, Voluntary Life Insurance and Long Term Disability and more.

Teva’s Equal Employment Opportunity Commitment

Teva Pharmaceuticals is committed to equal opportunity in employment. It is Teva's global policy that equal employment opportunity be provided without regard to age, race, creed, color, religion, sex, disability, pregnancy, medical condition, sexual orientation, gender identity or expression, ancestry, veteran status, national or ethnic origin or any other legally recognized status entitled to protection under applicable laws. We are committed to a diverse and inclusive workplace for all. If you are contacted for a job opportunity, please advise us of any accommodations needed to support you throughout the recruitment and selection process. All accommodation information provided will be treated as confidential and used only for the purpose of providing an accessible candidate experience.

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