Senior Managed Care Rebate Analyst

4 weeks ago


ParsippanyTroy Hills, United States Teva Pharmaceuticals Full time

The opportunity

The 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 in accordance with the terms and conditions of the rebate contract and internal processing procedures. This individual will work with customer to communicate and resolve discrepancies and will collaborate with internal teams to assist in the disputes process.

How you’ll spend your day

• The Senior 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; provides input on contractual terms and conditions related to reimbursements
• 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
• Understands formularies and can interpret rebate eligibility requirements 
• Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed Market team or other internal teams as needed; leads meeting with customers and internal teams to quantify and communicate discrepancies
• Works cross functionally with Formulary Compliance, Revenue Accounting, Gross to Net and Contracting to optimize rebate strategies 
• Tracks and communicates rebate trending, invoice to payment variances, and prior period analysis
• Assesses and defines areas of technological advancement, including key trends and metrics
• Assists in the training and development of other team members
• 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 current account dynamics

Your experience and qualifications

• Bachelor’s degree or equivalent combination of education, training and/or direct work related experience
• Model N Flex or comparable software required
• At least 2 years Pharmaceutical operational experience processing Managed Care Rebates 
• Intermediate Excel Level – extensive experience with pivot tables, vlookups
• Exemplary Analytical skills
• Strong Communication skills

Enjoy a more rewarding choice

We are strengthening and adding to our critical teams with great talent and capabilities: Teva, a global organization with a brand of evolving success. Be part of it

We offer a competitive benefits package, including Medical, Dental, Vision, and Prescription coverage starting on the first day. We also offer Disability and Life Insurance, Paid Time Off, Paid Holidays, 6% match on the 401(k), Employee Stock Purchase Plan, and Tuition Assistance.



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