Analyst

• Review Medicaid drug rebate payments and identify disputes
• Identify, research, and resolve rebate disputes with accuracy and fairness
• Negotiate resolutions with drug manufacturers and secure outstanding balances
• Verify pharmacy and medical claims data with providers to support dispute resolution
• Research disputed pharmaceutical utilization and prepare resolution proposals
• Track dispute resolution activities and maintain required productivity reports
• Support compliance with Medicaid guidelines, HIPAA, and Gainwell standards
• Contribute to the financial integrity of state Medicaid programs through detailed analysis
• Daily management of invoices, workflow queues, and dispute resolution priorities
• Regular interaction with healthcare providers, manufacturers, and internal teams

Drug Rebate Analyst

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