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Drug Rebate Analyst
Gainwell Technologies. Review Medicaid drug rebate payments, invoices, and outstanding balances to identify discrepancies and support timely resolution .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicaid Drug Rebates and pharmaceutical claims processing, with strong analytical and communication skills to effectively resolve discrepancies and negotiate with stakeholders. Proficient in managing workflows and maintaining accurate records in a paperless environment.
Highest-signal resume keywords
Medicaid Drug RebatesClaims ProcessingAnalytical SkillsMicrosoft OfficeHIPAA Confidentiality
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Pharmaceutical Claims ProcessingRebate Dispute ResolutionInvoice Discrepancy InvestigationDocumentation ResearchProductivity Reporting
Soft Skills
Organizational SkillsWritten CommunicationVerbal CommunicationCritical Thinking
Tools & Technologies
PRIMSSSRS ReportsProcess ManagerElectronic Documentation Applications
Industry Keywords
Healthcare EnvironmentPharmacy OperationsMedical BillingDrug ManufacturersPharmacies
About the role
Key responsibilities & impact- Review Medicaid drug rebate payments, invoices, and outstanding balances to identify discrepancies and support timely resolution
- Research disputed pharmaceutical utilization and claims data
- Develop accurate rebate dispute resolution recommendations
- Communicate and negotiate with drug manufacturers to resolve rebate disputes
- Follow up on unpaid or outstanding invoices
- Work with pharmacies, medical providers, and internal partners to verify claims information
- Obtain documentation needed to research and resolve discrepancies
- Track and prioritize dispute-resolution activities
- Manage assigned workflow queues and maintain accurate records
- Complete required productivity reporting
- Regularly interact with drug manufacturers, pharmacies, medical providers, customers, and internal business partners
- Occasionally report to the Charleston, WV office based on business needs
Requirements
What you’ll need- Experience with Medicaid Drug Rebates, pharmaceutical rebates, medical or pharmacy claims processing, pharmacy operations, medical billing, or a related healthcare environment is highly preferred
- Strong analytical, research, and critical-thinking skills
- Ability to investigate claims, utilization, payment, and invoice discrepancies
- Experience with PRIMS, SSRS Reports, Process Manager, or similar drug rebate, claims, reporting, or workflow systems is preferred
- Proficiency with Microsoft Office and electronic documentation/PDF applications
- Bachelor’s degree in business or a related field, or equivalent relevant professional experience, preferred
- Strong organizational, written and verbal communication skills
- Ability to maintain HIPAA confidentiality
- Must reside within the state of West Virginia
- Ability to work Monday through Friday, 8:00 AM–5:00 PM Eastern Time
- Ability to work effectively in a paperless environment and manage multiple priorities remotely
Benefits
Comp & perks- Medical, dental and vision coverage
- 401(k) retirement savings plan
- Paid time off
- Wellness and financial programs
- Flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
- Work flexibility
- Career development and continuous learning opportunities