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Rebate Account Specialist II
Navitus Health Solutions. Analyze, understand and implement PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in rebate submission and reconciliation processes, with a strong understanding of pharmacy operations and compliance. Proficient in analyzing claim data and maintaining accurate records while effectively communicating with pharmaceutical manufacturers and GPOs.
Highest-signal resume keywords
Rebate Submission ProcessesPharmacy ExperienceMedical Claims ProcessingData AnalysisCompliance Program Support
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Rebate ReconciliationClaim Data AnalysisPharmacy TerminologyIntermediate ExcelIntermediate Word
Soft Skills
Cooperative InteractionRespectful Communication
Tools & Technologies
Rebate Processing System
Certifications & Qualifications
Associate's DegreeCPhT
Industry Keywords
Pharmaceutical ManufacturerGPORebate OperationsDrug Claim AnalysisTrade Relations
About the role
Key responsibilities & impact- Analyze, understand and implement PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes
- Work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing
- Work with the IRC Contracting/strategy team to ensure rebate submission standards are met
- Reconcile rebate payments and investigate and resolve discrepancies
- Oversee multiple complex rebate setups following the batch formulary listing with minimal oversight
- Review GPO strategy and pharmaceutical manufacturer contracts to set up and maintain parameters in the rebate processing system
- Submit quarterly rebate reports to applicable pharmaceutical manufacturers
- Collect rebate payments from manufacturers, directly or through the GPO, and audit them for accuracy
- Communicate with Pharma or GPO on payment discrepancies and make necessary changes in the rebate processing system
- Work with Finance in the allocation and processing of client rebate payments
- Serve as direct contact for drug company representatives or the IRC Contracting team for information exchange and problem resolution
- Read and comprehend client formularies/PA forms as they relate to rebate contracts and GPO strategy
- Support testing of rebate invoicing application enhancements
- Perform other duties as assigned
Requirements
What you’ll need- Associate’s degree or CPhT required
- Minimum of 1 year of experience in Pharmacy or Medical Claims Processing, Trade or Industry Relations, or Drug Claim Analysis required
- Proficient in Word and Excel (intermediate level)
- Experience working in a remote setting preferred
- Pharmacy experience (including drug names, classes and terminology) preferred
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees.
Benefits
Comp & perks- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
- STAR Bonus % (At Risk Maximum): 7.50