Navitus Health Solutions
Overview
Navitus Health Solutions is seeking a Rebate Account Specialist II to join our Rebate Operations department! The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure rebate submission standards are met. The Rebate Account Specialist II will also reconcile rebate payments and investigate and resolve any discrepancies. Responsibilities
How do I make an impact on my team? Oversees multiple complex rebate setups following the batch formulary listing with minimal oversight Reviews GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system Submits quarterly rebate reports to applicable pharmaceutical manufacturers Collects rebate payments from manufacturer, either directly or through the GPO, on a timely basis according to contract terms, and audit these for accuracy Communicates with Pharma or GPO on payment discrepancies and makes necessary changes in rebate processing system to ensure any errors have been corrected Works with Finance in the allocation and processing of client rebate payments Serves as direct contact for drug company representatives or with IRC Contracting team (GPO issues) in information exchange and problem resolution Able to read and comprehend client formularies/PA forms as they relate to rebate contracts and GPO strategy. Supports testing of rebate invoicing application enhancements Other duties as assigned Qualifications
What our team expects from you? 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 What can you expect from Navitus? 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
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Navitus Health Solutions is seeking a Rebate Account Specialist II to join our Rebate Operations department! The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure rebate submission standards are met. The Rebate Account Specialist II will also reconcile rebate payments and investigate and resolve any discrepancies. Responsibilities
How do I make an impact on my team? Oversees multiple complex rebate setups following the batch formulary listing with minimal oversight Reviews GPO strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the rebate processing system Submits quarterly rebate reports to applicable pharmaceutical manufacturers Collects rebate payments from manufacturer, either directly or through the GPO, on a timely basis according to contract terms, and audit these for accuracy Communicates with Pharma or GPO on payment discrepancies and makes necessary changes in rebate processing system to ensure any errors have been corrected Works with Finance in the allocation and processing of client rebate payments Serves as direct contact for drug company representatives or with IRC Contracting team (GPO issues) in information exchange and problem resolution Able to read and comprehend client formularies/PA forms as they relate to rebate contracts and GPO strategy. Supports testing of rebate invoicing application enhancements Other duties as assigned Qualifications
What our team expects from you? 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 What can you expect from Navitus? 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
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