Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
The Drug Rebate Analyst is responsible for reviewing manufacturers' Medicaid Drug Rebate payments to identify disputes and resolve outstanding balances. This role involves verifying claims data, negotiating with drug manufacturers, and researching disputed utilization to prepare accurate resolutions. This is a fully remote position that requires strong analytical, communication, and organizational skills.
Your role in our mission - Verify claims data by contacting pharmacy and medical providers to ensure accuracy.
- Resolve disputed drug rebate claims by researching utilization and preparing resolution proposals.
- Negotiate with drug manufacturers to settle disputes fairly and accurately.
- Track dispute resolution activities and manage daily work queues to ensure timely processing of invoices.
- Follow up with drug manufacturers to secure payments for outstanding invoices.
What we're looking for - Experience with Medicaid Drug Rebates, medical/pharmacy claims processing, or pharmacy/medical billing (preferred).
- Familiarity with PRIMS, SSRS Reports, Process Manager, or other drug rebate systems (preferred).
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and PDF editing software (Adobe, Nitro Pro, PDF Escape).
- Strong analytical and critical thinking skills with the ability to prioritize tasks.
- Excellent verbal and written communication skills, with the ability to work in a paperless environment.
What you should expect in this role - This is a fully remote, work-from-home position, allowing you flexibility while managing daily tasks and workflows.
- You will interact with internal and external customers, including drug manufacturers, to resolve disputes and ensure accurate payment.
- You will receive training on proprietary systems like PRIMS, SSRS, and Process Manager to support your role.
- The position involves a fast-paced environment where attention to detail and adherence to deadlines are crucial.
- Experience with Medicaid Drug Rebates, medical/pharmacy claims processing, or pharmacy/medical billing (preferred).
- Familiarity with PRIMS, SSRS Reports, Process Manager, or other drug rebate systems (preferred).
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and PDF editing software (Adobe, Nitro Pro, PDF Escape).
- Strong analytical and critical thinking skills with the ability to prioritize tasks.
- Excellent verbal and written communication skills, with the ability to work in a paperless environment.
What you should expect in this role - This is a fully remote, work-from-home position, allowing you flexibility while managing daily tasks and workflows.
- You will interact with internal and external customers, including drug manufacturers, to resolve disputes and ensure accurate payment.
- You will receive training on proprietary systems like PRIMS, SSRS, and Process Manager to support your role.
- The position involves a fast-paced environment where attention to detail and adherence to deadlines are crucial.
#LI-REMOTE
#LI-JT1
#LI-CM1
The pay range for this position is $29,800.00 - $42,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
