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Conduent

BPO and digital solutions provider

Medicaid Rebate Analysis Services Specialist

Accounts Payable/ReceivablePosted on Nov 13
Full-timeRemote in USA$30 /hr

About the Job

Requirements

  • A bachelor's degree in Healthcare Administration, Finance, or Accounting.
  • Two to three years of Medicaid rebate operations experience.
  • Four to six years of experience in pharmacy operations and accounts receivable.
  • Legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship.
  • Must submit to a pre-employment screening.

Responsibilities

  • Support state Medicaid Drug Rebate Programs by operating rebate invoicing, payment allocation, reconciliation, accounts receivable activities, dispute tracking, and audit documentation.
  • Support quarterly Medicaid rebate invoice generation.
  • Calculate, validate, freeze, and distribute rebate invoices.
  • Verify invoice accuracy using utilization, National Drug Code, labeler, and program data.
  • Maintain invoice distribution records.
  • Create CMS-required utilization and invoicing files and meet invoicing deadlines.
  • Process rebate payments received via electronic funds transfer, lockbox, and checks.
  • Allocate payments to the 11-digit National Drug Code level.
  • Reconcile principal and interest payments against invoices.
  • Research allocation discrepancies and unapplied balances and maintain accurate accounts receivable records.
  • Ensure payments are properly allocated within service-level expectations.
  • Assist with manufacturer dispute research and documentation and maintain dispute records in rebate systems.
  • Review exception reports and invoice audits and research invoice variances and reconciliation issues.
  • Support reporting and collections activities and monitor outstanding receivables.
  • Identify process improvement opportunities and support quarterly and ad hoc reporting initiatives.

Desired Qualifications

  • Pharmacist Technician qualification.
  • Advanced Microsoft Excel proficiency.
  • Financial reconciliation experience.
  • Experience working with large datasets and reporting tools.
  • Medicaid Drug Rebate Program experience.
  • Experience using medical rebate systems, Medicaid Management Information Systems, and rebate administration platforms.
  • Knowledge of pharmacy claim processing, National Drug Codes, Unit Rebate Amounts, and manufacturer rebate calculations.

About the Company

Conduent

BPO and digital solutions provider

Conduent provides technology-enabled business process outsourcing services across healthcare claims and administration, customer experience management, and human capital solutions. It uses automation and AI to streamline operations, such as healthcare and casualty claims processing, omnichannel customer support, and HR services. This differentiates itself through large-scale delivery (billions of interactions annually, millions of tolling transactions daily) and a focus on combining digital technologies with domain expertise to improve performance, customer experiences, and reduce costs and risks for clients. The goal is to help clients run more efficiently, deliver better service, and support missions across industries.

Company size
10,001+
Company stage
IPO
Headquarters
Florham Park, NJ
Founded
2017

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