Analyst – Managed Care

Job Description

Your mission at IntegriChain:

To help ensure success of high quality and on time delivery of rebate claims processing for IntegriChain’s Managed Services Customers.

What this role entails:  

• Process Managed Care Rebates
• Download, log and track rebate and contract submissions
• Run and create reports/analysis in Excel spreadsheets and other software packages to support payment reviews and approvals
• Ensure rebate calculations are in compliance with contractual terms
• Reconcile and document any rebate variances
• Resolve errors and disputes within the rebate system based on defined set of rules and procedures
• Follow and ensure compliance with defined business processes and pre-established guidelines to perform analyst functions
• Provide updates to team leads/management as required on delivery status of assigned tasks
• Ensure department SLA’s and quality expectations are met
• Prepare and analyze ad hoc reporting
• Support ad hoc projects

What success looks like in this role:

• Rebate claims are delivered on time and are of high quality
• Data and contracts are downloaded within required SLAs
• Compliance with department business processes
• Proactive and clear communication with Team Lead and other business partners

Qualifications

What you’ll need to thrive in this role:

• Ability to prioritize and manage multiple tasks effectively and work in a fast-paced environment
• Attention to detail, along with strong troubleshooting and data analysis skills
• Ability to adapt to change
• Excellent verbal and written communication skills
• Ability to interact with all levels of personnel, including management, from both business and technical teams
• Advanced skill in Microsoft Office applications:  Word, Excel, PowerPoint, and SharePoint
• Ability to rapidly learn new software systems and processes

What you’ll bring to the table:

• Graduate of finance, accounting, or information management preferred
• Experience in claims processing or handling claims utilization data is preferred
• Preferably worked in Insurance, Finance, and Pharma contracting domains as a Data Analyst/Claims Analyst/Rebate Analyst/Process Associate
• Experience with ICyte, Model N(Flex) or Model N(Powered by N) a plus
• Previous experience with Managed Care Rebates and Formulary review and determination is preferred
• 1+ years of relevant experience, 3+years of overall experience

Additional Information

What does IntegriChain have to offer?

• Mission driven: Work with the purpose of helping to improve patients' lives! 
• Excellent and affordable medical benefits + non-medical perks including Flexible Paid Time Off
• Robust Learning & Development opportunities including over 700+ development courses free to all employees

IntegriChain is committed to equal treatment and opportunity in all aspects of recruitment, selection, and employment without regard to race, color, religion, national origin, ethnicity, age, sex, marital status, physical or mental disability, gender identity, sexual orientation, veteran or military status, or any other category protected under the law. IntegriChain is an equal opportunity employer; committed to creating a community of inclusion, and an environment free from discrimination, harassment, and retaliation.