Medicaid Drug Rebate Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee and coordinate the daily functions of Medicaid Drug Rebate Analysts and Specialists.

• Manage the distribution of workloads and resource planning for both quarterly and ongoing rebate activities.

• Track team productivity, quality, procedures, and adherence to client service-level agreements.

• Provide coaching, mentoring, and professional development, along with conducting performance evaluations.

• Supervise the invoicing process for quarterly Medicaid drug rebates.

• Ensure the precise calculation, validation, freezing, and generation of rebate invoices.

• Review utilization, NDC, labeler, and rebate data to guarantee invoice accuracy.

• Monitor the receipt, allocation, and reconciliation of manufacturer payments.

• Oversee tracking of accounts receivable and collection activities.

• Ensure adherence to CMS requirements, state contractual obligations, audit standards, and performance commitments.

• Maintain standard operating procedures, operational guides, and documentation ready for audits.

• Support federal, state, and internal audits.

• Review quality assurance, exception, and reconciliation reports.

• Implement corrective measures for compliance or operational issues.

• Keep track of evolving CMS regulations and communicate their impacts.

• Oversee the management and resolution of manufacturer disputes.

• Coordinate with manufacturers, states, and internal stakeholders to address discrepancies.

• Develop and review operational, financial, and performance reports.

• Monitor rebate collections, receivables, invoice accuracy, and productivity metrics.

• Present operational updates and performance metrics to management and clients.

• Act as the primary operational contact for Account Managers, state agencies, and internal leadership.

• Participate in client meetings and support contract deliverables.

• Assist with new programs, enhancements, and regulatory changes.

• Collaborate with pharmacy, finance, compliance, and technology teams.

⛳️ Requirements

• Bachelor’s degree in business administration, Healthcare Administration, Finance, Accounting, Pharmacy, or a related field.

• More than 5 years of experience in Medicaid Drug Rebate Operations.

• At least 2 years of experience in a leadership, supervisory, or team lead role.

• Pharmacy Technician certification or equivalent pharmacy operations experience is preferred.

• Familiarity with Medicaid Drug Rebate Program regulations and CMS requirements.

• Advanced skills in Microsoft Excel and data analysis tools.

• Experience in accounts receivable, reconciliations, and financial reporting.

• Proven ability to lead teams and manage multiple priorities effectively.

• Experience with Medicaid rebate administration systems, MMIS platforms, or rebate processing solutions is preferred.

• Knowledge of pharmacy claims processing, NDCs, URAs, AMP, and rebate calculations is preferred.

• Experience supporting state Medicaid agencies is preferred.

• Certifications in Lean, Six Sigma, or other operational excellence methodologies are preferred.

• Availability to work Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern Time, with occasional evening or weekend work during critical business periods.

• For US applicants, providing vaccination status is a requirement for employment where legally permissible.

🏝️ Benefits

• Health and welfare benefits, with eligibility starting on the first day.

• Retirement savings programs.

• Employee discounts on merchandise, services, travel, and more.

• Opportunities for career advancement.

• Paid training.

• Paid time off.

• An award-winning work environment with a diversity-focused culture.

• Health insurance coverage.

• Voluntary dental and vision programs.

• Life and disability insurance.

• Paid holidays.

• Vacation and/or sick time.