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 allocation of workload and resource planning for both quarterly and ongoing rebate initiatives.

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

• Provide coaching, mentoring, professional development opportunities, and performance assessments.

• Supervise the quarterly Medicaid drug rebate invoicing process.

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

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

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

• Oversee the tracking and collection activities within accounts receivable.

• Guarantee compliance with CMS MDRP requirements and state contractual commitments.

• Maintain standard operating procedures, operational guides, audit-ready documentation, and provide audit support.

• Review quality assurance, exception, and reconciliation reports.

• Implement corrective measures for compliance or operational challenges.

• Stay informed on CMS regulatory changes and communicate their impacts effectively.

• Manage and resolve disputes with manufacturers.

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

• Monitor the aging of disputes and ensure timely resolutions.

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

• Track rebate collections, receivables, invoice precision, and productivity metrics.

• Identify trends, risks, and opportunities for process improvement.

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

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

• Participate in client meetings and assist in fulfilling contract obligations.

• Support new programs, enhancements, and regulatory alterations.

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

⛳️ Requirements

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

• A minimum of 5 years of experience in Medicaid Drug Rebate Operations.

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

• Preferred: Pharmacy Technician certification or equivalent pharmacy operations experience.

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

• Advanced proficiency in Microsoft Excel and data analysis tools is required.

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

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

• Preferred: Experience with Medicaid rebate administration systems, MMIS platforms, or rebate processing solutions.

• Preferred: Knowledge of pharmacy claims processing, NDCs, URAs, AMP, and rebate calculations.

• Preferred: Experience supporting state Medicaid agencies.

• Preferred: Certification in Lean, Six Sigma, or another operational excellence methodology.

• Availability from Monday to Friday, 8:00 a.m. to 5:00 p.m. Eastern Time.

• Occasional evening or weekend work may be necessary during quarterly invoicing cycles or other critical business periods.

• For U.S. applicants, providing vaccination status is a requirement of employment where legally permissible.

🏝️ Benefits

• Comprehensive health and welfare benefits, with eligibility starting on the first day of employment.

• Retirement savings programs.

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

• Opportunities for career advancement.

• Paid training programs.

• Paid time off.

• Recognition for an award-winning work environment and culture.

• Health insurance coverage.

• Voluntary dental and vision programs.

• Life and disability insurance.

• Paid holidays.

• Vacation and/or sick time.

• Eligibility for bonuses or incentives based on business needs.