Drug Rebate SME
Job Detail
Job Title: Drug Rebate SME
Duration: 12 months
Location: Remote (Travel to the East Coast once a month)
Job Description:
- Supported the transition of Medicaid Drug Rebate operations during leadership turnover to ensure continuity of financial and compliance activities.
- Gathered, analyzed, and documented business requirements from subject matter experts for drug rebate invoicing, dispute resolution, reconciliation, and CMS reporting.
- Participated in market research to identify vendors capable of assuming full drug rebate operational responsibilities.
- Reviewed existing workflows, system touchpoints, reporting processes, and data dependencies to support modernization planning and process improvement.
- Coordinated cross-functional discussions between operational teams, finance, IT, and program leadership to align rebate operations with overall Medicaid system updates.
- Facilitated knowledge transfer activities to preserve operational continuity and reduce risk during organizational change.
Key Requirements:
- Must have a comprehensive understanding of Drug Rebate operations, including rebate processing, financial management, CMS Reporting, and dispute resolution.
- Medicaid experience is key.
- Must be familiar with Drug Rebate legislation and federal guidelines.
- Understanding of the various claims associated with Drug Rebate, including pharmacy and 340B.
- Must always be professional and presentable to the client.
- Experience developing presentations, executive summaries, requirements documents, and research papers as needed to support project work.