
Government Reimbursement Analyst
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Job Description
Make your mark for patients
We are looking for a Government Reimbursement Analyst to join us in our Contracts & Pricing team, based in Atlanta, GA. This hybrid role (at least 40% of the time in office).
About the Role
The Government Reimbursement Analyst is responsible for a range of activities related to but not limited to the payment of Government Programs, including State Medicaid, Coverage Gap, TriCare, Manufacturer's Discount Program and Medicare Inflation Rebates within required timeframes.
Who you'll work with
Internally, you will work with Accounting and Finance, Government Pricing, Gross 2 Net (G2N) teams, Account Executives as required, SAP team (IT) and collaborate with others as required. Externally, you will work with the State Medicaid Agencies, Model N and other external solution partners.
What you'll do
- Manage contracts and pricing updates & process payments related to assigned Government programs
- Manage Medicaid Payment Master for all assigned programs
- Process & pay all Medicaid claims and other programs assigned within required time periods
- Serve as the key contact with State Medicaid agencies and must be able to communicate clearly and reconcile discrepancies within required timeframes usually through email
- Analyze summarizes and interprets results and makes recommendations regarding the need to dispute any Claim submissions
- Responsible for the settlement of programs in both Model N and SAP
- Manage or assist with any system testing and upgrades as assigned
- Ensure compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards, and guidelines, etc.
Interested? For this role we're looking for the following
Minimum requirements
- Bachelor's degree in Finance, Accounting, or other analytical-related field
- 2+ years of relevant experience required.
- Pharmacy Benefit Management (PBMs), pharmacy claims knowledge and/or pharmacy-related experience is preferred
Preferred requirements
- Strong MS Excel working knowledge; SAP & Model N preferred
- Hands-on knowledge of and/or experience with Model N or other Government Pricing software platforms strongly preferred
- Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred
- Pharmacy Technician experience preferred
- Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred
Internal applicants should be in their current job for at least 12 months, must meet performance standards and are not on formal corrective/disciplinary process (PIP), warning, final warning, or compliance warning letters within the last 12 months. Please inform your Manager or your Talent Partner before applying to any internal job opportunities.
UCB is an equal opportunity employer. All employment decisions will be made without regard to any characteristic protected by applicable federal, state, or local law. UCB invites you to voluntarily self-identify during the application process. Provision of self-identification information is entirely voluntary and a decision to provide or not provide such information will not have any effect on your application for employment, your employment with UCB, or otherwise subject you to any adverse treatment. Any information you provide will be considered confidential and will be kept separate from your application and/or personnel file and will only be used in accordance with applicable laws, orders, and regulations.
Should you require any adjustments to our process to assist you in demonstrating your strengths and capabilities contact us on US-Reasonable_Accommodation@ucb.com for application to US based roles. Please note should your enquiry not relate to adjustments; we will not be able to support you through this channel.
Requisition ID: 91262
Recruiter: Danielle Pecorino
Hiring Manager: Mary Martin
Talent Partner: Yolanda Johnson
Job Level: SA III
Please consult HRAnswers for more information on job levels.
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