- $117,960.00 -188,020.00/year*
Financial Services - Insurance
149 Valleyview Dr
Are you looking for a patient-focused, innovation-driven company that will inspire you and empower you to shine? Join us as a Medicaid Analyst I in our Exton, PA office. At Takeda, we are transforming the pharmaceutical industry through our R&D-driven market leadership and being a values-led company. To do this, we empower our people to realize their potential through life-changing work. Certified as a Global Top Employer, we offer stimulating careers, encourage innovation, and strive for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our global teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world. Here, you will be a vital contributor to our inspiring, bold mission. Key tasks for this position include end-to-end Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for all state Medicaid agencies, SPAPs and Supplemental Rebates. Validating utilization trends against prescribing methods, generic substitution, and eligible payors. Ensuring payments are submitted within aggressive deadlines. ACCOUNTABILITIES Responsible for the Medicaid Drug Rebate process which includes Validating utilization trends against prescribing methods, generic substitution, and eligible payors. Disputing claims that fail validation review Submit claims for payment Remitting payment within short timelines Responsible for coordinating payment approval with C&P management, Finance and Accounts Payable. Responsible for negotiating dispute resolutions with state personnel ensuring accurate and efficient documentation of payments and presents to C&P management. Responsible for ensuring compliance with all state mandated due dates and avoiding interest penalties. Responsible for updating keeping Manager of Medicaid Rebates informed of changes to state programs and drug placement Responsible for system updates regarding supplemental contracts Performs a variety of ad hoc reporting related to Medicaid Rebates contracts. DIMENSIONS AND ASPECTS Technical/Functional (Line) Expertise Experience with Flex MRB Must be able to review large amount of data for accuracy. Leadership Ability to present complex information clearly and with confidence Embraces and demonstrates a diversity and inclusion mindset and role models these behaviors for the organization Decision-making and Autonomy Limited decision making responsibilities: Accountable for decision making for designated function Ability to incorporate feedback and ensure decisions are executed Interaction Ability to build strong partnerships and drive role clarity with other interfacing Takeda functions, including but not limited to Commercial Team (Contracts, Rebates, Chargebacks), IT, Internal Audit, Compliance, and Shared Services Innovation Comfortable challenging the status quo and bringing forward innovative solutions Ability to identify areas for process and systems innovation and implement change that will enhance the overall effectiveness of the team. Complexity Ability to work in a global and highly matrixed ecosystem (internal and external) with a high degree of complexity Responsible for meeting all deadlines in incorporating newly acquired companies/products EDUCATION, BEHAVIOURAL COMPETENCIES AND SKILLS: (List the essential and desirable education and competency requirements to perform the primary responsibilities of the job. Any minimum requirements should be noted.) Bachelor s Degree or Associate s Degree and 2 years experience in the area of rebate processing or 4 years experience in the area of rebate processing Effectively manage multiple priorities in order to maximize results. Pays close attention to project deadlines and schedules. Health care business acumen with a comprehensive understanding of the pharmaceutical industry Notice to Employment / Recruitment Agents: Employment / Recruitment agents may only submit candidates for vacancies only if they have written authorization to do so from Shire, a wholly-owned subsidiary of Takeda s Talent Acquisition department. Any agency candidate submission may only be submitted to positions opened to the agency through the specific Agency Portal. Shire, a wholly-owned subsidiary of Takeda will only pay a fee for candidates submitted or presented where there is a fully executed contract in place between the Employment / Recruitment agents and Shire, a wholly-owned subsidiary of Takeda and only if the candidate is submitted via the Agency Portal. Candidates submitted or presented by Employment / Recruitment Agents without a fully executed contract or submitted through this site shall not be deemed to form part of any Engagement for which the Agency may claim remuneration. Equal Employment Opportunity Shire, a wholly-owned subsidiary of Takeda, is an Equal Opportunity Employer committed to a diverse workforce. Shire, a wholly-owned subsidiary of Takeda, will not discriminate against any worker or job applicant on the basis of race, color, religion, gender, national origin, ancestry, age, sexual orientation, marital or civil partnership status, pregnancy, gender reassignment, non-job related mental or physical disability, genetic information, veteran status, military service, application for military service, or membership in any other category protected under law. EEO is the Law - EEO is the Law Supplement - Pay Transparency Policy - Reasonable Accommodations Shire, a wholly-owned subsidiary of Takeda, is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please call 484-###-#### and let us know the nature of your request and your contact information.
Associated topics: actuarial, actuarial analyst, actuarial consultant, actuarial director, actuary consultant, analyst, assistant actuary, investment actuary, model, statistics
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.
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