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Medicaid Drug Rebate Supervisor

职能支持限定地区(需当地身份)
公司Conduent
薪资$60,000 - $75,000/年
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Full Time
发布时间今天
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。
关于本页中文:职位描述由本机离线模型翻译,属机器翻译,供快速判断用;正式沟通与投递请以英文原文为准。官方翻译通道恢复后会自动重译升级。

医疗补助药物折扣监督员职位描述加入 Conduent 并帮助加强 Medicaid 药品折扣运营。我们正在寻找一个经验丰富的 Medicaid 药品回扣监督者来领导一支折扣专业人员团队,提供准确及时的结果,为我们的州医疗补贴客户提供高质量的服务。这个角色是合适于协作领导者,谁结合深入的 MDRP 知识与承诺操作卓越性,遵守和持续改善。职位总结医疗补充药物监督员在每天监督医疗补偿计划 (MDRP) 在整个 Conducent 医疗补救账户运营。监督员负责准确及及时的折扣发票,支付处理,和解,争端解决和账户领取活动,同时确保遵守 CMS 要求,国家合同义务,审计标准和绩效承诺。监督员领导了折扣分析师和专家团队,担任主题专家,支持客户关系,推动增强质量,服务和财务结果的流程改进。工作时间:周一至星期五,早上8点到晚上5点东方时间。季度收费周期或其他关键业务期可能需要偶尔在晚上或周末工作。基本职责和责任 运营领导 ·监督并协调医疗补助药物折扣分析师和专家的日常活动。·管理工作负载分配和资源规划,以确保季度性和持续性的折扣活动及时完成。·监测团队生产力,质量和遵守既定程序,并实现客户服务水平协议。·为团队成员提供教练,导师和专业发展。·开展绩效评估和支持员工增长倡议。·确保准确计算,验证,结和降息账单生成。·审查使用,NDC,标签仪和折扣数据以确保发票的准确性。·监督制造商支付收到,分配和调整活动。·确保在 NDC 级别进行正确的主要和利率支付。·监管应收账户追踪和收集活动。遵守和审计管理 ·确保符合 CMS 医疗补助药品回报。

查看英文原文

Medicaid Drug Rebate Supervisor

Job Description
Join Conduent and help strengthen Medicaid drug rebate operations. We are seeking an experienced Medicaid Drug Rebate Supervisor to lead a team of rebate professionals, deliver accurate and timely results, and support high-quality service for our state Medicaid clients. This role is ideal for a collaborative leader who combines deep MDRP knowledge with a commitment to operational excellence, compliance, and continuous improvement.
Position Summary
The Medicaid Drug Rebate Supervisor oversees day-to-day Medicaid Drug Rebate Program (MDRP) operations across Conduent Medicaid accounts. The role is accountable for accurate and timely rebate invoicing, payment processing, reconciliation, dispute resolution, and accounts receivable activities while ensuring compliance with CMS requirements, state contractual obligations, audit standards, and performance commitments.
The Supervisor leads a team of rebate analysts and specialists, serves as a subject matter expert, supports client relationships, and drives process improvements that strengthen quality, service, and financial outcomes.
Work Schedule: Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern Time. Occasional evening or weekend work may be required during quarterly invoicing cycles or other critical business periods.
Essential Duties and Responsibilities
Operational Leadership

  • Supervise and coordinate the daily activities of Medicaid Drug Rebate Analysts and Specialists.
  • Manage workload distribution and resource planning to ensure timely completion of quarterly and ongoing rebate activities.
  • Monitor team productivity, quality, and adherence to established procedures and deliver on client service-level agreements.
  • Provide coaching, mentoring, and professional development to team members.
  • Conduct performance evaluations and support employee growth initiatives.

Rebate Invoicing and Payment Administration

  • Oversee quarterly Medicaid drug rebate invoicing processes.
  • Ensure accurate calculation, validation, freezing, and generation of rebate invoices.
  • Review utilization, NDC, labeler, and rebate data to ensure invoice accuracy.
  • Monitor manufacturer payment receipt, allocation, and reconciliation activities.
  • Ensure accurate application of principal and interest payments at the NDC level.
  • Oversee accounts receivable tracking and collection activities.

Compliance and Audit Management

  • Ensure compliance with CMS Medicaid Drug Rebate Program requirements and state contractual obligations.
  • Develop and maintain analyst standard operating procedures and update project-specific operational guides at least annually.
  • Maintain audit-ready documentation and support federal, state, and internal audits.
  • Review quality assurance reports, exception reports, and reconciliation findings.
  • Implement corrective actions for identified compliance or operational issues.
  • Monitor evolving CMS regulations and communicate impacts to staff and leadership.

Dispute Resolution

  • Oversee manufacturer dispute management and resolution activities.
  • Review supporting documentation for disputed utilization, unit adjustments, and rebate calculations.
  • Coordinate with manufacturers, states, and internal stakeholders to resolve discrepancies.
  • Monitor dispute aging and ensure timely resolution.

Reporting and Analytics

  • Develop and review operational, financial, and performance reports.
  • Track rebate collections, outstanding receivables, invoice accuracy, and team productivity metrics.
  • Identify trends, risks, and opportunities for process improvements.
  • Present operational updates and performance metrics to management and clients.

Client and Stakeholder Support

  • Serve as a primary operational contact for Account Managers, state agencies, and internal leadership.
  • Participate in client meetings and support contract deliverables.
  • Assist with implementation of new programs, enhancements, and regulatory changes.
  • Collaborate with pharmacy, finance, compliance, and technology teams.

Required Qualifications

  • Bachelor’s degree in business administration, Healthcare Administration, Finance, Accounting, Pharmacy, or related field.
  • 5+ years of Medicaid Drug Rebate Operations experience.
  • 2+ years of leadership, supervisory, or team lead experience.
  • Pharmacy Technician certification or equivalent pharmacy operations experience preferred.
  • Knowledge of Medicaid Drug Rebate Program regulations and CMS requirements.
  • Advanced proficiency in Microsoft Excel and data analysis tools.
  • Experience with accounts receivable, reconciliations, and financial reporting.
  • Demonstrated ability to lead teams and manage multiple priorities.

Preferred Qualifications

  • Experience with Medicaid rebate administration systems, MMIS platforms, or rebate processing solutions.
  • Knowledge of pharmacy claims processing, NDCs, URAs, AMP, and rebate calculations.
  • Experience supporting state Medicaid agencies.
  • Lean, Six Sigma, or another operational excellence certification.

Flexible Work
At Conduent, we value flexibility and the individual contributions of our associates. This position is designed for remote work, enabling you to deliver results from a home-based work environment while maintaining effective collaboration with colleagues and clients.
Working for You

  • Health and welfare benefits are designed to support you and your family, with eligibility beginning on your first day.
  • Retirement savings programs to help you plan for your financial future.
  • Employee discounts on merchandise, services, travel, and more.
  • Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
  • Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
  • Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.
  • Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.

Join Us at Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates. We strive to create a culture where you can: Bring your authentic self to work Grow and thrive, both personally and professionally Make a difference with our clients, in our communities, and with the millions of people we support When you join Conduent, you are engaged in creating the future - both our company’s and your own. With more than 60,000 associates across 24 countries, we will provide you the opportunity to grow with a team of people who will challenge and inspire you to be the best.
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $60-75k.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent's ADAAA Accommodation Policy.
At Conduent we value the health and safety of our associates, their families, and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.
Originally posted on Himalayas

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