Medicaid Rebate Analyst at Takeda Pharmaceuticals America, Inc. in Exton, Pennsylvania

Job Description:

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Job Description

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, Pennsylvania 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.

POSITION OBJECTIVES:

End-to-End Processing of Medicaid Rebates

• Process rebates invoiced to Takeda under the Medicaid Drug Rebate Program (MDRP), including Federal Medicaid (FFS), Medicaid Managed Care (MMC), State Pharmaceutical Assistance Programs (SPAP), and Supplemental programs


• Validate and analyze utilization trends against prescribing methods, generic substitution, and eligible payors

Ensure payments are submitted within aggressive deadlines 

POSITION ACCOUNTABILITIES:

• Perform all aspects of the Medicaid Drug Rebate process:
  • Process invoice in Flex MRB; Validate claim level data for accuracy; Dispute invalid claims; Review utilization trends; Submit claims for payment; Remit payments
  
  


• Coordinate payment approval with Takeda C&P Management, Finance, and Accounts Payable


• Negotiate dispute resolutions with state personnel ensuring accurate and efficient documentation of payments and present to C&P management


• Responsible for ensuring compliance with all state-mandated due dates and avoiding interest penalties


• Proactively notify Takeda Contracts and Pricing (C&P) management of state issues/trends that could have a significant impact on our financials


• Perform a variety of ad-hoc reporting related to Medicaid Rebates contracts


• Foster and develop relationships with third party processors and state agencies

EDUCATION, BEHAVIORAL COMPETENCIES, AND SKILLS:

• 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 to maximize results. Pays close attention to project deadlines and schedules


• Health care business acumen with a comprehensive understanding of the pharmaceutical industry


• Proficiency with Microsoft Office Suite

TRAVEL REQUIREMENTS:

• Relevant travel less than 20%

This role excludes CO Applicants

WHAT TAKEDA CAN OFFER YOU:

• 401(k) with company match and Annual Retirement Contribution Plan


• Tuition reimbursement Company match of charitable contributions


• Health & Wellness programs including onsite flu shots and health screenings


• Generous time off for vacation and the option to purchase additional vacation days


• Community Outreach Programs

Empowering Our People to Shine

Discover more at takedajobs.com

No Phone Calls or Recruiters Please.

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Full time