Allergan Financial Analyst - Medicaid Rebates in Madison, New Jersey
Financial Analyst - Medicaid Rebates
Madison, New Jersey, United States at https://agn.referrals.selectminds.com/jobs/5410/other-jobs-matching/location-only
May 17, 2018Post Date
Allergan plc (NYSE: AGN) is a bold, global pharmaceutical company and a leader in a new industry model - Growth Pharma. Allergan is focused on developing, manufacturing and commercializing branded pharmaceutical, device, biologic, surgical and regenerative medicine products for patients around the world.
Allergan markets a portfolio of leading brands and best-in-class products for the central nervous system, eye care, medical aesthetics and dermatology, gastroenterology, women's health, urology and anti-infective therapeutic categories. With commercial operations in approximately 100 countries, Allergan is committed to working with physicians, healthcare providers and patients to deliver innovative and meaningful treatments that help people around the world live longer, healthier lives every day.
Allergan is a company that will inspire you to aim high with your ambition. Where you can build bridges all over the world. Where you can power ideas that drive change. And where you will act fast and drive results for customers and patients. Power your future & join our bold team.
Responsible for the administration and analysis of State Medicaid contracts including reviewing and validating submissions, processing and paying rebates, and analyzing quarterly utilization and rebate trends and variances. Perform and analyze Medicaid calculations including Average Manufacturer’s Price (AMP), Best Price (BP), Medicaid Rebate Per Unit (RPU) and Coverage Gap payments. Manages responsibilities in accordance with various state & federal regulations including but not limited to: Section 1927 of the Social Security Act, the Omnibus Budget Reconciliation Act of 1990 and 1993, Section 602 of the Veterans Healthcare Act, and Sarbanes Oxley as well as internal policies and procedures.
PRIMARY JOB RESPONSIBILITIES:
CONTRACT ADMINISTRATION/PROCESS REBATES: Review and analyze all contract fields and evaluate contract language to uphold integrity of Revitas system. Manage contract changes such as adding/deleting products. Review and analyze pricing in Revitas contract systems; ensure accurate reimbursement; maintain proper contract files; monitor contract expiration report. Analyzes Medicare Coverage Gap claim reports, research and make sound decisions to resolve issues and ensure timely communication to third parties. Process Medicaid Rebates and Coverage GAP Claims within the Revitas Medicaid Module for Federal Statutory Programs, State Supplemental, and State Pharmaceutical Assistance Programs (SPAPs). Resolve open disputes with states. Work closely with State personnel, internal customers, and finance and rebate teams. Maintain good customer relations.
SYSTEM MAINTENANCE: Load/maintain all products, pricing and contract information in the Revitas Medicaid Module; ensure proper set-up, coverage, calculation and reimbursement of all programs & products. Perform system preparation for each quarterly rebate cycle including but not limited to, RPU calculations, new product baseline data, T-Bill rates, CPI-U indexes, calculation methods, etc. Work with internal & external IT support teams on system issues, upgrades and patches. Review, analyze and resolve price discrepancies with Palmetto GBA, CMS and the states; follow-up and correct all issues related to processing claims or system issues.
REPORTS & ANALYSIS: Compile necessary reports needed to support pricing disclosures; document explanations in file. Compile & distribute quarterly and ad-hoc Coverage Gap, sales, trend, and rebate reports to internal and external customers. Use internal systems to compile data necessary to research specific price issues related to internal self-audit or government initiated audits.
ADDITIONAL JOB RESPONSIBILITIES:
STANDARD OPERATING PROCEDURES: Update SOP's as changes in law, business, systems, or processes dictate. Ensure proper compliance with Sarbanes Oxley controls; submit reports necessary to audit tests.
FILE MAINTENANCE/DOCUMENTATION: Compile and maintain files for quarterly submissions, contracts, etc.
Experience: Minimum of 0-2 years’ work experience required, preferably in the pharmaceutical or financial industries.
Knowledge, Skills, and Abilities
Strong analytical, problem-solving and organizational skills
Proficiency in Microsoft Excel
Excellent analytical and organizational skills
Ability to manage multiple tasks, priorities and timelines
A self-starter who can work independently
Functional knowledge of Revitas and Medicaid systems preferred
While performing the duties of this job, the employee is required to :
Communicate effectively with internal and external individuals
Use computer, phone and other related business machines
Sit for prolonged periods of time
Travel to/Attend meetings off company premises
Education: Bachelor’s Degree Finance/IT or minimum 1-3 years of experience processing Medicaid Rebates required.
Equal Employment Opportunity Employer
Allergan is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other protected status.