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Medicaid Rebate Jobs in Rutherford, NJ (NOW HIRING)

CYNET SYSTEMS

Managed Care Rebate Analyst

Parsippany, NJ · On-site

$35 - $40/hr

At least 2+ years Pharmaceutical operational experience, preferably with reimbursements (Purchase Based or Managed Care Rebates, Medicaid Rebates, Chargebacks). * Excel required; Model N Flex or ...

Unicon Pharma Inc.

Claims Analyst I

Parsippany, NJ · On-site

$50 - $70/hr

Must have- Medicaid rebate experience in pharm environment. - Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid ...

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All JobsMedicaid Rebate JobsMedicaid Rebate Jobs in Rutherford, NJ

Medicaid Rebate information

See Rutherford, NJ salary details

$19

$33

$51

How much do medicaid rebate jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for medicaid rebate in Rutherford, NJ is $33.73, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $37.98 per hour, depending on experience, location, and employer.

What is a Medicaid Rebate specialist?

Medicaid Rebate specialists are professionals who manage and coordinate the Medicaid Drug Rebate Program (MDRP) for pharmaceutical manufacturers or state agencies. They ensure accurate calculation, submission, and reconciliation of rebate claims for prescription drugs covered by Medicaid. Their work involves compliance with government regulations, analysis of pricing data, and communication with state Medicaid programs to resolve discrepancies and ensure timely payments. These specialists play a crucial role in helping organizations comply with federal and state laws while optimizing rebate processes.

What skills and qualifications are needed to thrive as a Medicaid Rebate analyst?

To thrive as a Medicaid Rebate Analyst, you need strong analytical skills, attention to detail, and a solid understanding of Medicaid regulations, typically supported by a degree in finance, accounting, or a related field. Familiarity with Medicaid Drug Rebate Program (MDRP) systems, claims processing software, and data analysis tools like Excel is essential. Excellent communication, problem-solving abilities, and organizational skills help analysts manage complex data and collaborate with cross-functional teams. These skills ensure accurate rebate calculations, regulatory compliance, and effective resolution of discrepancies, which are critical for financial performance and legal adherence.

What are the main challenges faced by professionals working in Medicaid Rebate roles and how can they be addressed?

Professionals in Medicaid Rebate positions often encounter challenges related to navigating complex regulations, managing large volumes of data, and ensuring timely and accurate rebate submissions. Staying up-to-date with frequently changing state and federal guidelines is essential, as errors can result in financial penalties or compliance issues. To address these challenges, it is helpful to leverage robust data management systems, participate in ongoing training, and collaborate closely with cross-functional teams such as finance, legal, and IT to ensure all aspects of the rebate process are handled efficiently.

What is the difference between Medicaid Rebate vs Medicaid Claims Processor?

AspectMedicaid RebateMedicaid Claims Processor
Primary RoleManaging rebate calculations and compliance for pharmaceutical companiesProcessing and reviewing Medicaid claims for reimbursement
Required CredentialsPharmacy, healthcare, or pharmaceutical background; often with finance knowledgeHealthcare or medical billing certification; knowledge of Medicaid policies
Work EnvironmentPharmaceutical companies, healthcare compliance departmentsHospitals, clinics, Medicaid agencies

Medicaid Rebate specialists focus on managing rebate programs and ensuring compliance with regulations, while Medicaid Claims Processors handle the day-to-day processing of Medicaid claims for reimbursement. Both roles require healthcare knowledge but differ in their specific functions within the Medicaid industry.

What cities near Rutherford, NJ are hiring for Medicaid Rebate jobs?

Cities near Rutherford, NJ with the most Medicaid Rebate job openings:

Medicaid Rebate jobs near you
Infographic showing various Medicaid Rebate job openings in Rutherford, NJ as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $70,168 per year, or $33.7 per hour.

Director / Senior Director, Medicaid Operations & Automation

Scorpion Therapeutics

Parsippany Troy Hills, NJ • On-site

$180 - $280/hr

Other

Medical, Life, Retirement, PTO

Posted 6 days ago

Job description

Director / Senior Director of Medicaid Revenue Optimization & AutomationResponsibilities:
  • Ensure each assigned State’s Medicaid rebate program complies with CMS and applicable federal/state requirements; monitor programs, maintain staffing levels, and oversee training for Medicaid analysts.
  • Lead technology-driven transformation by adopting automation tools (AI, Bots) to streamline Medicaid rebate processing, data validation, and reporting; use Model N’s Flex for Medicaid adjudications.
  • Lead cross-functional projects to re-engineer Medicaid processing workflows, improving cycle time, compliance, and cost efficiency.
  • Prevent revenue leakage using robust controls, analytics, dashboards, and exception reporting.
  • Oversee end-to-to-end dispute management using analytics/automation; collaborate with state agencies and internal teams to resolve claim discrepancies and minimize outstanding balances.
  • Manage adjudication, validation, and dispute resolution for Medicaid rebates for generic and branded pharmaceuticals, ensuring precision aligned to regulatory standards and internal controls.
  • Align stakeholders (state agencies, finance, value & access, IT, compliance), track legislation/guidance/contract changes, and communicate updates.
  • Lead training and development; foster continuous learning and collaborative culture.
  • Manage and mentor a 10+ person team; provide strategic direction, feedback, and career development.
  • Drive accountability for Medicaid rebate budget and financial forecasting.
Qualifications/Skills:
  • Bachelor’s or Master’s degree (preferred) in Business, Finance, Data Science, Information Systems, or related field.
  • 10+ years biopharmaceutical pricing/contracting with 7+ years Medicaid rebate/pharmaceutical revenue management; leadership in automation/technology adoption.
  • Project management and change management expertise.
  • Process automation (AI, Bots) and process optimization with measurable impact on efficiency, accuracy, compliance.
  • Innovation track record; advanced proficiency with Model N, Flex (or similar) and data analytics tools.
  • Strong analytical/problem-solving/communication skills; ability to manage multiple priorities; experience with generic and branded preferred.
Benefits (explicitly stated):

Comprehensive health insurance, 401(k) match up to 6% and annual 3.75% defined contribution, paid time off, company-paid life and disability.

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