Medicaid Jobs in Raleigh, NC (NOW HIRING)

GSK remains committed to achieving bold commercial ambitions for the future. By 2031, we aim to deliver £40 billion in annual sales, leveraging our existing strong performance momentum to significantly increase our positive impact on the health of billions of patients globally. Our Ahead Together strategy is centred on early intervention to prevent and alter the course of disease, thereby protecting people and supporting healthcare systems.
Our diverse portfolio consists of vaccines, specialty medicines, and general medicines.
Through continuous innovation and a dedicated focus on scientific and technical excellence, we strive to develop and launch new, groundbreaking treatments that address critical health challenges.
Government Medicaid Contract Analyst
Role Summary
Responsible for the end-to-end administration of State Government Medicaid contracts across the U.S. and Puerto Rico, including accurate contract setup, maintenance, and rebate payment processing. Ensures full compliance with regulatory requirements, contractual obligations, and mandated payment timelines while supporting financial accuracy, audit readiness, and effective dispute resolution.
Key Responsibilities

• Contract Administration & Rebate Operations
  Process mandated and supplemental quarterly rebate invoices using established validation controls and perform financial reconciliations to deliver accurate and timely state settlement packages. Support rebate cycle activities including intake, scanning, and processing of incoming invoices to ensure timely workflow execution. Strong ability to analyze claims, payment trends, and claims level data to reconcile. Manage contract setup and maintenance, including amendments, pricing updates, and product lifecycle changes. Ensure all activities align with CMS regulations, Medicaid Drug Rebate Program (MDRP) guidelines, contractual terms, and internal policies.
• Dispute Resolution & Stakeholder Engagement
  Serve as a key point of contact for state rebate departments and external partners. Conduct detailed claim-level data analysis to validate invoice submissions and reconcile discrepancies. Partner directly with state Medicaid agencies and third-party processors to investigate and resolve disputed historical claims. Maintain clear, concise communication and strong relationships to support efficient issue resolution.
• Compliance, Controls & Audit Support
  Maintain comprehensive documentation in accordance with record retention policies to support SOX (Level 1 & 2), OIG, and external audit requirements. Execute processes that reinforce audit readiness and mitigate financial and compliance risk through peer reviews and established ways of working.
• Process Improvement & Operational Support
  Identify opportunities to improve efficiency, reduce cycle times, and enhance operational effectiveness. Apply system and process knowledge to test new system enhancements or operational improvements.

Qualifications
Basic Requirements

• Bachelor's degree in Business Administration, Finance, Audit, Business Systems, Analytics, or related field
• 3+ years of relevant experience in a financial analyst role
• Strong customer service orientation and communication skills

Preferred

• Experience with pharmaceutical or government rebate contract management
• Advanced Excel skills with complex data analysis experience

Work Arrangement
This role is hybrid (2:3) working. You will be expected to work from the GSK Durham office part of the week and have flexibility to work remotely for the remainder. Specific on-site expectations will be discussed during the interview.
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Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees.
Why GSK?
Uniting science, technology and talent to get ahead of disease together.
GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases - to impact health at scale.
People and patients around the world count on the medicines and vaccines we make, so we're committed to creating an environment where our people can thrive and focus on what matters most. Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people.
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