Mmis Claim Manager Jobs (NOW HIRING)

Medicaid Rebate Analyst Services Specialist 

Location: Remote

$30.00/Hourly

Join the Conduent Customer Service Team 

As a Medicaid Rebate Analyst Services Specialist, you will provide document review and data support to our client. Your assistance will make a positive difference in the organization you support. You will be able to provide successful administration. 

Working for you 

Here are a few good reasons to work at Conduent: 

• Paid Training 
• Pay is $30.00/hour, which may be below your state's minimum wage. Please take this into consideration when applying.
• Medical, dental, 401K/matching, vision benefits, and more! 
• PerkSpot - Employee discount program 
• Career growth opportunities 
• Positive employee friendly culture
• Schedules from 9:00 AM - 6:00 PM (EST) Monday to Friday with a 1-hour unpaid lunch
• Equipment is provided.

Requirements 

To be successful in this role you will: 

• Have a Bachelor's degree in (Healthcare Administration, Finance, and Accounting). 
• Must be able to submit to a pre-employment screening.
• Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship. 
• Previous Pharmacy Technician experience is preferred.
• 2-3 years Medicaid rebate administration.
• 4-6 years in Healthcare finance, Pharmacy operations, and Accounts receivable.

Preferred Skills/Experience

As a Medicaid Rebate Analyst Services Specialist, you will: 

• Advanced Microsoft Excel proficiency.
• Financial reconciliation experience.
• Experience working with large datasets and reporting tools.
• Strong analytical and organizational skills.
• Medicaid Drug Rebate Program (MDRP) experience.
• Experience with (Medical Rebate Systems, MMIS, and Rabate Administration Platforms).
• Knowledge of (Pharmacy Claim Processing, National Drug Codes (NDCs), Unit Rebate Amounts (URAs), and Manufacture Rebate Calculations).
• Support quarterly Medicaid rebate invoice generation.
• Calculate, validate, freeze, and distribute rebate invoices.
• Verify invoice accuracy using utilization, NDC, labeler, and program data.
• Maintain invoice distribution records.
• Create CMS-required utilization and invoicing files.
• Ensure invoicing deadlines are met.
• Process rebate payments received via EFT, lockbox, and checks.
• Allocate payments to the 11-digit NDC level.
• Reconcile principal and interest payments against invoices.
• Research allocation discrepancies and unapplied balances.
• Maintain accurate accounts receivable records.
• Ensure payments are properly allocated within service-level expectations.
• Assist with manufacturer dispute research and documentation.
• Enter and maintain dispute records in rebate systems.
• Review exception reports and invoice audits.
• Research invoice variances and reconciliation issues.
• Support reporting and collections activities.
• Monitor outstanding receivables.
• Identify process improvement opportunities.
• Support quarterly and ad hoc reporting initiatives.

About the Role 

The Medicaid Rebate Analyst Services Specialist supports state Medicaid Drug Rebate Programs (MDRP) by managing rebate invoicing, payment allocation, reconciliation, accounts receivable activities, dispute tracking, and audit documentation. This role combines healthcare finance, data analysis, accounts receivable, and regulatory compliance responsibilities.

Key Competencies

• Financial Reconciliation
• Accounts Receivable Management
• Data Analysis
• Regulatory Compliance
• Problem Solving
• Audit Readiness
• Time Management
• Attention to Detail
• Written & Verbal Communication
• Stakeholder/Customer Service

Come join us and grow with a team of people who will challenge and inspire you to be the best!   

We are currently NOT hiring in the following geographies, including but not limited to: 
States: AK, CA, HI, MA, IL, MT, NY & Puerto Rico 
Metro Areas: MN - Minneapolis, IL - Chicago, NY - New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC

Apply Today!

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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 hourly rate for this role is $30.00.  

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

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.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:  click here to access or download the form.  Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.