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Tier-1 brand, metro location, and mid-level experience increase competition, but niche Medicaid specialization reduces density.
Highly specialized Medicaid rebate and payer-compliance knowledge limits cross-industry transferability.
Explicit 4–7 years requirement and specific Medicaid, Model N, SOX, and reconciliation skills make filters strict.
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Support day-to-day execution of U.S. Medicaid rebate operations including invoice receipt, claim processing, validation checks, dispute documentation, payment preparation, and reconciliation.
Maintain accurate tracking and documentation of invoices, claims, disputes, and payment packages ensuring compliance with SOPs and audit readiness.
Collaborate with Medicaid Manager and cross-functional U.S. stakeholders to ensure accurate, timely, and compliant Medicaid rebate operations and drive process improvements.
Bachelor’s or master’s degree in Finance, Accounting, Commerce, Business Administration, Economics, Life Sciences, Pharmacy, or related discipline.
4 to 7 years of experience in pharmaceutical/healthcare operations, Medicaid rebates, managed markets finance, claims operations, or related controlled business operations.
Strong Excel, documentation, reporting, and analytical skills.
Work Experience Required: 4 - 7 years in relevant pharmaceutical or healthcare operations.
Experienced in Medicaid rebate processing or related managed markets finance functions with strong operational execution and compliance focus.
Proficient with pharmaceutical rebate systems such as Model N/PbN, Validata, SAP and tools for data analysis and automation (e.g., Tableau, Power BI, Alteryx).
Capable of detailed invoice validation, dispute resolution, and maintaining audit-ready documentation within a controlled, deadline-driven environment working with U.S.-based stakeholders.