Ztek Consulting · 1 day ago
Government Pricing & Medicaid Analyst
Ztek Consulting is seeking a Senior Analyst for their finance team to ensure pricing accuracy and regulatory compliance across federal and state healthcare programs. The role involves manual government price calculations, analysis, and submission of pricing data, as well as processing Medicaid invoices and resolving data discrepancies.
Responsibilities
Responsible for performing end-to-end manual calculations and initial analysis of government price calculations for AMP, BP, URA, Non-FAMP, FSS, FCP, IFF, ASP and PHS prices
Ensuring timely and accurate calculation of government prices based on monthly, quarterly, and annual schedules, and reporting them to relevant government agencies
Performs re-calculation of statutory pricing requirements, as needed, and provides analysis on financial impact to 340B, Medicaid and/or VA
Processes quarterly Medicaid invoices in Vistex to include retrieving e-invoices or scanning mail invoices, loading invoices in Vistex, identifying and resolving disputes with Medicaid state representatives, submitting invoices for payment, and creating payment packages with another team member
Maintains working knowledge of the Medicaid Drug Rebate Agreement, the Federal Supply Schedule agreement, 340B Pricing, and regulatory/legislative changes that impact pricing, contracts, and all Federal and State statutory calculations
Reviews and analyzes customer pricing, class of trade and transactional data for correct classification and inclusion/exclusion in the government pricing calculations
Performs analysis on fluctuations in reported pricing and provides detailed explanations for significant increase or decrease
Collaborates with various departments to resolve all source system data issues identified in the data reconciliation and validation process prior to calculations being processed
Provides support to Sr Director, Government Pricing and GTN including updates/changes to department policies/procedures to allow for continuous business process improvement
Maintains appropriate written and electronic documentation consistent with approved policy and various state and federal requirements
Assists with various projects as assigned
Work on special projects as they arise
Qualification
Required
Bachelor's degree in business, Finance, or Accounting from an accredited college or university is required
Minimum of 5 years of experience in Government Pricing and Medicaid is required
Organized and very attentive to detail with a high degree of accuracy to ensure compliance with timelines, internal policies, laws and regulations
Proven analytical and problem-solving skills
Strong Excel and Word skills are required
Effective written and oral communication skills
A self-starter with ability to work independently to manage multiple tasks, priorities and timelines
Ability to successfully interact with upper management and external government contacts
Preferred
Vistex and SAP ERP experience is strongly preferred
Company
Ztek Consulting
Ztek Consulting Inc is a minority- and woman-owned business enterprise that leverages a unique blend of human talent, machine learning algorithms, and artificial intelligence to provide customized talent management solutions for its clients.