Analyst, Government Reimbursement jobs in United States
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UCB · 1 week ago

Analyst, Government Reimbursement

UCB is a global biopharmaceutical company, focusing on neurology and immunology. They are seeking a Government Reimbursement Analyst to manage activities related to payment of Government Programs, including Medicaid and Medicare, ensuring compliance and effective communication with State agencies.

BiotechnologyHealth CarePharmaceutical

Responsibilities

Manage contracts and pricing updates & process payments related to assigned Government programs
Manage Medicaid Payment Master for all assigned programs
Process & pay all Medicaid claims and other programs assigned within required time periods
Serve as the key contact with State Medicaid agencies and must be able to communicate clearly and reconcile discrepancies within required timeframes usually through email
Analyze summarizes and interprets results and makes recommendations regarding the need to dispute any Claim submissions
Responsible for the settlement of programs in both Model N and SAP
Manage or assist with any system testing and upgrades as assigned
Ensure compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards, and guidelines, etc

Qualification

Government PricingSAPModel NPharmacy Benefit ManagementMS ExcelGovernment regulationsPharmacy TechnicianAnalytical skillsCommunication skills

Required

Bachelor's degree in Finance, Accounting, or other analytical-related field
2+ years of relevant experience required
Manage contracts and pricing updates & process payments related to assigned Government programs
Manage Medicaid Payment Master for all assigned programs
Process & pay all Medicaid claims and other programs assigned within required time periods
Serve as the key contact with State Medicaid agencies and must be able to communicate clearly and reconcile discrepancies within required timeframes usually through email
Analyze summarizes and interprets results and makes recommendations regarding the need to dispute any Claim submissions
Responsible for the settlement of programs in both Model N and SAP
Manage or assist with any system testing and upgrades as assigned
Ensure compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards, and guidelines, etc

Preferred

Pharmacy Benefit Management (PBMs), pharmacy claims knowledge and/or pharmacy-related experience is preferred
Strong MS Excel working knowledge; SAP & Model N preferred
Hands-on knowledge of and/or experience with Model N or other Government Pricing software platforms strongly preferred
Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred
Pharmacy Technician experience preferred
Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred

Company

At UCB, we believe everyone deserves to live the best life they can - as free as possible from the challenges and uncertainty of disease.

Funding

Current Stage
Public Company
Total Funding
$201.75M
Key Investors
Financière de Tubize SAPaul Capital
2022-05-23Post Ipo Equity· $100.96M
2015-05-13Post Ipo Equity· $0.79M
2009-12-22Post Ipo Equity· $100M

Leadership Team

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Jean-Christophe Tellier
CEO
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Stefanos Grammatikos
Senior Vice President - Head of CMC Development Sciences
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Company data provided by crunchbase