Foster McKay · 18 hours ago
Medicaid Analyst
Somerset County, NJ
Full-time
Hybrid
Senior Level
5+ years expFoster McKay is a growing pharmaceutical company seeking a Medicaid Analyst on a consulting basis. The role involves processing Medicaid claims, resolving data discrepancies, and collaborating with various departments to ensure compliance with Medicaid regulations.
AccountingConsultingFinanceFinancial Services
Hiring Manager
Nicole Jacoby
Responsibilities
Process current/prior quarter Medicaid invoices and submit payment package with another team member
Responsible for resolution of data discrepancies and providing relevant supporting documentation to government agencies, as needed including CMS (Centers for Medicare and Medicaid Services), HRSA (Health Resources and Services Administration) and the VA (Veterans Administration)
Perform re-calculation of statutory pricing requirements, as needed, and provide analysis on financial impact to 340B, Medicaid and/or VA
Process 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
Maintain 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
Review and analyze customer pricing, class of trade and transactional data for correct classification and inclusion/exclusion in the government pricing calculations
Perform analysis on fluctuations in reported pricing and provide detailed explanations for significant increase or decrease
Collaborate with various departments to resolve all source system data issues identified in the data reconciliation and validation process prior to calculations being processed
Maintain appropriate written and electronic documentation consistent with approved policy and various state and federal requirements
Assist 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 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
Foster McKay
Foster McKay expertise in offering accounting & reporting, corporate finance, audit, payroll, cash management, tax and advisory services.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase