AstraZeneca Pharmaceuticals LP Sr. Medicaid Analyst in Wilmington, Delaware
AstraZeneca is a worldwide biologics research and development corporation Here, you’ll have the opportunity to make a difference in people’s lives every day. As one of the world’s premier biotechnology companies, our mission is centered on delivering life-changing products that advance world health, and help fight and cure disease. As a Sr. Medicaid Analyst based in Wilmington DE you’ll play a pivotal role in channeling our scientific capabilities to make a positive impact on changing patients’ lives.
We’re constantly pushing the boundaries of science to deliver life-changing medicines to patients, with a passion for discovery and a pipeline to show for it. We’re pioneering innovative research and exploring novel pathways across key therapeutic areas including oncology, respiratory, inflammation and autoimmunity, cardiovascular and metabolic disease, and infection and vaccines. And we’re industry-leading in immunology, protein engineering and translational science. We offer a unique and strong collaborative network as part of the AstraZeneca family.
AstraZeneca has a dynamic environment that fosters collaboration and innovation. We attract top minds, and we nurture and build top talent.
Responsible for the accurate processing of AstraZeneca’s Medicaid rebates payments to the states on a quarterly basis. This includes FFS, Managed Medicaid, SPAP, ADAP, and Supplemental contracts. In addition, the Medicaid Analyst is responsible for the development of Medicaid Supplemental contracts through interaction with Legal, Pricing and Government Reporting, State Government Affairs, Contract Strategy and others as necessary, to ensure contracts are prepared accurately and in a timely manner.
Contribute to the negotiation, analysis and administration of Medicaid Supplemental contracts including communication, as applicable, with external customers to determine contract requirements and position AstraZeneca to respond with high quality and timely contractual information.
Collaborate with other Sr. Medicaid Analysts on contract set up/maintenance to help ensure the accuracy of all assigned supplemental contracts, verifying that the Medicaid program in the system replicates the requirements of the executed contract.
Develop and maintain strong working relationships to facilitate the exchange of key information, understand and address needs, and clarify contract requirements with internal and external customers.
Understand and interpret Medicaid contract language and regulations as it relates to contract setup and maintenance to ensure accurate calculation of state unit rebate amounts.
Possess an in-depth knowledge of claims processes, CMS procedures concerning Medicaid, systems and an understanding of Medicaid contracting processes and strategies to ensure contract compliance. Lead dispute resolution process.
Work with internal/external customers on the receipt, analysis, impact, resolution and posting/ reporting of all Medicaid payments as well as maintaining all related documentation for those payments.
Manage and meet deliverables of business operations to monitor, evaluate and administer claims to be paid and ensure payments are accurate, timely, formulary compliant and entered in contract systems consistent with agreement terms, following corporate controls/approved guidelines and SOX regulations.
Education and Experience
• Bachelor’s degree; preferably in a relevant field (Marketing, Science, Economics or Finance)
• 5+ years of pharmaceutical or related healthcare business
• Understanding of Market Access and Healthcare delivery
• Logic and mathematical skills
• Highly proficient in Excel and Word
• Demonstrated ability to manage multiple tasks/projects simultaneously
• Strong attention to detail and trends.
• Understanding of AZ business model with specific knowledge of contract operations
• Experience with Model N/Revitas
Next Steps – Apply today!
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AstraZeneca is an equal opportunity employer. AstraZeneca will consider all qualified applicants for employment without discrimination on grounds of disability, sex or sexual orientation, pregnancy or maternity leave status, race or national or ethnic origin, age, religion or belief, gender identity or re-assignment, marital or civil partnership status, protected veteran status (if applicable) or any other characteristic protected by law. AstraZeneca only employs individuals with the right to work in the country/ies where the role is advertised.