Full Job Description
AstraZeneca is the place to make an impact. Here we ensure everyone can reach their full potential, perform at their best and make a valued contribution to the enterprise. And there’s no better time at our fast-growing multinational. Proud of what we’ve achieved, we keep moving forward, to become a digital and data-led enterprise.
Experience true commitment and investment in your development. A place to learn from the best, grow with our bright colleagues, and embrace feedback and coaching. Unlock the varied opportunities and turn them into a reality. Broaden your horizons and skillsets, from greater ownership to borderless development. Grow in new and unexpected ways.
The Medicaid Analyst is responsible for the identification and recapture of historical Medicaid overpayments that AstraZeneca has made to the states. This identification and recapture includes FFS, Managed Medicaid, SPAP, ADAP, and Supplemental claims. In addition, the Medicaid Analyst is responsible for processing Medicaid claims and 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.
What you’ll do
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.
Essential for the role
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.
Preferred for the role
Understanding of AZ business model with specific knowledge of contract operations
Experience with Model N / Validata
So, what’s next!
Are you already imagining yourself joining our team? Good, because we can’t wait to hear from you!
Find out more on Social Media:
Follow AstraZeneca on LinkedIn
Follow AstraZeneca on Facebook
Follow AstraZeneca on Instagram https://www.instagram.com/astrazeneca_careers/?hl=en