Associate, Medicaid – Contracts & Pricing Execution
Core
Execute U.S. Medicaid rebate operations including invoice gathering, claim loading, validation, CLD processing, dispute documentation, and payment package preparation.
Role type
Associate, Medicaid Contracts & Pricing Execution
Builds
Accurate, timely, and compliant Medicaid rebate payment packages and reporting for U.S. states.
Domain
Healthcare / Biopharma / U.S. Government Payer Operations
Required skills
Medicaid rebate operations, invoice validation, claim processing, CLD formatting, dispute documentation, payment reconciliation, SOP adherence, data tracking, risk flagging, audit trail maintenance, stakeholder collaboration
Preferred skills
Pharmaceutical revenue management, managed markets finance, Gross-to-Net concepts, NDC/AMP/URA knowledge, Model N/PbN/Validata/SAP/SharePoint/Tableau/Power BI, UAT support, process improvement
Technologies
Model N, PbN, SAP, Validata, SharePoint, Tableau, Power BI, Power Query, Alteryx, Power Automate, Revitas Flex
Responsibilities
Track invoice status and conversion, perform first-pass invoice validation checks, prepare CLD files and analysis, document validation findings and disputes, maintain accurate trackers and audit trails, escalate process exceptions, support payment package preparation and reconciliation, assist with prior quarter adjustments, participate in KT and shadowing, identify process gaps for improvement, support audit and SOX review activities
Seniority
Associate, individual contributor