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Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. Our Vision. At IngenioRx, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve. Location(s): Preferred location Wallingford, CT; Must reside within 50 miles of other IngenioRX offices (NJ, OH, GA, VA, MO, NV, CT, MN, IL and KY)The Pharmacy Contract Consultant position is responsible for providing invoicing and collection support for medical utilization rebates, including reporting and analytics. Position will facilitate discussions, respond to requests and provide transition support for new client(s).Primary duties may include, but are not limited to:
Utilizing contract terms and rates, ensure key terms are appropriately included into invoicing system to process quarterly medical rebate operations
Perform financial reconciliation of payments against invoiced amounts to ensure accurate amounts received
Review data submissions and perform quality checks to ensure all data received and loaded as expected
Ensure timely quarterly payments are made to clients with associated reports
Develop and provide supporting reports
Collaborate with external associates and/or clients which may include attending frequent meetings (phone) to discuss details
Investigate and report on issues and inquiries from both internal and external parties
Provide input and receive guidance on issues, challenges, and solutions related to drug policies, rebate contracts, pharma programs and initiatives
Perform data and financial analysis of drug categories, including utilization patterns, trend identification and specific drug opportunity analysis
Qualifications
Requires a BA/BS degree in Business Administration, Finance, or related field
Requires 2 years of contract administration experience, financial analytics experience, data extraction and manipulation experience
Ability to extract data, perform analyses and identify trends and emerging considerations desired
Prior experience with contract terms and conditions preferred to assist in ensuring contract terms are met
Prior experience with medical drug claims is preferred
Ability to track many details and retain knowledge of various rates, drug positions, edit details, etc. required
Intermediate level experience with Excel and Access required
Ability to work independently, and part of a team required
May need to attend frequent phone meetings
Prior experience/knowledge of pharmaceutical products, including familiarity with pharmaceutical and health care terminology, contract terminology and service agreements strongly preferred.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
REQNUMBER: PS36203-Virginia%20Beach