Role Summary
Responsible for the end-to-end administration of State Government Medicaid contracts across the U.S. and Puerto Rico, including accurate contract setup, maintenance, and rebate payment processing. Ensures full compliance with regulatory requirements, contractual obligations, and mandated payment timelines while supporting financial accuracy, audit readiness, and effective dispute resolution.
Key Responsibilities
- Contract Administration & Rebate Operations
Process mandated and supplemental quarterly rebate invoices using established validation controls and perform financial reconciliations to deliver accurate and timely state settlement packages. Support rebate cycle activities including intake, scanning, and processing of incoming invoices to ensure timely workflow execution. Strong ability to analyze claims, payment trends, and claims level data to reconcile. Manage contract setup and maintenance, including amendments, pricing updates, and product lifecycle changes. Ensure all activities align with CMS regulations, Medicaid Drug Rebate Program (MDRP) guidelines, contractual terms, and internal policies. - Dispute Resolution & Stakeholder Engagement
Serve as a key point of contact for state rebate departments and external partners. Conduct detailed claim-level data analysis to validate invoice submissions and reconcile discrepancies. Partner directly with state Medicaid agencies and third-party processors to investigate and resolve disputed historical claims. Maintain clear, concise communication and strong relationships to support efficient issue resolution. - Compliance, Controls & Audit Support
Maintain comprehensive documentation in accordance with record retention policies to support SOX (Level 1 & 2), OIG, and external audit requirements. Execute processes that reinforce audit readiness and mitigate financial and compliance risk through peer reviews and established ways of working. - Process Improvement & Operational Support
Identify opportunities to improve efficiency, reduce cycle times, and enhance operational effectiveness. Apply system and process knowledge to test new system enhancements or operational improvements.
Qualifications
Basic Requirements
- Bachelor’s degree in Business Administration, Finance, Audit, Business Systems, Analytics, or related field
- 3+ years of relevant experience in a financial analyst role
- Strong customer service orientation and communication skills
Preferred
- Experience with pharmaceutical or government rebate contract management
- Advanced Excel skills with complex data analysis experience
Work Arrangement
This role is hybrid (2:3) working. You will be expected to work from the GSK Durham office part of the week and have flexibility to work remotely for the remainder. Specific on-site expectations will be discussed during the interview.
