Purpose

Incumbent will have responsibility for Medicaid and 340B duplicate identification, initiation, and resolution.  Regular communication and reconciliations with 340B Covered Entities (CEs) and state Medicaid contacts on open dispute items.  Partner closely with the Medicaid Rebate management and team to ensure coordinated dispute recovery efforts, as well as dispute tracking across all types and programs.

Responsibilities

• Responsible for Medicaid and 340B duplicate discount identification, initiation and resolution.
• Assist in developing strategies to minimize dispute resolution time with covered CEs & state agencies. by building relationships focused on problem solving for the mutual benefit of all parties to ensure compliance.
• Proactively coordinate 340B recovery efforts by directly contacting state Medicaid contacts, CEs and/or Third-Party Vendors (TPV).
• Coordinate recovery efforts with Medicaid Analyst counter parts by managing claim distribution and disputing.
• Perform ongoing analysis of Open/Impasse 340B Claims balances by status.
• Calculate Supplemental program dollar impact of identified Statutory claims.
• Support third parties on an ongoing basis with URAs, CLD, and chargeback Data required for scrubbing.
• Manage all Desk Top Procedures (DTPs) related to specific areas of responsibility.
• Develop and foster solid internal and external relationships that facilitate job activities. Assist and act as liaison for various groups in relation to the Medicaid forecasted products.
• Perform other duties as assigned.