Pricing Analyst

Purpose

The U.S. federal and state governments are significant customers of AbbVie ensuring patients covered under their numerous healthcare programs have access to our medicines. Medicaid is one of the largest of these programs. AbbVie contributes to the success of this program by providing discounted prices on our products.  Incumbent will analyze and administer a large volume of quarterly rebate claims within required timelines.

Responsibilities

• Administer statutory and contractual state rebate claims, ensuring timely and accurate payment.
• Proactively communicate with state representatives to adjust disputable claims prior to claims payment and avoid disputes.
• Follow up on payment issues and partner with SAP and appropriate internal teams to ensure discrepancies are researched, resolved, and cleared in a timely manner.
• Analyze detailed claim detail from states based on medical prescribing and billing utilization guidelines of the product.
• Identify trends and anomalies and be able to articulate them to various levels of management.
• Develop relationships with state contacts and support multiple data and compliance requests from the states.
• Partner with the 340B Scrubbing team to process and resolve 340B disputes, ensuring timely review, accurate issue resolution, and appropriate follow-up.
• Develop knowledge of Medicaid and contract rebate formulas and legislation, Model N, product prescribing information and state program information.
• Add / Update Medicaid programs in Model N, as required.
• Perform other duties as assigned related to the Medicaid claims team.
• Bachelor’s Degree: B.A./B.S. or equivalent experience required.
• 2+ years business experience.
• Some experience in contracting and/or Medicaid related activities or financial analysis helpful.
• Significant Work Activities: Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day).
• Ability to work productively within a team environment and perform daily duties independently or with moderate supervision.
• Must have strong oral and written communication skills.
• Problem Solving is key competencies of this position.
• Must be able to apply sound judgment to the analysis of Medicaid Rebates, determining appropriate payments to the State Agencies and consult with management to determine reasonableness when necessary.
• Sound organizational skills with a high degree of follow up & follow through are requirements within this position.
• Proficient in Microsoft Word, Excel (text import, pivot tables, reference matching).
• Previous experience with Revenue Management software (i.e. Model N, Revitas) is helpful.

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: ​

• The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this roleat  the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on manyfactors  including  geographic location, and we may ultimately  pay more or less than the posted range. This range may be  modified in the future. ​
• We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.​
• This job is eligible to  participate in our short-term incentive programs.  Note: No amount of pay is  considered to be wages or compensation until such amount isearned,  vested,  and determinable. The amount and availability of  any bonus, commission, incentive, benefits, or any other form of compensation and benefits thatare allocable to a   particular employee  remains in the Company's sole and absolute discretion unless and until paid and may be  modified at the Company’s sole andabsolute discretion,  consistent with applicable law. ​

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community.  Equal Opportunity Employer/Veterans/Disabled.

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