Contracts & Claims Specialist

East Windsor, New Jersey
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Type: Direct-Hire

Category: Administrative & Clerical

Compensation Range: 55000.00 - 62000.00 Yearly

Job ID: 149081

Date Posted: 01/24/2020


Contracts & Claims Specialist

Salary range:  $55,000 - $62,000

Responsibilities:

  • Contract Administration – pricing offer letters, price modification letters, preparation of RFPs/Bids, tracking of all such offers/RFPs/etc., ensuring all updates are made in iContracts and/or Oracle as necessary; wholesaler notifications; price dispute investigation and resolution
  • Rebate & Admin Fee Administration – calculation/verification of all monthly and quarterly rebates/admin fees/etc.- in cooperation with Global Shared Services finance team, ensuring all updates are made in iContracts as necessary
  • process CMS/Medicaid claims and ensure due dates are met. Work through disputes with states if necessary.
  • Chargeback processing; membership maintenance; Other duties as necessary (i.e. report generation, etc.)
  • Perform all functions relating to customer claims - shortages, overages, damages and returns. Functions include but are not limited to validation of claim (product, pricing, claim eligibility, etc.), obtaining management approvals when required, tracking claims and publishing reports as necessary, communicate and update customers, wholesalers and third party logistics providers as well as company and/or 3PL warehouse team.

Qualifications:

  • 3 years experience in pharma contract administration and/or pharma customer service or claims processing role  (preferred generic pharma)
  • Medicaid experience a plus
  • Expert with Excel; proficient in other Microsoft applications
  • Excellent verbal and written communications
  • A quick learner with the ability to multi task

Education & Experience:

  • Some college experience preferred but not required
  • 3 or more years experience in pharma (generic preferred)

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