San Diego, CA, 92108, USA
21 hours ago
Rebate Pharmacist
Job Description We are looking for a Rebate Pharmacist, specializing in NDC-HCPCS Crosswalk scope, to support Medicaid pharmacy rebate operations and claims adjudication. This role is responsible for creating, updating, and maintaining the NDC-HCPCS Crosswalk, which will be used to determine rebate eligibility and guide payment decisions for physician-administered drugs in Medicaid programs. The ideal candidate possesses a clear understanding of how crosswalk management affects CMS rebate invoicing and claims adjudication. This person should have experience managing NDC-HCPCS crosswalks in a Medicaid environment or for a Medicaid claims processor. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements • Excellent written and verbal communication • Medicaid rebate experience • 3-5 years medical billing knowledge • 1+ years rebate experience •Experience managing, developing, or maintaining a HCPCS–NDC Crosswalk in a Medicaid or claims processing environment • Hospital/outpatient pharmacy experience (highly preferred) • BA/Data Analysis skills • Clinical experience
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