What are the responsibilities and job description for the Medicaid Business Advisor position at Vistex?
The Vistex Medicaid Business Advisor will have the knowledge and experience to accurately process Medicaid rebates payments to the states on a quarterly basis. This includes FFS, Managed Medicaid, SPAP, ADAP, and Supplemental contracts. In addition, the Medicaid Business Advisor is responsible for the development of Medicaid Supplemental contracts through interaction with Legal, Pricing and Government Reporting, State Government Affairs, Contract Strategy and others as necessary, to ensure contracts are prepared accurately and in a timely manner.
Responsibilities:
- Contribute to the negotiation, analysis and administration of Medicaid Supplemental contracts including communication, as applicable, with external customers to determine contract requirements and position AstraZeneca to respond with high quality and timely contractual information.
- Collaborate with other Business Advisors on contract set up/maintenance to help ensure the accuracy of all assigned supplemental contracts, verifying that the Medicaid program in the system replicates the requirements of the executed contract.
- Develop and maintain strong working relationships to facilitate the exchange of key information, understand and address needs, and clarify contract requirements with internal and external customers.
- Understand and interpret Medicaid contract language and regulations as it relates to contract setup and maintenance to ensure accurate calculation of state unit rebate amounts.
- Possess an in-depth knowledge of claims processes, CMS procedures concerning Medicaid, systems and an understanding of Medicaid contracting processes and strategies to ensure contract compliance. Lead dispute resolution process.
- Work with internal/external customers on the receipt, analysis, impact, resolution and posting/ reporting of all Medicaid payments as well as maintaining all related documentation for those payments.
- Manage and meet deliverables of business operations to monitor, evaluate and administer claims to be paid and ensure payments are accurate, timely, formulary compliant and entered in contract systems consistent with agreement terms, following corporate controls/approved guidelines and SOX regulations.
About us: The Vistex platform helps businesses finally get control of all their different promotions, rebates, SPAs, discounts, and other incentives. With so many programs across so many partner relationships, it can be impossible to see where all the money is going, let alone how much difference it’s actually making to revenue. With Vistex, business leaders can see the numbers, see what really works, and see what to do next – so they can make sure every dollar they spend really is driving more growth, not just more costs. It’s why global enterprises ranging from Coca-Cola to Sony to Grainger rely on Vistex every day. Vistex | Now it all adds up. ™
