Company Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.

Job Description

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.

Qualifications

• Bachelor’s degree required. Bachelor's degree in Finance or Accounting preferred.
• 3 or more years’ experience, preferably in the pharmaceutical industry, in financial/analytical roles, customer service, trade relations, or government pricing. Exposure to government pharmaceutical pricing and Medicaid programs, including Medicaid scrubbing and dispute investigation activities, is preferred. Familiarity with applicable regulations and standards (e.g., Medicaid requirements and compliance considerations) or the ability to learn them quickly is desired.
• Must have very strong computer skills, including advanced knowledge of Microsoft Excel to analyze large datasets, identify discrepancies, and support issue resolution. Knowledge of SAP platforms and government pricing systems (i.e., Model N, COGNOS) is preferred.
• Incumbent should have a foundational understanding of government pharmaceutical pricing and Medicaid programs.
• Strong analytical and problem-solving skills, including the ability to review, interpret, and analyze data to identify discrepancies, trends, and potential issues within Medicaid scrubbing and dispute activities.
• The incumbent will work as part of a team to execute assigned responsibilities, perform data analysis, and support the investigation and resolution of discrepancies.
• Ability to follow established procedures, apply sound judgment, and escalate more complex issues as appropriate.
• Strong communication skills are needed to clearly present findings and collaborate effectively with internal stakeholders. This position reports to the Manager, Medicaid Scrubbing and Dispute Investigations.

Additional Information

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 role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors 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 is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are 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 and absolute 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.

US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

https://www.abbvie.com/join-us/reasonable-accommodations.html