Government Contracting Specialist

Location: 

NC-RTP, US

Contract Type:  Regular Full-Time
Area:  Sales/Sales Operations
Req Id:  351787

Do you want to join an international team working to improve the future of healthcare? Do you want to improve the lives of millions of people? Grifols is a global healthcare company which, since its foundation in Barcelona in 1909, has been working to improve the health and well-being of people all over the world. Our four divisions - Bioscience, Diagnostic, Hospital and Bio Supplies - develop, produce and market innovative medicines, solutions and services in more than 100 countries and regions.

Grifols has been a leader in the healthcare industry since 1909 by creating innovative products and services based on the values of ethics, quality and responsibility. Grifols' activities focus on fulfilling the needs of its patients as well as healthcare professionals working in therapeutics, pharmacy, diagnostics and blood banking. For more than 100 years, Grifols has developed, manufactured and marketed product designed to improve human health. Grifols manufactures plasma derived biopharmaceutical products of proven efficacy, quality and safety. For more information, please visit our website: http://www.grifols.com

 

Summary

The Medicaid Specialist is responsible for the end-to-end government rebates process which includes, but is not limited to, validating, verifying, disputing when necessary, and remitting payments for federal, state, and supplemental programs. This role will validate and analyze utilization trends against prescribed methods. The Government Contracting Specialist II is responsible for ensuring payments are submitted within the mandated timelines.

 

Primary responsibilities for role:

 

• Responsible for the accurate and timely process of the government rebates (e.g. Medicaid, TRICARE, Medicare Part D) and the tracking of payments with internal stakeholders (e.g. management, finance, and accounts payable) and various state/federal agencies while following corporate controls/approved guidelines and SOX regulations                                                      

• Maintains in-depth knowledge of governing laws, regulations, and policies and conforms accordingly while carrying out the accountability of the job 

• Responsible for ensuring compliance with all state and federal mandated deadlines to avoid interest/late fee penalties                                                      

• Responsible for working with large amounts of data; evaluates claims level detail to ensure product dispensing aligns with internal guidelines and performs disputes accordingly                                       

• Responsible for negotiating dispute resolutions with state/federal analyst/vendors and ensuring proper documentation of the dispute resolution process

• Responsible for calculating and validating quarterly Unit Rebate Amounts (URAs) under the Medicaid Drug Rebate Program and other government contracts                                                         

• Prepares and manages an array of government contracts reports and disseminates them to the corresponding stakeholders                                                    

• Follows standard operating procedures and work instructions                                                   

• Develops and maintains strong working relationships with internal and external stakeholders to facilitate the exchange of key information, understand and address needs, and clarify contractual obligations          

• Responsible for maintaining updated information for state/federal programs, vendors, etc. and immediately notifying management when changes take place                                                       

• Assists other team members with projects and/or reports, as needed to ensure the department achieves its goals                                                          

• Handles multiple priorities simultaneously and has strong attention to detail while meeting strict deadlines                                                    

• Responsible for system updates regarding all aspects of government contracts; collaborate with team members on contract set up and maintenance to ensure government rebates processing aligns with the requirements stated on the executed contract                                                    

• Responsible for updating standard operating procedures ("SOP"), work instructions, and other documents                                                         

• Assists in establishing processes and analyze the impact on Grifols’ business created by these changes       

• Assists with system upgrades, enhancements, and patches                                                      

• Scans government rebate packets and prepares documents to be sent to an off-site storage facility          

• Additional responsibilities/duties may be assigned to meet departmental goals

 

Skills/Qualifications/Education Requirements (To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, education, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)

 

• Bachelor's Degree in Finance, Accounting or other relevant fields is required

• Requires 2-5 years of related experience

• Advanced knowledge in the Microsoft Office suite is required
• Knowledge of Medicaid processing in the Model N (f.k.a. Revitas) Flex system is preferred
• Knowledge of state and federal rules and regulations governing the Government Contracting area (Medicaid, Medicare, TRICARE, etc.)
• Strong interpersonal and oral/written communication skills are required

• Ability to handle multiple priorities simultaneously and has strong attention to detail
• Excellent planning and time management skills
• Solid concept of algebraic and financial formulas
• Ability to multi-task in a fast-paced environment
• Must be able to work independently and as part of a collaborative team   
• Health care business acumen with a comprehensive understanding of the pharmaceutical industry

 

Work is performed in an office environment with exposure to electrical office equipment. Frequently sits for 6-8 hours per day. Frequent hand movement of both hands with the ability to make fast, simple, movements of the fingers, hands, and wrists.  Frequently walks. Occasionally bends and twists neck.  Light to moderate lifting and carrying objects with a maximum lift of 25lbs. Frequently drives to site locations and frequently travels within the United States.  Able to communicate complex information and ideas so others will understand; with the ability to listen to and understand information and ideas presented through spoken words and sentences. Frequently interacts with others, relates sensitive information to diverse groups. Ability to apply abstract principles to solve complex conceptual issues. Performs a wide range of complex tasks as dictated by variable demands and changing conditions with little predictability as to the occurrence.

 

EEO Females/Minorities

 

Location: NORTH AMERICA : USA : NC-RTP:USNC0001 - RTP NC-Headquarters 

 

Learn more about Grifols