Analyst, Medicaid

  • Full-time
  • Business Unit (Internal): SaaS & BPaaS

Company Description

IntegriChain is the data and application backbone for market access departments of Life Sciences manufacturers. We deliver the data, the applications, and the business process infrastructure for patient access and therapy commercialization. More than 250 manufacturers rely on our ICyte Platform to orchestrate their commercial and government payer contracting, patient services, and distribution channels. ICyte is the first and only platform that unites the financial, operational, and commercial data sets required to support therapy access in the era of specialty and precision medicine. With ICyte, Life Sciences innovators can digitalize their market access operations, freeing up resources to focus on more data-driven decision support.  With ICyte, Life Sciences innovators are digitalizing labor-intensive processes – freeing up their best talent to identify and resolve coverage and availability hurdles and to manage pricing and forecasting complexity.

We are headquartered in Philadelphia, PA (USA), with offices in: Ambler, PA (USA); Pune, India; and Medellín, Colombia. For more information, visit www.integrichain.com, or follow us on Twitter @IntegriChain and LinkedIn.

Job Description

Position Details

  • Run  and  create  reports/analysis  in  Excel  spreadsheets  and  other software  packages  to support payment reviews and approvals.
  • Prepare other analysis or performance dashboards of key customers of this information are PC&O, Managed Markets field force, Managed Markets Segment Marketing and Brand Marketing. Most of this effort is done in Excel spreadsheets.

Job Profile

  • Resolve the errors in the ERP system based on defined set of rules and perform correction where required.
  • Creation of wholesalers or Customers information in ERP system.
  • Managed care rebate claims processing
  • Meeting contractual payment deadlines, especially since some contracts include interest penalties for late payment workload to accommodate more challenging timelines.
  • Ensuring customer compliance with contract terms. also, there could be inconsistencies in information from different sources. Working with unconventional customer data formats.
  • Working with a whole new contracting system that was recently launched in the market. 
  • Understanding complex contract language.
  • Relies on instructions and pre-established guidelines to perform the functions of the job.
  • Monitors and reviews data from the system.

Professional Approach

  • Ready to extend working hours as per client requirement. 
  • Good English communication skills (written, verbal & listening).
     

Qualifications

Skills Set

  • Any Bachelor's degree (finance, accounting, or information management preferred)
  • Experience in claims processing or handling claims utilization data is preferred
  • Preferably worked in Insurance, Finance, and Pharma contracting domains as a Data Analyst, Claims Analyst, Rebate Analyst, or Process Associate
  • Familiarity with data scrubbing, NCPDP data formats and Microsoft Access software is a plus.
  • Analyze large volumes of data for relevant trends
  • Rapidly learn new software.

Prerequisite

  • Good to have previous working knowledge of claims processing, financial report handling/generation.
  • End to end data processing in ERP and financial systems
  • Candidates with working knowledge on Managed care, Medicaid, Contracting,  and government pricing applications shall be preferred.
  • MS-Office working knowledge, especially Excel is must

Additional Information

What does IntegriChain have to offer?

  • Mission driven: Work with the purpose of helping to improve patients' lives! 
  • Excellent and affordable medical benefits + non-medical perks including Flexible Paid Time Off
  • Robust Learning & Development opportunities including over 700+ development courses free to all employees

IntegriChain is committed to equal treatment and opportunity in all aspects of recruitment, selection, and employment without regard to race, color, religion, national origin, ethnicity, age, sex, marital status, physical or mental disability, gender identity, sexual orientation, veteran or military status, or any other category protected under the law. IntegriChain is an equal opportunity employer; committed to creating a community of inclusion, and an environment free from discrimination, harassment, and retaliation.

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