What are the responsibilities and job description for the Gross to Net Payment Analyst position at Keenova?
Job Title
Gross to Net Payment Analyst
Requisition
JR000015938 Gross to Net Payment Analyst (Open)
Location
Hazelwood, MO
Additional Locations
Malvern, PA
Job Description Summary
The Gross to Net Payment Analyst processes and analyzes payments for wholesaler chargebacks, Medicaid rebates as well as other customer incentive rebates and fees, and expired product returns payments. All payments must be processed in a timely manner, and in accordance with contracts and internal guidelines and controls. The Analyst responds to inquiries from customers and the business and is the main contact for payment questions involving his/her assigned customers and the related Accounts Receivable.
Job Description
Key Responsibilities:
Ensure accurate and timely payments of wholesaler chargebacks, Medicaid rebates, as well as other incentive rebates and fees for assigned accounts within Model N. Includes conducting variance analysis on payments to ensure accuracy compared to prior period or expected payments. Process credits for expired product returns in SAP. Review and resolve EDI posting errors to ensure complete and accurate pricing on credit memos. Analyze customer variances and prepare reconciliations. Resolve disputes and discrepancies, where possible, by interacting with the various wholesalers, Medicaid programs, and rebate customers. Manage AR resolution related to these payments. Strict adherence to internal controls; i.e., obtain proper supporting documentation and obtain proper approvals for payments. Organize and retain all documentation associated with the receipt, processing, reconciliation and payment of all chargebacks, rebates and fees. Ensure related monthly/quarterly reporting requirements related to these controls are met. Review and analyze script-level rebate claims data to ensure State compliance with respect to Medicaid invoice submission. Manage and utilize Model N for processing gross to net payments so that all information is properly recorded. Devise and create additional ad-hoc reports upon request that can be used for analysis of chargebacks, Medicaid Rebate payments, and other gross to net payments to assist in forecasting. Analyze payment variances and trends to identify outliers and research root causes for potential upstream errors. Support the development and maintenance of policies and standard operating procedures to ensure compliant operations. Participate in internal and external audits, when needed, in order to demonstrate compliance with policies, laws, and regulations. Other duties as assigned to assist with the department’s gross to net payment processing and reporting.
Qualifications
Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required.
At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support—showing up in big moments and small to help patients find comfort and confidence.
We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology, men’s health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference.
We are Keenova—keen to solve, keen to serve. Learn more at www.keenova.com.
Gross to Net Payment Analyst
Requisition
JR000015938 Gross to Net Payment Analyst (Open)
Location
Hazelwood, MO
Additional Locations
Malvern, PA
Job Description Summary
The Gross to Net Payment Analyst processes and analyzes payments for wholesaler chargebacks, Medicaid rebates as well as other customer incentive rebates and fees, and expired product returns payments. All payments must be processed in a timely manner, and in accordance with contracts and internal guidelines and controls. The Analyst responds to inquiries from customers and the business and is the main contact for payment questions involving his/her assigned customers and the related Accounts Receivable.
Job Description
Key Responsibilities:
Ensure accurate and timely payments of wholesaler chargebacks, Medicaid rebates, as well as other incentive rebates and fees for assigned accounts within Model N. Includes conducting variance analysis on payments to ensure accuracy compared to prior period or expected payments. Process credits for expired product returns in SAP. Review and resolve EDI posting errors to ensure complete and accurate pricing on credit memos. Analyze customer variances and prepare reconciliations. Resolve disputes and discrepancies, where possible, by interacting with the various wholesalers, Medicaid programs, and rebate customers. Manage AR resolution related to these payments. Strict adherence to internal controls; i.e., obtain proper supporting documentation and obtain proper approvals for payments. Organize and retain all documentation associated with the receipt, processing, reconciliation and payment of all chargebacks, rebates and fees. Ensure related monthly/quarterly reporting requirements related to these controls are met. Review and analyze script-level rebate claims data to ensure State compliance with respect to Medicaid invoice submission. Manage and utilize Model N for processing gross to net payments so that all information is properly recorded. Devise and create additional ad-hoc reports upon request that can be used for analysis of chargebacks, Medicaid Rebate payments, and other gross to net payments to assist in forecasting. Analyze payment variances and trends to identify outliers and research root causes for potential upstream errors. Support the development and maintenance of policies and standard operating procedures to ensure compliant operations. Participate in internal and external audits, when needed, in order to demonstrate compliance with policies, laws, and regulations. Other duties as assigned to assist with the department’s gross to net payment processing and reporting.
Qualifications
- Associate’s degree in Business, Accounting or Finance field preferred or commensurate experience.
- Minimum of 3 years of business experience in an office environment with prior experience in processing/handling/or payment of invoices. 3 years’ experience in chargebacks or Medicaid, Contracts, and/or Finance preferred. Pharmaceutical industry experience is a plus.
- Experience with the Medicaid Rebate program and other government healthcare programs is a plus.
- Ability to function in a high volume, process-based, customer-focused environment.
- Excellent interpersonal communication (written and verbal) and teamwork skills.
- Must be accurate, detailed oriented and organized.
- Strong analytical and problem-solving skills.
- Ability to work diligently without constant supervision.
- Excellent PC and systems skills; proficient in Excel and Word. SAP experience a plus.
- Proven track record of attaining organizational and personal objectives.
- Adaptable, strong team player with outstanding communication skills and ability to work with all functional areas.
- Ability to prioritize work to meet deadlines; self-motivated with a sense of urgency.
- Ability to identify and lead change as required for process improvements.
Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required.
At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support—showing up in big moments and small to help patients find comfort and confidence.
We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology, men’s health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference.
We are Keenova—keen to solve, keen to serve. Learn more at www.keenova.com.