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Business Analyst - II in Foster City, CA at Integrated Resources, Inc

Date Posted: 1/9/2019

Job Snapshot

Job Description

Specific responsibilities are follows:

Effectively process Government Rebate invoices timely and accurately, including the research and reconciliation of exceptions/disputes/corrections. Communicate with State Programs in the reconciliation process.

Proactively identify potential issues and inefficiencies that arise in Govt Rebates processing and offer recommendations and solutions.

Analyze Claim Level Data to confirm validity of Government Rebate Invoices. Experience in Alteryx/Tableau analytics is a plus.

Effectively collaborate with internal business teams (Government Pricing, Finance, Accounts Payable, IT) to ensure transaction, exceptions/errors, are processed and resolved accurately and timely.

Work with Client IT, systems vendors and consultants to design and implement system fixes/enhancements.

Experience processing Medicaid/ADAP rebates in Model N or I-many contract management systems is a plus

Essential Duties and Job Functions: Establish contracts (e.g., rebates, administrative fees, chargebacks, etc.) within Client's operations systems based on terms and conditions in customer agreements. Monitor contract requirements to ensure customer and Client remain in compliance with contract terms and conditions.
Communicate directly with internal customers and external customers (wholesalers/distributors and state Medicaid/ADAP agencies, and other depts.) to ensure that accurate pricing and discounts are being extended and to coordinate on resolution of customer issues in a timely manner.
Proactively review invoices and claims data to identify possible disputes of incoming utilization and/or sales data and effectively resolve issues.
Maintain contract parameters within Client's contracting operational systems including customer membership/affiliations, products, prices, performance tiers, date ranges, and incentive percentages.
Import/enter customer utilization data needed to support the proper calculation of earned non-purchase based incentives. Make sure the data is scrubbed (error checking/handling) and loaded correctly into the operational systems. Develop and execute data entry/import control procedures for all utilization data sources.
Effectively process all invoices in an accurate and timely manner. Proactively review, analyze, and establish invoice processing standard operating procedures as needed to ensure invoices are processed according to company policies and contractual obligations.
Implement industry standards and develop Client-specific dispute tests to isolate high potential dispute target line items.
Work with commercial and government customers to resolve outstanding disputes in a timely manner and to Client's advantage whenever practical. Provide management with dispute tracking and win/loss reports in a timely manner.
Review, revise, and establish invoice payment standard operating procedures as needed to ensure the accuracy and timeliness of payments. Track all payments made through internal Client systems and link payments to invoices to ensure proper payments are made.
Process internal and external invoice adjustments as needed in a timely and accurate manner. Review, revise, and establish invoice adjustment processing standard operating procedures for all invoice adjustments.
Develop reports and analysis to support metric tracking statistics to departmental management as requested in order to keep them advised as to the status, volume, and potential liability of future rebate, fee, and other payments.
Memorize and consistently apply internal Client rules for data creation and maintenance in order to ensure Client is compliant with government and commercial pricing programs.

Knowledge, Experience and Skills : Interest in working with large amounts of data. Detail oriented and able to spot data anomalies, outliers, patterns and trends.
Able to multi-task with multiple interruptions in a deadline-intensive environment.
Ability to demonstrate flexibility, voicing concerns and proposing alternatives.
Able to recognize and interpret business issues/opportunities and recommend solutions through analysis.
Strong verbal, written and interpersonal skills with an emphasis on time management, follow-through, and issue resolution abilities.
Working knowledge of invoice processing principles, techniques and their appropriate application.
Strong proficiency in Microsoft Excel//Word/PowerPoint and of 3rd party invoice processing tools (e.g., Imany, Model N, etc.). Knowledge of Data Analysis tools like Tableau, Alteryx, or Microsoft Access a plus.

Bachelor s degree in business administration, marketing finance or related field. Preference for 4-5 years of experience in a utilization-based invoice processing environment in the pharmaceutical or biotech industry.

Intake Notes:

5 years of experience
Must be comfortable with numbers
Proficient in Excel ( Formulas, V-look ups, Pivot Tables )