By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use. I further attest that all information I submit in my employment application is true to the best of my knowledge.

Job Description

Medicaid Analyst II

Takeda Pharmaceutical

Exton, PA

About the role:

Are you looking for a patient-focused, innovation-driven company that will inspire you and empower you to shine? Join us as a Medicaid Analyst II located in Exton, PA.

How you will contribute:

• Key tasks for this position include end-to-end Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for all state Medicaid agencies, SPAPs and Supplemental Rebates.

• Validating utilization trends against prescribing methods, generic substitution, and eligible payors.

• Ensuring payments are submitted within aggressive deadlines.

• Responsible for the Medicaid Drug Rebate process which includes:

  • Validating utilization trends against prescribing methods, generic substitution, and eligible payors.

  • Disputing claims that fail validation review

  • Submit claims for payment

  • Remitting payment within short timelines

• Responsible for coordinating payment approval with Contracts & Pricing (C&P) management, Finance and Accounts Payable.

• Responsible for negotiating dispute resolutions with state personnel ensuring. accurate and efficient documentation of payments and presents to C&P management.

• Responsible for ensuring compliance with all state mandated due dates and avoiding interest penalties.

• Responsible for updating and keeping Manager of Medicaid Rebates informed of changes to state programs and drug placement.

• Responsible for system updates regarding supplemental contracts

• Performs a variety of ad hoc reporting related to Medicaid Rebates contracts.

Minimum Requirements/Qualifications:

• Bachelor's Degree with 2+ years of business experience or 4+ year’s experience in the area of accounting/finance or rebate processing

• Effectively manage multiple priorities in order to maximize results. Pays close attention to project deadlines and schedules.

• Health care business acumen with a comprehensive understanding of the pharmaceutical industry

• Experience with Flex MRB

• Must be able to review large amount of data for accuracy.

• Ability to present complex information clearly and with confidence

• Embraces and demonstrates a diversity and inclusion mindset and role models these behaviors for the organization

• Broad decision-making responsibilities:

  • Accountable for decision making for designated function

  • Ability to seek diverse input from multiple constituents and stakeholders to drive innovative solutions

  • Ability to incorporate feedback and ensure decisions are made swiftly to yield flawless execution

• Accountable for designing and implementing vision and strategy for designated scope

• Ability to build strong partnerships and drive role clarity with other interfacing Takeda functions, including but not limited to Commercial Team (Contracts, Rebates, Chargebacks), IT, Internal Audit, Compliance, and Shared Services

• Comfortable challenging the status quo and bringing forward innovative solutions

• Ability to identify areas for process and systems innovation and implement change that will enhance the overall effectiveness of the team.

• Ability to work in a global and highly matrixed ecosystem (internal and external) with a high degree of complexity

• Responsible for meeting all deadlines in incorporating newly acquired companies/products

What Takeda can offer you:

• Comprehensive Healthcare: Medical, Dental, and Vision

• Financial Planning & Stability: 401(k) with company match and Annual Retirement Contribution Plan

• Health & Wellness programs including onsite flu shots and health screenings

• Generous time off for vacation and the option to purchase additional vacation days

• Community Outreach Programs and company match of charitable contributions

• Family Planning Support

• Flexible Work Paths

• Tuition reimbursement

More about us:

At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work.

Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world.

This position is currently classified as "hybrid" in accordance with Takeda's Hybrid and Remote Work policy.

In accordance with the CO Equal Pay Act, Colorado Applicants Are Not Permitted to Apply.

EEO Statement

Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

Locations

Worker Type

Worker Sub-Type

Time Type