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Takeda fosters a collaborative and stimulating work environment filled with opportunity and the chance to make a difference in people's lives. It is a workplace driven by integrity, one of Takeda’s long-held values that extends to both the patients we serve and our employees who develop and deliver medicines. Across our company, Takeda employees bring together diverse strengths that together create a stronger whole.

As one of the world’s leading biopharmaceutical companies, Takeda is committed to bringing Better Health and a Brighter future to people worldwide. We aspire to bring our leadership in translating science into life-changing medicines to the next level, in our core focus areas; oncology, gastroenterology, neuroscience, rare diseases, plasma-derived therapies, and vaccines.

We are a passionate team doing important work that impacts patients’ lives. If you are driven to create better health and a brighter future, join us!

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  • Collaborative
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Opportunity

  • Since 1781, the values of Takeda-ism (Integrity, Fairness, Honesty, and Perseverance) have guided everything we do—from decision-making to interacting with patients.

  • Our people-first mission extends beyond patients to include their families, communities, and our own Takeda family.

  • A strong, borderless team, we strive together towards our priorities and inspiring mission.

  • Recognized for our culture and way of working, we’re one of only 13 companies to receive Top Global Employer® status for 2020.

  • Our people-first mission extends beyond patients to include their families, communities, and our own Takeda family.

  • Our vision is of a world with accessible healthcare for all, where prevention measures are exponentially advanced and billions are freed of disease. Our approach is rooted in our patient-centricity and the creation of outstanding treatments that change people's lives. Building upon a foundation of sustainability, we are committed to contributing to the long-term health of people through disease prevention.

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Medicaid Analyst I

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Job ID R0015914 Date posted 01/15/2020 Location Exton, Pennsylvania

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Job Description

Medicaid Analyst I

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 I, in our Exton, PA office.

At Takeda, we are transforming the pharmaceutical industry through our R&D-driven market leadership and being a values-led company. To do this, we empower our people to realize their potential through life-changing work. Certified as a Global Top Employer, we offer stimulating careers, encourage innovation, and strive for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our global teams are united by an unwavering commitment to deliver Better Health and a Brighter Futureto people around the world.

Here, you will be a vital contributor to our inspiring, bold mission.

As a Medicaid Analyst I, your role encompasses the 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. You will validate utilization trends against prescribing methods, generic substitution, and eligible payors. The Medicaid Analyst I ensures payments are submitted within aggressive deadlines

ACCOUNTABILITIES

  • 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 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 keeping Manager of Medicaid Rebates informed of changes to state programs and drug placement
  • Resposible for system updates regarding supplemental contracts
  • Performs a variety of ad hoc reporting related to Medicaid Rebates contracts..

EDUCATION, BEHAVIOURAL COMPETENCIES AND SKILLS:

  • Bachelor’s Degree or Associate’s Degree and 2 years experience in the area of rebate processing or 4 years experience in the area of 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
  • Ability to build strong partnerships and drive clarity with other interfacing Takeda teams including the Commercial Team, IT, Internal Audit, Compliance, and Shared services
  • Ability to work in a global and highly matrixed ecosystem (internal and external) with a high degree of complexity

WHAT TAKEDA CAN OFFER YOU:

  • 401(k) with company match and Annual Retirement Contribution Plan
  • Tuition reimbursement Company match of charitable contributions
  • 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

Empowering Our People to Shine

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Locations

Exton, PA

Worker Type

Employee

Worker Sub-Type

Regular

Time Type

Full time

Job ID R0015914

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