Pricing Analyst

Posted 2 Days Ago
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Mettawa, IL, USA
Hybrid
Junior
Healthtech • Pharmaceutical
The Role
Analyze and administer state and federal Medicaid rebate claims, ensure timely payments, resolve payment discrepancies with SAP and internal teams, communicate with state contacts, identify trends and anomalies, support 340B dispute resolution, maintain Model N program data, and respond to data and compliance requests.
Summary Generated by Built In
Company Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.

Job Description

Purpose

The U.S. federal and state governments are significant customers of AbbVie ensuring patients covered under their numerous healthcare programs have access to our medicines. Medicaid is one of the largest of these programs. AbbVie contributes to the success of this program by providing discounted prices on our products.  Incumbent will analyze and administer a large volume of quarterly rebate claims within required timelines.

Responsibilities

  • Administer statutory and contractual state rebate claims, ensuring timely and accurate payment.                                  
  • Proactively communicate with state representatives to adjust disputable claims prior to claims payment and avoid disputes.
  • Follow up on payment issues and partner with SAP and appropriate internal teams to ensure discrepancies are researched, resolved, and cleared in a timely manner.
  • Analyze detailed claim detail from states based on medical prescribing and billing utilization guidelines of the product.
  • Identify trends and anomalies and be able to articulate them to various levels of management.
  • Develop relationships with state contacts and support multiple data and compliance requests from the states.
  • Partner with the 340B Scrubbing team to process and resolve 340B disputes, ensuring timely review, accurate issue resolution, and appropriate follow-up.
  • Develop knowledge of Medicaid and contract rebate formulas and legislation, Model N, product prescribing information and state program information.
  • Add / Update Medicaid programs in Model N, as required.
  • Perform other duties as assigned related to the Medicaid claims team.

Qualifications

  • Bachelor’s Degree: B.A./B.S. or equivalent experience required.
  • 2+ years business experience.
  • Some experience in contracting and/or Medicaid related activities or financial analysis helpful.
  • Significant Work Activities: Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day).
  • Ability to work productively within a team environment and perform daily duties independently or with moderate supervision.
  • Must have strong oral and written communication skills.
  • Problem Solving is key competencies of this position.
  • Must be able to apply sound judgment to the analysis of Medicaid Rebates, determining appropriate payments to the State Agencies and consult with management to determine reasonableness when necessary.
  • Sound organizational skills with a high degree of follow up & follow through are requirements within this position.
  • Proficient in Microsoft Word, Excel (text import, pivot tables, reference matching).
  • Previous experience with Revenue Management software (i.e. Model N, Revitas) is helpful.

Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: ​

  • The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this roleat  the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on manyfactors  including  geographic location, and we may ultimately  pay more or less than the posted range. This range may be  modified in the future. ​

  • We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.​

  • This job is eligible to  participate in our short-term incentive programs.  Note: No amount of pay is  considered to be wages or compensation until such amount isearned,  vested,  and determinable. The amount and availability of  any bonus, commission, incentive, benefits, or any other form of compensation and benefits thatare allocable to a   particular employee  remains in the Company's sole and absolute discretion unless and until paid and may be  modified at the Company’s sole andabsolute discretion,  consistent with applicable law. ​

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community.  Equal Opportunity Employer/Veterans/Disabled. 

US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

https://www.abbvie.com/join-us/reasonable-accommodations.html

Skills Required

  • Bachelor's Degree (B.A./B.S.) or equivalent experience
  • 2+ years business experience
  • Experience in contracting and/or Medicaid related activities or financial analysis
  • Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)
  • Ability to work productively within a team environment and perform daily duties independently or with moderate supervision
  • Strong oral and written communication skills
  • Problem solving competency
  • Ability to apply sound judgment to analysis of Medicaid rebates and determine appropriate payments
  • Sound organizational skills with a high degree of follow up and follow through
  • Proficient in Microsoft Word and Excel (text import, pivot tables, reference matching)
  • Previous experience with Revenue Management software (Model N, Revitas)

AbbVie Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about AbbVie and has not been reviewed or approved by AbbVie.

  • Retirement Support 401(k) contributions include a dollar-for-dollar match up to 6% plus an additional annual company contribution tied to age and service. Company-paid life insurance and other financial protections further strengthen long-term security.
  • Parental & Family Support Paid leave programs include up to 12 weeks at 100% for parental leave and separate paid caregiver leave, with eligibility after six months where noted. Adoption and surrogacy reimbursements and family-building resources add further support.
  • Healthcare Strength Health coverage begins on day one with medical, dental, vision, mental health, and prescription benefits, and preventive care covered at 100%. Options such as HSAs/FSAs and coverage for spouses/domestic partners and children up to age 26 broaden accessibility.

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The Company
HQ: North Chicago, IL
50,000 Employees
Year Founded: 2013

What We Do

AbbVie is a global biopharmaceutical company focused on creating medicines and solutions that put impact first — for patients, communities, and our world. We aim to address complex health issues and enhance people's lives through our core therapeutic areas: immunology, oncology, neuroscience, eye care, aesthetics and other areas of unmet need.

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