Project Manager, Medicaid & Government Rebate Analyst

| Chicago, IL, USA +80 more | Remote
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About Us

At Kalderos, we are building unifying technologies that bring transparency, trust, and equity to the entire healthcare community with a focus on pharmaceutical pricing. We eliminate waste in drug pricing, enabling innovation and patient access to novel and affordable therapies to improve health. Our success is measured when we can empower all of healthcare to focus more on improving the health of people. 

That success is driven by Kalderos’ greatest asset, our people. Our team thrives on the problems that we solve, is driven to innovate, and thrives on the feedback of their peers. Our team is passionate about what they do and we are looking for people to join our company and our mission.
That’s where you come in! We’re looking for a knowledgeable and dedicated Project Manager to liaise with our pharmaceutical manufacturer customers and help us overdeliver on the services we offer to our clients.

What You'll Do:

  • Claims Processing: Assist with the processing of Kalderos disputes, including managing assigned states end-to-end by entering claims into Medicaid claims adjudication systems, adjudicating claims, generating ROSI/PQAS, and performing data reconciliations with the states, including non-compliant claims identified by Kalderos 
  • Medicaid Disputes Support: Following the resolution of Kalderos’ disputes with the states, enter the revised payable units to generate the relevant CMS-304a Prior Quarter Adjustment Statements (“PQAS”) for payment processing
  • Claims Management/Review: Review claims that are adjudicated by Medicaid rebate analysts
  • Reporting: Provide insight with in-depth analytics and reporting to internal and external parties
  • Training: Identify opportunities to incorporate Medicaid best practices from a process perspective and provide ongoing training/ reinforcement to team members
  • Internal Coordination: Collaborate with and participate in a regular cadence of status check-ins with Kalderos’ Customer Success and our customers
  • Cultivate, develop, and maintain productive and valuable working relationships with State Medicaid personnel and other key stakeholders
  • Provide subject expertise and operational support for federal, state & supplemental rebate programs

What You'll Bring:

  • In-depth Medicaid claims-level data processing experience
  • Customer service/claims processing experience
  • Outstanding attention to detail and adaptability to deliver world class results across a complex network of partners, providers and stakeholders
  • Ability to identify areas for process and systems innovation and implement change that will enhance the overall effectiveness of the team
  • Strong mathematical and analytical skills, along with demonstrated ability to prioritize multiple tasks simultaneously while meeting deadlines
  • Advanced Microsoft Office and Google Suite skills
  • Must be able to work in a collaborative team environment
  • Must be able to present complex information clearly and with confidence
  • Excellent written and verbal communication skills, capable of effectively interfacing with all levels in the company and also with external stakeholders
  • Demonstrated proficiency in and specific knowledge and experience within US healthcare industry, Federal and State Government program administration (Medicare, Medicaid, 340B, Orphan Drug, etc), and managed healthcare in US
  • Prior experience in SAP Vistex, Model N or other contract administration tool supporting rebates in US Healthcare industry highly preferable

This is a remote position that will require 25-30% travel.

___________________________________________Highlighted Company Perks and Benefits

  • Medical, Dental, and Vision benefits
  • 401k with company match
  • Flexible PTO with a 10 day minimum
  • Opportunity for growth
  • Mobile & Wifi Reimbursement
  • Commuter Reimbursement
  • Donation matching for charitable contributions
  • Travel reimbursement for healthcare services not available near your home
  • New employee home office setup reimbursement

What It’s Like Working Here

  • We thrive on collaboration, because we believe that all voices matter and we can only put our best work into the world when we work together to solve problems.
  • We empower each other and believe in ensuring all voices are heard.
  • We know the importance of feedback in individual and organizational growth and development, which is why we've embedded it into our practice and culture. 
  • We’re curious and go deep. Our slack channel is filled throughout the day with insightful articles, discussions around our industry, healthcare, and our book club is always bursting with questions.

To learn more: https://www.kalderos.com/company/culture

We know that job postings can be intimidating, and research shows that while men apply to jobs when they meet an average of 60% of the criteria, women and other marginalized folks tend to only apply when they check every box. We encourage you to apply if you think you may be a fit and give us both a chance to find out!

Kalderos is proud to be an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status. 

Kalderos participates in E-Verify.

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Candidate Location Eligibility:
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Technology we use

  • Engineering
  • Product
    • C#Languages
    • JavascriptLanguages
    • PythonLanguages
    • SqlLanguages
    • ReactLibraries
    • ReduxLibraries
    • react.semantic-uiLibraries
    • ASP.NETFrameworks
    • HadoopFrameworks
    • Node.jsFrameworks
    • DockerFrameworks
    • Microsoft SQL ServerDatabases
    • SparkDatabases
    • IllustratorDesign
    • InVisionDesign
    • PhotoshopDesign
    • SketchDesign
    • PrincipleDesign
    • StorybookDesign
    • AvocodeDesign
    • FigmaDesign

An Insider's view of Kalderos

What's something quirky about your company?

Our culture encourages individuality and strong opinions. There is never a shortage of thoughtful recommendations or particular preferences. All of these differences make our conversations lively - but always progressing towards our goal of bringing transparency and trust to the healthcare space.

Allison

Client Relationship Manager

What does your typical day look like?

A typical day here is full of interesting challenges, fun filled conversations, and growth opportunities. Everyone is friendly and eager to come together to help you succeed, and this motivates me to push my limits and deliver beyond expectations.

Sameer

Principal Data Engineer

What makes someone successful on your team?

A good attitude, an open mind, someone who is adaptable, enjoys solving complex problems and the excitement that comes with working for a startup.

Sara

VP of Finance

What is your vision for the company?

Kalderos is a purpose-driven group of multidisciplinary collaborators -- our purpose is to bring transparency to one of the most opaque parts of the healthcare system. Our solutions will empower all stakeholders in the healthcare ecosystem to focus on improving the well-being of people, rather than financial engineering.

Micah

COO

What’s the vibe like in the office?

Our vibe is a combination of trust, collaboration, and stimulation. We’re a young company with big ideas, super smart people, and an eagerness to make some real change. The general attitude is -- be yourself, dress how you want, and get ready to solve some big problems.

Matt

Product Designer

What are Kalderos Perks + Benefits

Kalderos Benefits Overview

We understand that our team members allow us to accomplish our goals, which is why we have partnered across all centers of excellence to create a working environment that allows each contributor to be their best selves.

At Kalderos we are dedicated to supporting team members based on their needs—

Life + work balance: We think a balanced lifestyle is a right, not just a perk. We have an unlimited paid time off policy (with an enforced minimum number of days off) and flexible work modes that allow team members to manage work on their schedule.

Health and wellness: With health, dental and vision insurance, and robust parental and caregiver leave policies, we aim to ensure you have the resources you and your family need to stay healthy.

Culture
Partners with nonprofits
Kalderos is proud to be based in Chicago and to be part of the growing local economy of tech companies. Diversity and inclusion are part of our core values at Kalderos and we are excited to influence
Open door policy
OKR operational model
Team based strategic planning
Open office floor plan
Hybrid work model
Flexible work schedule
At Kalderos, we are focused on getting things done, not on the hours you spend on getting things done.
Diversity
Mandated unconscious bias training
Mean gender pay gap below 10%
Hiring practices that promote diversity
Health Insurance + Wellness
Flexible Spending Account (FSA)
Disability insurance
Dental insurance
Vision insurance
Health insurance
Life insurance
Financial & Retirement
401(K)
401(K) matching
We welcome employees to proactively prepare for retirement with our fully-vested matching contribution of 100% of the first 3% of your employee deferral, plus 50% on the next 2% deferred.
Performance bonus
Charitable contribution matching
Child Care & Parental Leave
Generous parental leave
Family medical leave
Vacation + Time Off
Unlimited vacation policy
Generous PTO
Paid holidays
Paid sick days
Flexible time off
Bereavement leave benefits
Company-wide vacation
Office Perks
Commuter benefits
Free snacks and drinks
Some meals provided
Home-office stipend for remote employees
Professional Development
Lunch and learns
Promote from within
Continuing education stipend

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