Job Information
State of Montana Drug Rebate Specialist (11728) in Helena, Montana
The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Health Resource Division, Pharmacy and Drug Rebate. This position is responsible for administration and operation of the Federal Drug Rebate Program for Montana Medicaid and Medicaid Expansion and the voluntary drug rebate program for Healthy Montana Kids (HMK). This position is also responsible for reconciling historical pharmacy and medical claim information in order to maximize drug rebate collection. This position must apply Federal guidelines in the development and automation of a method to accumulate drug utilization, pricing, rebate information, generate invoices to manufacturers, receivables and account for funds collected, identify and resolve invoice and data errors, respond to manufacturers inquiries, resolve disputes, formulate edits to ensure accurate data from the claims processing system and evaluate the effectiveness of the program and assure compliance of the agency with applicable state and federal laws. * * Why Join DPHHS * * Our mission at DPHHS is to serve Montanans in their communities to improve and protect the health, safety, and well-being, and to empower independence. By joining our department, you will have the opportunity to perform meaningful work in public service to our state and its residents. TheState of Montana's comprehensive benefits package includes healthcare coverage, retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program. In addition, DPHHS is the largest state agency with a wide range of advancement opportunities whether you are joining the workforce or have several years of experience. Qualifications for this Career Opportunity * * * General knowledge of Medicaid, medical terminology and basic medical billing practices. * Knowledge of program management principles and practices. * Ability to research, interpret and apply laws, rules and regulations. * Meet minimum qualifications: o Bachelor's Degree in a human services, business, public administration, or a related field. o One year of job-related work experience o High school graduate or post-secondary level training in accounting, financial management or experience in medical billing, medical records and coding may substitute for experience on a year-for-year basis. Equivalent progressively responsible experience can substitute for formal education on a case-by-case basis. o Experience with medical billing, medical coding systems, data analysis or other medical programs are preferred. o Other combinations of directly related education and experience may be considered on a case-by-case basis. * * How to Apply To be considered for a DPHHS position, submit the following required documents with your application on the State of Montana Careers website. When submitting the required documents, you must check the "relevant document" box to ensure your attachments are uploaded correctly to your application for this position. * Cover Letter * Resume * References Successful applicants will be subject to background checks relevant to the position and must pass reference checks before an offer will be extended. DPHHS is an equal opportunity employer. Women, minorities, and people with disabilities are encouraged to apply. For a copy of the full job description or if you need a reasonable accommodation in the application or hiring process, contact DPHHS Human Resources listed below. Additional Information This position may be eligible for partial telework within the state of Montana. Specific conditions will be provided by the supervisor and must adhere to state policy. Title: Drug Rebate Specialist (11728) Location: Helena Requisition ID: 24141890