Medicaid Specialist

At AstraZeneca, we pride ourselves on crafting a collaborative culture that champions knowledge-sharing, ambitious thinking and innovation – ultimately providing employees with the opportunity to work across teams, functions and even the globe. 

Recognizing the importance of individualized flexibility, our ways of working allow employees to balance personal and work commitments while ensuring we continue to create a strong culture of collaboration and teamwork by engaging face-to-face in our offices 3 days a week. Our head office and BlueSky Hub in downtown Toronto are purposely designed with collaboration in mind, providing space where teams can come together to strategize, brainstorm and connect on key projects. 

Our dedication to sustainability is also central to our culture and part of what makes AstraZeneca a great place to work. We know the health of people, the planet and our business are interconnected which is why we’re taking ambitious action to tackle some of the biggest challenges of our time, from climate change to access to healthcare and disease prevention. 

Introduction to Role:

As a Medicaid Specialist at AstraZeneca, you will play a pivotal role in the accurate processing of our Medicaid rebates payments to states on a quarterly basis. This includes FFS Medicaid, Managed Medicaid, SPAP, ADAP, and Supplemental rebates. You will also be responsible for the development of Medicaid Supplemental contracts, interacting with various departments to ensure contracts are prepared accurately and in a timely manner.

Accountabilities:

• Negotiate, analyze and administer Medicaid Supplemental contracts.

• Collaborate with other Medicaid Specialists and Managers on contract set up/maintenance.

• Develop and maintain strong working relationships with internal and external customers.

• Understand and interpret Medicaid contract language and regulations.

• Lead dispute resolution process.

• Manage the receipt, analysis, impact, resolution and reporting of all Medicaid payments.

• Ensure payments are accurate, timely, formulary compliant and entered in contract systems consistent with agreement terms.

Essential Skills/Experience:

• Bachelor’s degree in a relevant discipline.

• Minimum of 3 years of relevant work experience.

• Understanding of Market Access and Healthcare delivery.

• Logic and mathematical skills.

• Proficiency in Excel, Word, and PowerPoint.

• Ability to manage multiple tasks/projects simultaneously.

• Strong attention to detail and trends.

Desirable Skills/Experience:

• MBA.

• Understanding of AZ business model with specific knowledge of contract operations.

• Experience with Model N.

Great People want to Work with us! Find out why: 

• GTAA Top Employer Award for 10 years 

• Top 100 Employers Award 

• Canada’s Most Admired Corporate Culture 

• Learn more about working with us in Canada 

• View our YouTube channel 

Are you interested in working at AZ, apply today! 

AstraZeneca is an equal opportunity employer that is committed to diversity and inclusion and providing a workplace that is free from discrimination. AstraZeneca is committed to accommodating persons with disabilities. Such accommodation is available on request in respect of all aspects of the recruitment, assessment and selection process and may be requested by  emailing [email protected]. 

#LI-Hybrid 

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Annual base salary for this position ranges from 71,915.20 to 94,388.70.AstraZeneca is committed to providing fair and equitable compensation opportunities to all colleagues. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The range provided in this posting represents an offer pay range used in a majority of situations. The base pay offered will vary depending on multiple individualized factors, including the candidate's skills and experience, job-related knowledge, and other specific business and organizational needs.  In some cases, offers outside the range may also be considered to address unique circumstances.

In addition, our permanent positions offer an annual Variable Pay Bonus/Short Term Incentive opportunity as well as eligibility to participate in our equity-based long-term incentive program (if applicable to role).  Benefits offered for permanent roles include a competitive Flex Benefits & Retirement Savings Program, 4 weeks’ paid vacation, and annual Personal Days. Fixed Term Contract/Temporary positions (excluding students) are offered a Contract Benefits Program.

We are using AI as part of the recruitment process.

This advertisement relates to a current vacancy.