Medicaid Reviewer

Work where you can be your best you. Join Two Labs proudly part of Envision Pharma Group, as we continue to grow our business!

Two Labs, founded in 2003, is a leading pharmaceutical services company that partners with pharma/biotech companies. At Two Labs, we understand no two product paths are alike. We deliver integrated and customized commercial solutions, helping to chart the path from clinical to commercial for a new product launch and provide strategies for continued market viability for drugs on the market.

Two Labs has a proven track record of successful launches across all major therapeutic areas with unmatched client satisfaction. Two Labs expanded its presence in the pharma consulting space both through organic growth and acquisitions. In 2020, we added the talent of CEEK Enterprises, our Strategic Consulting Team, who specializes in pharma management consultancy. Riparian – a fully integrated Professional Services firm providing consulting services, managed services, and software as a service (“SaaS”)/software solutions to the pharmaceuticals/ life sciences industry joined the Two Labs family in 2021. Two Labs is a highly collaborative, friendly, passionate, and energized team of professionals who work in an environment that goes beyond casual dress and flex scheduling. No structure or formality is permitted to get in the way of collaboration and teamwork. The ongoing growth of the company offers team members continuous opportunities to gain experience, develop skills and chart their course along an exciting success path.

Thanks to our reputation and unique business model, Two Labs is growing, and as part of our continued growth, we're looking for dynamic and highly motivated new talent to grow and thrive right along with us.

The opportunity:

As MSBPO Medicaid Reviewer on our team, you will work in a collaborative and supportive environment to create insights and value for clients by managing a team of Medicaid contracting and rebate adjudication professionals performing accurate and timely rebate processing, variance test development and analysis and submissions to client partners. Managers are self-motivated, subject matter experts in Medicaid contracting and rebate adjudication and demonstrate flexibility to assist on a variety of tasks.

How will you make an impact?

Role responsibilities

• Complete and manage client work in accordance with established budgets, workplans, quality standards, and timeframes.
• Lead client meetings.
• Develop and/ or review client interaction models.
• Coach, develop, and supervise the efforts of analysts who assist with this work, including provide advice, feedback and guidance on work performance.
• Manage team capacity, identify and communicate resource risks.
• Develop and/ or review Department Operating Procedures updating procedures impacted by changes in regulations, process, or technology.
• Prepare analysis, presentations, and assessment reports by collecting, analyzing, and summarizing information.
• Identify and address client needs: Build relationships with clients: Act as a subject matter expert by demonstrating subject matter expertise in Medicaid, State Pharmaceutical Assistance Programs, Children's Health Insurance Programs, AIDS Drug Assistance Programs, State Supplemental Rebate Agreements and Value-Based Agreement interactions, exercise professional judgment on engagements by providing proactive solutions and recommendations, and anticipate and communicate project risks.
• Contribute to a positive working environment by building solid relationships with team members throughout Riparian.
• Stay up to date on legislation related to the Medicaid Drug Rebate Program.
• Assist in MSBPO system development and upgrades.
• Assist MSBPO senior leadership with determination of effort for potential new client engagements.

Do you have what we're looking for?

Skills & Expertise

Ideal candidates will have Life Sciences management and/or managed services business process outsourcing experience, competency with contracting principles, project and time management, client service experience, understanding of pricing strategy / methodologies, and an ability to rapidly learn and apply new concepts.

• Bachelor or master's degree in Healthcare, Business, Accounting/ Finance or Communications related field
• 5 + years of Life Science managed services or pharmaceutical industry experience showing progression/promotion
• Strong record of leadership in an academic, professional, or extracurricular setting
• Experience working with large data sets and proficiency MS Excel is required
• Experience working with Medicaid rebating software solutions a plus
• Ability to lead a team of rebate analysts
• Communicate effectively in written and verbal formats to various audiences in a professional business environment
• Possess intermediate to advanced analytical skills and the ability to synthesize findings
• High accuracy rate and attention to detail
• Ability to prioritize concurrent client and company responsibilities
• Effective management of multiple client assignments, from planning through completion

#TogetherWeDiscover

We turn vision into reality. Our people are integral to our success and our values reflect the Envision philosophy where our teamwork helps us all grow and our enthusiasm inspires each other.

Our Envisionary culture is a special environment that gives every employee a voice the space to invent and the chance to excel. A place where, every day, people laugh, think, take risks, and are excited about the possibilities the day brings.

Explore your place at Envision. If you have the experience highlighted above, we would love to hear from you!