Medicaid Analyst II

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.

What is the opportunity?

As an Analyst on our team, you will work in a collaborative and supportive environment to create insights and value for clients. Team members are self-motivated and demonstrate flexibility to assist on a variety of tasks.

How will you make an impact at Envision Pharma Group?

Role responsibilities

• Develop knowledge of government programs with an opportunity to develop deep expertise
• Develop knowledge of commercial contracting and rebate and fees adjudication
• Ability to read, research and understand guidance from Government and other agencies while retaining, applying, and growing your knowledge base
• Stay current on industry trends as it relates to multiple service areas including but not limited to Pharmaceutical Pricing Compendium, Medicaid Rebates, State Program Contracting, Government Pricing Calculations, Class of Trade Assignment, 340B Covered Entity Eligibility, State Prescription Drug Price Transparency Reporting, Utilization and Sales-based Commercial Rebating and Contract Administration for Federal and State Programs as well as with Commercial Entities like Managed Care and Pharmacy Benefit Managers
• Ability to communicate with state government employees, third-party processors, Federal Agencies, commercial plans, or legal firms
• Identify, analyze, and solve data or process problems
• Detect outliers in data and research to identify the cause of the anomaly
• Prepare monthly and quarterly pricing and rebate deliveries by defined timelines
• Reviewing contract terms or formulary positioning to determine proper rebate application
• High accuracy rate and compliance with applicable legal requirements and policy and procedures serving as the foundation of the SOC controls and compliance
• Reconciliation of payments or other finance functions such as reconciliation of data to the G/L
• Assistance in reviewing client invoices for accuracy against Statement of Work

Do you have what we are looking for?

Skills & expertise

• Support to ongoing process and system development, especially in times of evolving government and commercial program changes
• Familiarity with database structures and ability to understand underlying tables
• Prepare routine and ad hoc analysis, presentations, and assessment reports by collecting, analyzing, and summarizing information
• Understanding of defined Service Areas, including Commercial Contract Administration and rebate and fees adjudication, Medicaid contracting, and rebate processing or Government Pricing Calculations is a plus
• High degree of analytical and quantitative problem-solving skills
• Experience working with large data sets or proficiency with data tools such as MS Excel is required. Experience with data tools such as SQL or MS Access is a plus

At EPG, the provided salary range reflects the potential base salary for this role in the United States, considering factors like your professional and academic experience, training, and role responsibilities. In addition to a competitive base salary, we offer an attractive total compensation package designed to reward and support our people.

#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!