Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Summary
Reviews Medicaid Drug Rebate payments from drug manufacturers to identify rebate disputes and resolve outstanding balances.
Your role in our mission
- Contact pharmacy and medical providers to verify claims data
- Contact drug manufacturers for information on disputed rebates
- Provide training for new hires and act as a subject matter expert to team
- Assist in required CMS reporting and invoicing as needed
- Act as backup for Drug Rebate Supervisor tasks as needed
- Assist the Supervisor in monitoring dispute workflow
- Lead efforts to focus efforts on the highest materiality disputes
- Assist with claim load file quality validation
- Research disputed pharmaceutical utilization to prepare dispute resolution proposals
- Negotiate with drug manufacturers to resolve disputes fairly and accurately
- Complete required productivity tracking reports
- Track and prioritize dispute resolution activities on an ongoing basis
- Review and resolve invoices in assigned workflow queues on a daily basis
- Follow up with drug manufacturers to secure payment for unpaid invoices
- Interact with internal and external customers to accomplish goals
- Other tasks as directed
What were looking for
- 5+ years’ experience with Medicaid Drug Rebates, Medical/Pharmacy claims processing, Pharmacy and/or medical billing is highly preferred
- Drug Rebate system experience such as PRIMS, SSRS Reports, Process Manager, or other drug rebate systems
- MS Office Suite, PDF Editing Software (Adobe, Nitro Pro, PDF Escape)
- Ability to work in a paper free environment
- Excellent organizational skills
- Excellent verbal and written communication skills
What you should expect in this role
- United States remote opportunity
- Video cameras must be used during all interviews, as well as during the initial week of orientation
- The Deadline to submit applications for this posting is July 24, 2026
The pay range for this position is $51,700.00 - $73,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
