Drug Rebate Analyst - Remote US

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

Gainwell Technologies is seeking a Drug Rebate Analyst. In this fully remote role, you’ll review Medicaid drug rebate payments, identify disputes, and negotiate resolutions with manufacturers, helping ensure accurate reimbursements and supporting critical healthcare funding.

• Serve as a Drug Rebate Analyst responsible for reviewing Medicaid Drug Rebate payments
• Identify, research, and resolve rebate disputes with accuracy and fairness
• Play a critical role in securing outstanding balances from drug manufacturers
• Support compliance with Medicaid guidelines, HIPAA, and Gainwell standards
• Contribute to the financial integrity of state Medicaid programs through detailed analysis
  
  

Your role in our mission

• Verify pharmacy and medical claims data with providers to support dispute resolution
• Contact drug manufacturers to gather information and resolve rebate disputes
• Research disputed pharmaceutical utilization and prepare resolution proposals
• Negotiate with manufacturers to achieve timely and accurate payment outcomes
• Track dispute resolution activities and maintain required productivity reports
  
  

What We're Looking For

• Experience with Medicaid drug rebates, pharmacy claims processing, or medical billing (highly preferred)
• Strong analytical, organizational, and critical-thinking skills with attention to detail
• Proficiency in MS Office Suite, PDF editing tools, and familiarity with systems such as PRIMS, SSRS Reports, or Process Manager
• Excellent verbal and written communication skills for both internal and external stakeholders
• Commitment to maintaining confidentiality, compliance, and collaborative working relationships
  
  

What You Should Expect In This Role

• 100% remote position, but you must reside in the United States
• A professional environment that emphasizes accuracy, accountability, and teamwork
• Regular interaction with healthcare providers, manufacturers, and internal teams
• Daily management of invoices, workflow queues, and dispute resolution priorities
• A structured, paper-free work environment with performance metrics and reporting requirements
  
  

The pay range for this position is $31,400 - $44,800 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.