NEOGOV · 7 hours ago
Medical Assistance Specialist 4 (MAS4/FS) – Internal only
Thurston County – Olympia, WA
Full-time
Hybrid
Mid, Senior Level
$52K/yr - $70K/yr
2+ years expNEOGOV is part of the State of Washington's Health Care Authority, which focuses on providing strategic financial expertise for healthcare programs. The Medical Assistance Specialist 4 role within the Medicaid Drug Rebate Program involves ensuring accurate invoicing and compliance with federal guidelines to support the Medicaid program.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
As the expert in the Drug Rebate Invoicing Program, utilize Pharmacy Point of Sale (POS), ProviderOne (P1) and Drug Rebate systems to independently research and analyze paid claims submitted by pharmacy and medical providers; perform quality assurance by verifying claim accuracy/appropriateness; perform claim corrections/adjustments as necessary to ensure successful completion of the critical drug rebate invoicing process
Identify, analyze and correct provider claims with common pharmacy quantity errors and P1conversion errors
Use expertise and knowledge of drug rebate systems to continually monitor and analyze the automations, workflow and processes affecting drug rebate for errors or other issues
Use expert-level knowledge of critical drug rebate invoicing processes and complex regulations to independently interpret and apply federal program requirements, policies, procedures, and guidelines
Communicate with external providers and educate them regarding claim outliers; train providers regarding billing guidelines and requirements to facilitate accurate invoicing and pre-empt disputes
Manage the agency’s invoicing email box; respond to more complex invoice questions, as well as general inquiries from participating drug manufacturers; direct stakeholders to drug rebate invoicing regulations and educate them regarding federal guidelines when necessary
Receive data files from CMS for loading into the drug rebate invoicing system, store and document receipt of files
Review, and store output reports, perform updates to invoicing information and take any other actions necessary as a result of report review
Qualification
Required
A bachelor's degree in a related field including Business Administration, Health Care Policy, or a related field
Two (2) years of experience providing direct customer services or counseling of internal/external stakeholder; facilitate stakeholder and/or staff training and development—either in person or in a virtual environment; implementing developing/maintaining desk manuals in the areas of systems, workflow and advising on process improvement; educating/advising providers on program requirements, existing policies and best practices; providing guidance on claims processing, adjusting, and analysis; or other medical premiums/claims related experience
Six years of experience as listed above
One year as a Medical Assistance Specialist 3
The ability to take action to learn and grow
The ability to take action to meet the needs of others
Skilled in customer service, with a willingness to take initiative
Must be able to provide customer service via telephone calls, virtual meetings using platforms like Microsoft Teams or Zoom, and in-person as required to communicate findings to stakeholders to include providers, drug manufacturers, managed care organizations and/or HCA staff
Proficient in Excel and knowledge of other Microsoft Office programs
Ability to manage competing priorities in an office or virtual work environment, including the ability to prioritize and complete work within mandated deadlines
Preferred
Knowledge of how to navigate in ProviderOne, Point of Sale, and Drug Rebate Invoicing systems
Ability to utilize available resources to research/understand basic medical terminology and drug information and perform basic pharmacy claims data analysis
Benefits
Meaningful work with friendly co-workers who care about those we serve
A clear agency mission that drives our work and is person-centered
A healthy work/life balance, including alternative/flexible schedules and mobile work options.
A great total compensation and benefit package
A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
And free parking!
Employees and their families are covered by medical (including vision), dental and basic life insurance.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses.
Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees.
State Employees are members of the Washington Public Employees' Retirement System (PERS).
Employees also have the ability to participate in the Deferred Compensation Program.
All state employees are covered by the federal Social Security and Medicare systems.
If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.
Full-time employees earn eight hours of sick leave per month.
Full-time employees accrue vacation leave at the rates specified in WAC 357-31-165 or the applicable collective bargaining agreement.
Washington State supports members of the armed forces with 21 days paid military leave per year.
Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave.
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
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Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
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2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
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