Dohmen Life Science Services

  • Supervisor, Chargebacks and Medicaid

    Job Locations US-WI-Milwaukee
    Job ID
    # of Openings
    Channel Support/ Chargeback and Medicaid
  • Overview


    At Dohmen, we are committed to keeping our clients for life, ensuring no conflict of interest exists, achieving continuous innovation, and focusing on continuous improvement.  Our behavior is guided by five simple values that define how we work and are the essence of what makes us successful:


    Caring: We are empathetic and respectful.  We ask “How can I help you?”

    Committed: We are dedicated and persistent.  We ask “How can I make it happen?”

    Creative: We are inventive and imaginative. We ask “How can I do it better?”

    Collaborative: We are cooperative and share our knowledge. We ask “How can we achieve success?”

    Courageous: We’re willing to risk failure over inaction. We ask “How can I challenge myself?”



    • The Supervisor of Chargebacks and Medicaid is primarily responsible for the management of the teams processing chargeback and Medicaid drug rebate invoices for various DLSS clients.



    • Ensure SOPs and work instructions are documented and updated.
    • Assist and train subordinates on proper processing of Chargebacks and Medicaid invoices.
    • Develop internal / external relationships and engage in effective communications with all stakeholders.
    • Establish and maintain positive affiliations with co-workers, clients, state program contacts, etc.


    Essential Duties and Responsibilites:

    • Establish and monitor individual, team and departmental goals
    • Allocate resources based on shifting work load demands
    • Participate in hiring decisions and disciplinary actions
    • Investigate opportunities for process improvement
    • Respond to client inquiries and/or request for ad hoc reports/analysis.
    • Ensure Chargeback transactions and Medicaid invoices are completed timely and accurately
    • Lead efforts to process, analyze and resolve chargeback items to establish appropriate credit within contractual requirements through research of manual and EDI submissions to resolve discrepancies between the wholesaler requests for credit and DLSS’ chargeback system.
    • Responsible for accuracy and maintenance of contract parameters, membership rosters and class of trade assignments, related to wholesalers, pharmacy benefit managers (PBM), managed care organizations (MCO), group purchasing organizations (GPO), pharmacies and other supply chain entities.
    • Partner with Receivables Management department to resolve Chargeback discrepancies
    • Collaborate with key state Medicaid administrators toward claim dispute resolution.
    • Manage the preparation and processing of Reconciliation of State Invoices (ROSI) and Prior Quarter Adjustment Statements (PQAS) in the required CMS format and maintaining an organized audit trail of the clients’ rebate invoices.
    • Other internal and external duties / projects as assigned.


    The above list reflects the general details necessary to describe the principle and essential functions of the position and shall not be construed as the only duties that may be assigned for the position.


    An individual in this position must be able to successfully perform the essential duties and responsibilities listed above. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.


    MINIMUM Qualifications:

    The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.


    • AS / BS degree and a minimum of five years of work related experience in a professional environment. 
    • Ability to perform detail-oriented work accurately, handle several assignments simultaneously, maintain confidential information, and complete assigned tasks in a timely manner.
    • Must be receptive to training and diligent in learning and working under the processes and procedures in place.
    • Proficiency using the following software: Microsoft Excel, Microsoft Word, Microsoft Outlook.  Able to learn and become proficient in company software packages.


    Preferred Qualifications:


    • BS degree in a business related area.
    • Prior experience with Chargeback and Medicaid processing



    • Interact positively in a team orientated environment. 
    • Strong mathematical, analytical and customer service skills.
    • Strong written, verbal and interpersonal communication skills.

    The mental and physical requirements described here are representative of those that must be met by an individual to successfully perform the essential functions of this position.


    Working ENVIRONMENT:

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

    The work environment characteristics described here are representative of those an individual encounters while performing the essential functions of this position.


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