Adept Medicaid Business Analyst with a proven track record at RL Datix Life Sciences, specializing in data analytics and customer success management. Excelled in streamlining operations, enhancing compliance, and fostering strong stakeholder relationships. Achieved significant process improvements and financial forecasting accuracy, leveraging expertise in SAP and collaborative leadership.
Overview
11
11
years of professional experience
Work History
Medicaid Business Analyst
RL Datix Life Sciences
Morristown, NJ
01.2020 - Current
Manage Medicaid rebate operations for a portfolio of pharmaceutical products, ensuring compliance with CMS guidelines and states' specific requirements.
Calculate, validate, and process Medicaid rebate invoices across multiple states, reconciling discrepancies, and resolving disputes in a timely manner.
Collaborating with cross-functional teams, including finance, legal, and CMS, to address rebate contracts, terms, disputes, and compliance concerns.
Conduct in-depth data analysis to identify trends, forecast rebate liabilities, and provide insight for financial reporting and budget planning.
Oversee and manage expense accounts for stakeholders, for accurate funding and payment issuance.
Utilize the Medicaid Drug Rebate Program System (MDRP) and enterprise tools such as SAP and iContracts to track and manage the rebate processing workflow.
Maintain detailed documentation and audit trails to support regulatory compliance and internal audits.
Build and maintain strong relationships with Medicaid agencies and top drug manufacturers.
Guide new clients through onboarding, ensuring smooth implementation of products and services.
Client Advocate within the organization, conferring feedback on improvements of products and services.
Identify upsell or cross-sell opportunities to expand services.
Cross-departmental support as a Zendesk Agent, Finance Analyst, Government Pricing.
Finance Analyst
Hackensack Meridian Health
Edison, New Jersey
01.2017 - 01.2019
Oversaw the end-to-end accounts payable process, including invoice retrieval, coding, approval, and payment, ensuring accuracy and timeliness.
Processing a high volume of invoicing across multiple vendors and payment platforms, adhering to company policies and accounting standards.
Reconciled vendor accounts, resolved discrepancies, and maintained strong vendor relationships to address payment inquiries and delays.
Managed the corporate credit card program, ensuring correct coding, tracking, and reconciliation of expenses.
Three-way mating (P.O., invoice, and receipt) for accuracy and payment approval.
Ensure compliance with all regulatory requirements, including sales tax, 1099 processing, and reporting for year-end audits.
Monitored aging report to ensure timely payment of obligations to prevent late fees or penalties.
Assisted in process improvements, automation, and system upgrades to enhance workflow efficiency.
Accounts Payable Specialist
Allied Old English
Woodbridge, New Jersey
01.2016 - 01.2017
Manage the full accounts payable cycle, including receiving, coding, matching, and processing high-volume invoices related to food service operations.
Ensure accurate three-way matching of invoices, shipping, receiving documents, to verify product deliveries and services rendered.
Validate freight invoices against bills of lading, weight, and receipts.
Calculate the market rate to verify pricing for products.
Verify the mileage rate for shipping invoices.
Reconcile and dispute pricing for refrigerated storage invoices.
Weekly ACH payments and check runs in SAP.
Reconcile vendor statements and resolve discrepancies, including missing invoices, pricing issues, and shipping delays.
Maintained and updated vendor records, including payment terms, tax documentation (W-9), and contact details to ensure compliance with company and regulatory requirements were met.
Support annual 1099 processing and tax reporting by maintaining accurate vendor payment records.
Process and track international wires and shipments.
Registration Authority Agent - Lead
Synchronoss Technologies
Bridgewater, New Jersey
01.2014 - 01.2016
Supervised and led a team of 10 employees, fostering a collaborative and productive work environment to achieve organizational goals.
Developed and implemented operational strategies to improve team performance, streamline workflows, and meet key performance indicators.
Provide coaching, mentorship, and training to team members to enhance skills, and promote professional growth.
Managed the end-to-end credentialing process for health care providers, ensuring compliance with organizational policies, accreditation standards, and regulatory requirements.
Collect, verify, and maintain detailed documentation, including licenses, certifications, education, work history, and malpractice coverage.
Prepared detailed reports on credentialing activities, provider status, compliance metrics, for management and accreditation bodies.
Process security clearance applications for medical practitioners, Schedule III drug e-prescribe authorization.
Collaborate with government compliance officers to ensure all legal standards are adhered to, and regulatory requirements are met.
Create training tools and Q&A for company partners.
Adhere to NIST standards for issuance of LOA3/ZFR security clearances
Senior Program Manager at Industry: Life Sciences, Crop Sciences & Consumer HealthSenior Program Manager at Industry: Life Sciences, Crop Sciences & Consumer Health
Academic Specialist | Research Assistant | Project Manager at Kean UniversityAcademic Specialist | Research Assistant | Project Manager at Kean University