Amgen India | Associate, Medicaid – Contracts & Pricing Execution

Key responsibilities

• As a member of the Amgen team, you’ll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.
• As the Associate, Medicaid – Contracts & Pricing Execution (AIN), you will support execution of U.S.
• This role will support invoice gathering, claim loading, validation checks, CLD processing, dispute documentation, payment package preparation, reporting, reconciliation support, SOP documentation, controls, and operational improvement activities.
• The role will partner with the Medicaid Manager, AIN team members, ATO Medicaid process owners, Government Pricing, Finance, Compliance, Contracting, Information Systems, and other U.S.-based stakeholders to support accurate, timely, and compliant Medicaid operations.
• The ideal candidate is a detail-oriented Medicaid / managed markets operations professional with strong analytical, documentation, and process execution capabilities.
• Support day-to-day execution of Medicaid rebate operations including invoice receipt tracking, invoice conversion, Model N upload preparation, claim processing, payment package support, and documentation maintenance.
• Execute assigned standard-state activities in accordance with SOPs, work instructions, checklists, quality standards, and established timelines.
• Maintain accurate trackers for invoice status, CLD receipt, validation outcomes, open items, dispute status, payment package readiness, and evidence retention.
• Perform first-pass invoice validation checks for assigned Medicaid states, including unit, NDC, reimbursement, URA, invoice, and source data reasonableness checks.
• Support CLD formatting, control checks, historical utilization comparison, duplicate discount screening support, and preparation of analysis files for review.
• Prepare dispute documentation, dispute tracking updates, response support, and evidence files for disputed units and rebate amounts.
• Support preparation of ROSI, PQAS, remittance, payment package, and SharePoint archival documentation in accordance with SOP requirements.
• Assist with prior quarter adjustments, supplemental claim support, interest calculation evidence, and payment reconciliation support as assigned.
• Maintain clean audit trails, decision logs, and supporting workpapers for Medicaid invoice and payment activities.
• Assist with UAT, defect documentation, access readiness tracking, SOP updates, work instruction drafting, training material preparation, and knowledge repository maintenance.
• Participate in KT, shadowing, reverse shadowing, and supervised execution activities to build Medicaid process proficiency.
• Identify process gaps, manual effort reduction opportunities, recurring exceptions, documentation gaps, and quality improvement ideas.
• Compliance, Controls & Audit Readiness.
• Execute work in accordance with internal policies, Medicaid SOPs, controlled process requirements, documentation standards, and compliance expectations.
• Maintain accurate evidence for invoice receipt, validation, disputes, payment support, approvals, reconciliations, and archival steps.
• Support audit, SOX, and control review activities by providing complete workpapers and organized documentation.
• Invoice Validation & CLD Support
• Document validation findings, assumptions, supporting evidence, and required follow-up actions clearly and consistently.
• Escalate complex state nuances, high-risk exceptions, unusual utilization trends, or ambiguous payment/dispute issues for manager or ATO review.
• Use Model N / PbN, SAP, Validata, SharePoint, state portals, reporting tools, and Microsoft 365 applications to support Medicaid workflow execution.

Requirements

• Bachelor’s or Master’s degree in Finance, Accounting, Commerce, Business Administration, Economics, Life Sciences, Pharmacy, or related discipline.
• 2–5 years of experience in pharmaceutical / healthcare operations, managed markets, Medicaid rebates, finance operations, revenue management, claims operations, analytics, or related controlled business operations.
• Strong Excel, documentation, reporting, analytical, and follow-through skills.
• Ability to manage multiple priorities, meet timelines, follow SOPs, and work effectively in a deadline-driven and highly controlled environment.
• Exposure to Medicaid rebate operations, payer rebates, managed markets finance, claims validation, CLD processing, dispute tracking, rebate adjudication, Gross-to-Net, or pharmaceutical revenue management.
• Experience with Model N / PbN, Validata, Revitas Flex, SAP, SharePoint, Tableau, Qlik Sense, Power BI, Power Query, Alteryx, Power Automate, or comparable tools.
• Understanding of NDC, AMP, Best Price, URA, AWP, ROSI, PQAS, 340B duplicate discount concepts, managed care utilization, and compliance documentation is desirable.
• Experience supporting SOPs, WSIs, audit-ready workpapers, issue trackers, UAT, system implementation, automation, or process improvement activities.
• Strong collaboration, communication, problem-solving, attention to detail, and ability to work with U.S.-based stakeholders in a distributed global operating model.

Amgen India

Amgen India is an employer hiring in India. In its own words: "Amgen discovers, develops, manufactures and delivers innovative medicines to fight some of the world’s toughest diseases."

Its finance, accounts, audit and tax openings in India are mostly in Hyderabad.