Associate, Medicaid – Contracts & Pricing Execution (AIN)

Career Category Information Systems Job Description Associate, Medicaid – Contracts & Pricing Execution (AIN)  Join Amgen’s Mission of Serving Patients At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do. Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our focus on four therapeutic areas –Oncology, Inflammation, General Medicine, and Rare Disease– we reach millions of patients each year. 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. Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you’ll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.

As the Associate, Medicaid – Contracts & Pricing Execution (AIN), you will support execution of U.S. Medicaid rebate operations within the Contracts & Pricing Execution function. 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 Associate will be expected to learn Medicaid processes through structured KT, shadowing, reverse shadowing, and supervised execution before taking on broader independent responsibilities.

Medicaid Processing & Operational Execution 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.  Flag risks, missing information, aged items, access issues, or process exceptions to the Medicaid Manager and ATO retained owners.  Invoice Validation & CLD Support 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.  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.  Dispute, Adjustment & Payment Package Support 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.  Systems, Documentation & Continuous Improvement Use