Rebate Pharmacist / HCPCSNDC Crosswalk Specialist (Remote)

Rebate Pharmacist / HCPCS–NDC Crosswalk Specialist

Location: Remote

About Us:

Known for “Delighting the Client” through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at www.s2tech.com.

Why S2Tech?:

• Stable privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service


• 25+ years providing IT and Business services to private customers and government programs throughout the United States


• Expansive client portfolio and active projects – employees benefit from innovative project exposure and in-house skill development training/courses  


• Corporate culture that emphasizes the importance of family and promotes a healthy work-life balance


• Offer competitive pay and a range of benefits, including:




• Medical / Dental / Vision Insurance – insurance premium assistance provided


• Additional Insurance (Life, Disability, etc.)


• Paid Time Off


• 401(k) Retirement Savings Plan & Health Savings Account


• Various training courses to promote continuous learning


• Corporate Wellness Program




• Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities, allowing them to link their professional & educational goals

Job Overview:

We are seeking a highly specialized Rebate Pharmacist / HCPCS–NDC Crosswalk Specialist to support Medicaid pharmacy rebate and claims adjudication operations. This role is responsible for the development, maintenance, and governance of an HCPCS–NDC Crosswalk, a critical data asset used to determine rebate eligibility and payment outcomes for physician-administered drugs within a Medicaid environment. This is a niche role requiring prior hands-on experience managing HCPCS–NDC crosswalks for a state Medicaid program or Medicaid claims processor. The ideal candidate brings deep pharmacy domain expertise, strong analytical skills, and a clear understanding of how crosswalks impact CMS rebate invoicing and MMIS medical pharmacy claim decisions.

Responsibilities:

• Develop, maintain, and manage the HCPCS–NDC Crosswalk used for Medicaid medical pharmacy claims


• Manually compile and validate crosswalk mappings using multiple data sources (e.g., CMS files, state guidance, manufacturer data, clinical references)


• Ensure crosswalk accuracy for:




• Identifying claims eligible for CMS Medicaid Drug Rebate invoicing


• Supporting MMIS payment or denial decisions for physician-administered drugs




• Analyze changes in HCPCS codes, NDCs, and drug coverage policies and assess downstream impacts


• Collaborate with rebate operations, claims processing, and technical teams to resolve discrepancies and support production needs


• Support audits, inquiries, and data validation efforts related to rebate submissions and medical pharmacy claims


• Document crosswalk logic, assumptions, and state-specific rules, recognizing that implementations vary by Medicaid program

Qualifications:

• Demonstrated, hands-on experience building, maintaining, or governing a HCPCS–NDC Crosswalk for a Medicaid program or Medicaid claims processor


• Strong working knowledge of:




• Medicaid Drug Rebate Program (MDRP)


• Medical vs. pharmacy benefit drug processing


• Physician-administered drugs and HCPCS coding




• Experience supporting MMIS or Medicaid claims adjudication workflows


• Ability to interpret CMS guidance and state-specific rules and translate them into operational data logic

Preferred:

• Pharmacy background (licensed or non-licensed)


• Experience in rebate operations or rebate systems


• Multi-state Medicaid experience

S2Tech is committed to hiring and retaining a diverse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.