drjobs Manager Contract Operations

Manager Contract Operations

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1 Vacancy
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Job Location drjobs

Mississauga - Canada

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

About the role:

The primary objective of the Manager Rebate and Chargeback Operatons role is to administer the contractual obligations including validation adjudication and administration of all payment requirements for Alexion AstraZeneca Rare Disease Business Unit Customers including but not limited to Group Purchasing Organizations (GPO) Managed Care Payers State Medicaid and other Federal government purchasers and programs. The process includes the review and understanding of contract terms verification of a customers eligible members and plans claim utilization formulary validation identifying issues performing dispute resolution and processing and reconciliation of payments and chargebacks. Other functional responsibilities include reporting and analysis vendor code set up support confirmation for accrual support program payment leakage identification and other adhoc analyses.

The Manager role will require interactions throughout the organization including Accounting IT National Accounts Team Organized Customer Group Market Access Team Global Finance Services Controls & Compliance and Accounts Payable. Additionally this role will work closely with external vendors that support the rebate and chargeback functionality of Alexion.

You will be responsible for:

  • Ensure timely and accurate processing of claims and validations for all Commercial Medicare and State Medicaid monthly/quarterly rebates.

  • Manage all chargeback activities including contract pricing validation and reporting across various COTs such as GPOs 340B and VA/FSS.

  • Provide monthly/quarterly trends variance and maintenance of Key Performance Indicators.

  • Respond to inquiries regarding contract compliance issues and related calculations.

  • Work with account team(s) and customers to verify compliance and resolve disputes.

  • Build and maintain policies procedures and standards in support of all Federal and State requirements internal/external financial reporting processes government regulations and stay abreast of Federal and State rules guidance and potential legislative changes.

  • Monthly/Quarterly Reporting on all payment activity for GPO Commercial and Government payments and other ad hoc reporting as requested.

  • Work with third party vendor to review verify validate dispute and track State Medicaid claims submissions as well as Federal programs including Tricare and Coverage Gap rebates.

  • Partner with the GFS Team to ensure accurate and timely vendor code setup/revisions for timely payments.

  • Assist with additional rebate and chargeback projects.

  • Function as a subject matter expert on data validation verification of contract compliance master data and rebate and chargeback processing.

  • Other duties as assigned

You will need to have:

  • Bachelors Degree or minimum of 8 years Life Sciences Management in pharmaceutical/biotech experience required.

  • Minimum of 35 years of work experience within Finance or Market Access with experience in Medicaid commercial rebate and/or chargeback validation processing and payments in a pharmaceutical/biotech environment

  • Good understanding of Managed Care and State Medicaid rebate processing as well as being familiar with 340B specific state issues and VA Health Care Act/pricing and operations.

  • Effective management of large datasets leading peak cycle workloads and contract administration.

  • Ability to prioritize and multitask various types of payments timely while ensuring accuracy.

  • Successfully collaborates with crossfunctional business partners on contracts and dispute resolution while also having the ability to communicate across multiple functional levels.

  • Excellent verbal and written communication skills. Communicates effectively with internal and external customers including third party vendors.

  • Proficient in Excel Word PowerPoint required; SAP preferred

  • Strong analytical problem solving and decision making skills.

  • Demonstrates integrity flexibility and a strong work ethic.

  • Ability to work in a fast paced team environment requiring excellent interpersonal skills.

  • Must be detail oriented and manage workload to specific deadlines.

  • Remains flexible and adaptive to changing business requirements and processes.

  • The duties of this role are generally conducted in an office environment. As is typical of an officebased role employees must be able with or without an accommodation to: use a computer; engage in communications via phone video and electronic messaging; engage in problem solving and nonlinear thought analysis and dialogue; collaborate with others; maintain general availability during standard business hours.

We would prefer for you to have:

  • Experience in Pharmaceutical Industry with knowledge around Commercial Contracting and Government Price reporting preferred.

  • Good working knowledge of various Contracting and Rebate payment systems preferred.

Date Posted

02Apr2025

Closing Date

17Apr2025

Alexion is proud to be an Equal Employment Opportunity and Affirmative Action employer. We are committed to fostering a culture of belonging where every single person can belong because of their uniqueness. The Company will not make decisions about employment training compensation promotion and other terms and conditions of employment based on race color religion creed or lackthereof sex sexualorientation age ancestry national origin ethnicity citizenship status marital statuspregnancy (including childbirth breastfeeding or related medical conditions) parental status (including adoption or surrogacy) military status protected veteran status disability medical condition gender identity or expression genetic information mental illness or other characteristics protected by law. Alexion provides reasonable accommodations to meet the needs of candidates and employees. To begin aninteractive dialogue with Alexion regarding an accommodation please contact . Alexion participates in EVerify.


Required Experience:

Manager

Employment Type

Full-Time

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