Revenue Growth & Operations, Supervisor

As a Revenue Growth & Operations Supervisor at RSM you will serve as a Life Sciences Chargebacks & Membership Management Supervisor within our Revenue Contract Management (RCM) Managed Services practice. You will combine deep industry knowledge with client service excellence and the development and management of high-performing teams to deliver Chargebacks & Membership Management services to our clients.

RSMs RCM group helps Life Sciences manufacturers commercialize products optimize Gross-to-Net and reach target patient populations. This role leads the Chargebacks & Membership Management sub-service line within the greater Revenue Contract Management portfolio; an integral component of ensuring Life Sciences manufacturers products reach the right patients at the correct price.

Responsibilities:

• Supervise day-to-day delivery of chargeback processing and membership management operations for multiple Life Sciences manufacturer clients ensuring SLAs quality standards and month-end close deadlines are met.
• Oversee the end-to-end chargeback lifecycle: claim intake and validation contract and price eligibility verification adjudication dispute and rebill resolution and reconciliation to sales and accrual data.
• Manage membership and roster operations including GPO IDN 340B and federal customer eligibility class of trade assignment member add / change / termination processing and indirect customer master data integrity.
• Review and approve high-dollar aged and exception-based chargeback claims and disputes and lead root cause analysis to reduce recurring errors and revenue leakage.
• Serve as the primary day-to-day client contact for the sub-service line leading status meetings reporting on KPIs and service metrics managing escalations and identifying opportunities to expand service.
• Partner with Gross-to-Net Government Pricing Medicaid and Managed Care teams so that chargeback and membership data supports accurate accruals restatements and government price reporting.
• Drive continuous improvement and automation of chargeback and membership workflows working with technology teams to implement system enhancements exception reporting and analytics.
• Support solutioning scoping and proposal development for new Chargebacks & Membership Management pursuits and lead onboarding and transition for new clients.

Basic Qualifications:

• 10 years experience in Life Sciences chargebacks membership and roster management contract administration or a related Gross-to-Net revenue management function
• Demonstrated experience supervising coaching or leading a team and managing delivery against defined SLAs and quality metrics
• Working knowledge of the chargeback lifecycle including claim validation dispute and rebill processing and reconciliation
• Working knowledge of membership eligibility and class of trade concepts across GPO IDN 340B and federal customer channels
• Hands-on experience with a revenue management or contract management platform (Model N Revitas/Flex SAP Vistex Oracle or comparable)
• Strong analytical and Microsoft Excel skills with the ability to research pricing and eligibility discrepancies and clearly explain findings
• Excellent written and verbal communication; comfortable presenting to and advising client stakeholders

Preferred Qualifications:

• Bachelors degree from an accredited university
• Experience delivering chargebacks or membership management within a Managed Services BPO or outsourced operations model
• Familiarity with the EDI transaction sets used in chargeback and membership processing ()
• Experience with 340B duplicate discount prevention and HRSA OPAIS roster validation