Job Details
JOB SUMMARY
The department performs essential contract administration functions with wide ranging financial and operational impact to the business. In this position the Contract Operations Analyst will work alongside management and business process groups internally and externally. The Contract Operations Analyst will proactively analyze financial and operational data (pricing accuracy, disputed claims, and contract loads) from multiple sources.
The Contract Operations Analyst will be empowered and challenged with supporting business change as well as designing, establishing and implementing improvements to processes and efficiencies that will be of great value to the department and the company. No one day will be the same, as they will have the ability to interact and coordinate with various internal and external customers.
The Contract Operations Analyst is also responsible to develop productive relationships with key external decision-makers, and group purchasing organizations. Establish objectives, plans, strategies, on behalf of the Head of Contract Operations and implement initiatives through coordination of the MAP and IPVU/NPVU business units.
3. MAJOR ACCOUNTABILITIES
The Contract Operations Analyst is also responsible to develop productive relationships with key external decision-makers, and group purchasing organizations. Establish objectives, plans, strategies, on behalf of the Head of Contract Operations and implement initiatives through coordination of the MAP and IPVU/NPVU business units:
Accountable for managing pricing accuracy, revenue optimization, and relationships with wholesale & GPO customers
Responsible for identifying root cause of issues with discrepancies and takes corrective action to eliminate future occurrences and reduce outstanding wholesaler chargeback deduction balance.
Responsible for the management of the operational aspects of specific GPO and wholesaler accounts.
Identifies and initiates process improvement projects based on root cause analysis. Implements process solutions, which will enable the operations teams to function more efficiently and effectively.
Collaborates with internal partners to resolve complex issues that cross department, business unit or corporate boundaries.
Evaluates assigned accounts, tasks or functions and constantly works to improve processes and services to the business.
Responsible for the creation and maintenance of discount, direct, and indirect contracts, with specific tasks including but not limited to: pricing, membership, extensions, renewals, cancellations, and notifications
Analyzes and validates all chargeback lines for assigned customer accounts.
Responsible for researching chargeback rejections due to invalid data. Works with wholesalers and internal contract/membership groups to resolve issues for problematic chargebacks including errors associated with pricing, membership, eligibility, dating and claims data.
Proactively analyzes chargeback data to uncover issues, identify trends, and to develop and propose potential solutions.
Works with IT to identify system issues or performances challenges.
Performs testing for system changes/enhancements, thoroughly documenting results and escalating exceptions. Participates in relevant UAT activities to ensure optimum system performance.
Experience
Minimum of 5 years of pharmaceutical experience preferably in Chargebacks, Contracts, Finance or Legal; or extensive experience in healthcare industry with proven track record in Contracts and Pricing environment. Knowledge of class of trade and PHS membership management is required.
2 - 3 years sales management experience desired
Knowledge of the healthcare market / customers and the healthcare industry.
Knowledge of Group Purchasing Organizations
Knowledge of PHS and its membership
Knowledge of DEA, HIN, and NPI numbers and databases
Experience with Model N/Revitas is preferred
Experience using SAP is preferred
Excellent communication, interpersonal and leadership skills are required
Strong organizational skills
Strong attention to detail
Must have excellent oral and written communication skills including the ability to clearly translate and effectively communicate issues that affect business opportunities, problems, efficiency and compliance with all contracting requirements
Strong analytical skills and the ability to apply business principles in the decision-making process
Must be able to work with a wide variety of people in an
effective manner
Strong systems and process orientation
Strong organizational and time management skills as well as the ability to effectively prioritize
Must possess initiative and problem solving skills to determine the appropriate course of action and implement needed changes with little direction
Ability to apply comprehensive knowledge and thorough understanding of industry regulations and guidelines to maintain appropriate records, develop solid data capture, and maintain or adjust business rules
Ability to present an idea or topic effectively to peers, leadership, or external clients