Contract Specialist - Managed Care Bridgewater, NJ
Bridgewater, New Jersey
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The Contract Specialist is responsible for contract management for various markets including Commercial Contracts, Medicare Part D and Managed Medicaid. Responsibilities include timely and accurate loading of contracts and amendments, eligibility, and adjudicating payments in accordance with contracted terms and conditions. The Contract Specialist will manage contracts for Sanofi’s business units including, but not limited to, GenMed, Specialty, and Bioverativ. Develop monthly/quarterly reporting and communicate results to sales account teams to support performance measurements. This position will analyze and pay rebates based on contract language, formulary placement and utilization management policy, as well as responsibility for Model N RMUS (Revenue Management US) contract maintenance. The candidate will have a fundamental understanding of contract strategies, markets, and sanofi companies’ products. The Specialist will work in close cooperation with the Contract Operations Manager and counterparts in Contract Development, Strategy, and IT.
JOB DUTIES AND RESPONSIBILITIES:
Manage all aspects of contracts including fully understanding the terms and conditions to appropriately set up contracts, update for contract amendments and adjudicate claims accurately. Illustrate deep understanding of the contract and be able to effectively interpret and analyze key components of the contract.
Analyze rebate payments utilizing reporting tools and third party data sources to compare quarterly (or monthly) sales, rebates and market share trends. Robust understanding and analysis of variances vs. prior periods. Provide meaningful, concise trending and variance commentary to Senior Management as needed.
Cross functional communication with Contract Development and Account teams, ensuring understanding and awareness of customer issues.
Data validation to ensure contract compliance on utilization based agreements. It includes the assistance on BRG 340B scrubbing.
Verify that all product and eligible members comply with contract requirements – interact with customers and account managers to resolve any data discrepancies
Analyze product formulary placement and utilization management policy to ensure appropriate contract tier placement and rebate payment. Work with Account teams on Rate Review.
Analyze contract exceptions for interpretation in the system(s) for accuracy of calculations/process compliance
Ensure all payments are fully compliant with the terms of the contract.
Participate in ad hoc projects.
One to three years work experience preferably in the pharmaceutical industry
Strong Excel skills required
Model N experience preferred
Deep analytical skills and ability to dissect the intricate reasons of rebate trends and variances
Strong oral and written communication skills and ability to clearly communicate the complicated analysis to the business parties
Independent problem solving and leadership skills in managing the account
Financial experience preferred
Professional manner and tact
Organized, accurate and detail oriented, disciplined and dedicated to superior quality work
Strong sense of commitment and teamwork
Ability to work independently
Ability to multi-task and meet established deadlines
Proficient in Microsoft Office Tools
Bachelor’s Degree with a Finance or Business concentration preferred
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
At Sanofi diversity and inclusion is foundational to how we operate and embedded in our Core Values. We recognize to truly tap into the richness diversity brings we must lead with inclusion and have a workplace where those differences can thrive and be leveraged to empower the lives of our colleagues, patients and customers. We respect and celebrate the diversity of our people, their backgrounds and experiences and provide equal opportunity for all.
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