Teva Manager Managed Care Rebates - Parsippany NJ 

United States, New Jersey 

282851666

Essential Functions

• Assists staff with contract interpretation, entering contract terms (products, plans, reimbursement percentages, etc) into Model N/Flex system, rebate calculations and payment requests
• Maintains and updates NCPDP and 340B pharmacy lists in Model N/Flex for claim validation
• Reviews and approves contract terms and rebates in various systems to ensure accuracy and contract compliance
• Works in partnership with Contract Compliance Team to ensure customers adhere to contract parameters; authorizes exclusions when appropriate
• Collaborates with Contract Compliance Team, Market Access Team and customers to track and resolve disputes
• Provides input to Contracts Team and Legal in development of complex contract terms and conditions impacting Claims Administration
• Interprets all legislative actions affecting rebates; Modifies systems and processes to ensure regulatory compliance
• Prior understanding of PBM invoicing to Pharmaceutical Manufacturers to assist in Analyst validations and disputes
• Familiarity with Medical Claim Benefits to assist in Analyst validations and contract reviews
• Experience with Formulary position as they relate to Health Plans to assist in Analyst validations and impact
• Advises branded business units of material rebate variances and gain business unit approval on all exceptions
• Assist in providing operational direction to the AD of Rebates and internal teams on identification of discrepancies and trends
• Establishes and maintains policies, procedures, and standards for rebate processing in support of SOX, internal/external financial reporting, and government contract legislation
• Selects, hires, trains, develops, and retains competent individuals within the team
• Assesses and defines areas of technological advancement, including key trends and metrics
• Responds to all internal and external audit requests
  

• Bachelor’s degree with emphasis in Business, Finance, Accounting or related fields or equivalent combination of education, training and/or direct work-related experience.
• Minimum 4 years Pharmaceutical experience; Experience with Managed Care Rebate Processing, Rebates Disputes, Contract Terms
• Strong analytical and data interpretation skills to analyze and resolve complex problems
• Ability to analyze processes and systems to improve efficiency and effectiveness through technology and automation
• Exemplary interpersonal skills; Coach staff, exhibit excellent written and verbal communication, develop and foster strong relationships with internal and external clients
• Strong organizational skills; Committed to meeting deadlines; prioritizing workload according to organizational needs; demonstrates ability to manage priorities
• Intermediate level Excel, Word, PowerPoint; Model/N Flex experience preferred

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