Sr. Manager, Contracting Operations and Analytics
Overview
This position will support all components of the quarterly rebate submission process for Value Based Commercial, Medicare Advantage, Provider and Group Purchasing Organization Rebate Agreements encompassing receipt of invoices & reports, claims & data validation, confirmation of payment amounts and data analysis across the company portfolio of products.
The candidate should be familiar with and able to discuss different segments of market access and be fully versed in all stages of rebate processing and understand the various types of managed care contracting.
The position reports to the Associate Director, Contracting Data Analytics.
Apply fast, check the full description by scrolling below to find out the full requirements for this role.
Key Responsibilities
- Function as a rebate data subject matter expert processing Commercial, Medicare Advantage and Medicare Part B invoices, Provider, Group Purchasing Organization and value-based data reports and invoices in alignment with established systems, financial reconciliation, and processes to confirm intended payment of the invoice and produce accurate and timely rebate payments and reports.
- Establish cross-functional collaboration with internal stakeholders including legal, pricing and strategy, government pricing, and finance to ensure the agreements are operational, functional, and potential contract language concerns and impacts are addressed (i.
e. Best Price implications).
- Clear, concise, and well-organized written and verbal communications to resolve data issues, discuss utilization and payment discrepancies and customer rebate payment inquiries.
- Present issues in a timely manner and discuss solutions in a group setting, initiate and drive process improvement opportunities while maintaining associated documentation.
- Provide data analysis, and support as needed for cross-functional activities such as forecasting and planning or contract renewal decisions.
- Establish and maintain policies and applicable documentation in accordance with established departmental guidelines ensuring SoX compliance.
- Act as liaison between Alnylam Market Access and third-party data aggregator by applying expert knowledge of existing processes, system functionality and capabilities to identify potential system solutions for data aggregation, develop dashboard metrics and drive process improvements.
- Technical owner of data transfer process (Boomi, firewall) with third-party data aggregator.
- Perform new customer set up for payments to be processed in collaboration with Accounts Payable.
- Deliver and present data analytics and reporting to internal stakeholders on a quarterly cadence and ad-hoc.
- Able to manage multiple projects concurrently and maintain organization among various projects and work streams.
- Provide and implement innovative solutions to continuously enhance quarterly rebate process efficiencies.
Qualifications
- Bachelor's degree is required, advanced degree preferred.
- Minimum 5-7 years relevant experience in the pharmaceutical industry including at least 3 years in pharmaceutical pricing, contracting or finance.
- Experience should include strong understanding of Managed Care, Medicare Part B, GPO, PBM and other payer segments.
- Strong analytical skills related to pharmaceutical product pricing, discounts, and rebate analysis.
- Understanding of key Payer and customer segments relevant to brand products and the US Reimbursement System across major payer segments (Managed Care, Medicare, Medicaid, Federal).
- Ability to analyze and create custom reports.
- Creative thinker - able to identify, develop, and recommend process improvements.
- Strong communications skills to engage senior leadership and present recommendations for approval and support to execute.
- Attention to detail; probes skillfully to get at the facts.
- Competent with PowerPoint, Excel, Word, etc.
- Excellent communication, written, and verbal skills.
- The position will be based in the corporate home offices located in Cambridge, MA.
Organizational Relationships / Scope :
Key Customers
- Internal Customers : Senior Management, Market Access, Legal, Contract and Pricing, Brand Teams, Finance, Government Pricing, Field Sales, Market Research, Business Development.
- External Customers : All Payers, including, as appropriate, Contracted Health Care Providers, GPOs, PBMs, MCOs, Employers, and Third-Party Data Aggregator.
About Alnylam : Alnylam Pharmaceuticals (Nasdaq : ALNY) has led the translation of RNA interference (RNAi) into a whole new class of innovative medicines with the potential to transform the lives of people afflicted with rare and more prevalent diseases.
Based on Nobel Prize-winning science, RNAi therapeutics represent a powerful, clinically validated approach to treating diseases at their genetic source by "interfering" with mRNA that cause or contribute to disease.
Since our founding in 2002, Alnylam has led the RNAi Revolution and continues to turn scientific possibility into reality.
Our culture : Our people-first culture is guided by our core values : fiercely innovative, open culture, purposeful urgency, passion for excellence, and commitment to people, and these values influence how we work and the business decisions we make.
Thanks to feedback from our employees over the years, we've been fortunate to be named a top employer around the world. Alnylam is extremely proud to have been recognized as one of Science Magazine's Top Biopharma Employers, one of America's Most Responsible Companies for 2024 by Newsweek, a Fast Company Best Workplace for Innovators, and a Great Place to Work in Canada, France, Italy, Spain, Switzerland, and UK - among others.
At Alnylam, we commit to an inclusive recruitment process and equal employment opportunity. We are dedicated to building an environment where employees can feel that they belong, can bring their authentic selves to work, and achieve to their full potential.
By empowering employees to embrace their unique differences at work, our business grows stronger with advanced and original thinking, allowing us to bring groundbreaking medicines to patients.
J-18808-Ljbffr