Director, Managed Care Contracts Management (East Hanover, NJ) Details

Director, Managed Care Contracts Management (East Hanover, NJ)

Novartis - East Hanover, NJ

Employment Type : Full-Time

$10 Billion. The numbers of commercial and government rebate payments granted to entities. Come join Novartis to make a difference in patient's lives!-

You will manage the US Managed Care Rebates operation to ensure the accurate and timely system set up and payment of all contractual rebate obligations to Managed Care Commercial and Medicare Part D customers for Novartis Pharmaceuticals and its divisions.

• Lead a global team responsible for entire rebates operation for US customers including US and India-based associates. Ensures appropriate account distribution and work assignments to optimize workflow and processing of rebates.

• Ensure accurate and timely rebate payments made to all customers including Medicare Part D and Coverage Gap. Accurately evaluates and interprets contracts to ensure rebate payments are made accurately and timely. Reviews and approves all rebate disbursements.

• Manage contract and rebate issues and provides guidance to staff to resolve claim data discrepancies. Recommends strategies to settle disputes with internal and external customers as needed.

• Use resources and technology such as data science, automation and AI to improve insight generation and reduce or eliminate low value, transactional work.

• Prepare regular reports for departmental management and other key stakeholder including cash flow actuals and projections. Ensures accurate recording of rebate claims and tracks key department metrics.

• Supervise the advancement of the area’s data literacy including the design of innovative solutions for system, validating, processing and tracking of rebates, and ensuring database integrity, regulatory compliance, including mainframe systems.

• Partner with the Digital Finance Department’s liaison to coordinate the use and maintenance/improvements of the department systems to optimize operations and advance analytics.

• Work with the Commercial Contract Strategy teams to ensure compliance with Federal regulations, accurate reporting and data integrity.

• Participate in product and teams to ensure alignment between commercial and government pricing, plus strategy.

• Hire and ensure smooth on-boarding of new associates. Ensure relevant training to support performance. Manages performance and ensures robust, measurable development plans.

• Determine department budget and set departmental goals/objectives and monitors performance.

• Contribute to the development and implementation of managed markets finance department policies and procedures. Partner with other functions to provide innovative solutions.
  

EEO Statement

The Novartis Group of Companies are Equal Opportunity Employers and take pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. We are committed to building diverse teams, representative of the patients and communities we serve, and we strive to create an inclusive workplace that cultivates bold innovation through collaboration and empowers our people to unleash their full potential.

Minimum requirements

What you'll bring to the role:

Education:
Bachelor’s degree is required.

MBA is preferred.

Experience:
10+ years’ direct experience in financial analysis, customer payments and contracts or related expertise.

Pharmaceutical/biotech industry experience is required.

5+ years of people management experience. Experience leading cross-cultural virtual teams is preferred.

Solid understanding of payment procedures and systems including advanced knowledge of contract and rebate systems such as Model N, ECP and SAP.

Expert understanding of legal aspects of contracts and contract interpretation.

Ability to present complex information and data sets in an understandable and compelling manner.

Demonstrated project management experience and problem-solving as a member of a cross-functional team.

Advanced understanding of healthcare industry marketing and sales concepts and practices, including knowledge of market access, formulary management, performance-based contracts and price protection. In depth understanding of managed care customers.

Strong understanding of data and digital tools to advance data literacy and analytical expertise.

Experience taking data analysis from a range of sources and develops relevant insight that is directly used in decision support.

Skills/Competencies:
Excellent written and business communication skills.

Excellent interpersonal and relationship building capabilities; business acumen.

Ability to work in a matrixed organization and influence others in a collaborative manner.

Demonstrated ability in leading large, cross cultural virtual teams.

Actively challenges the status-quo and encourages different perspectives using an open, broad approach.

Proven ability to effectively interact and work collaboratively with numerous cross-functional teams (e.g., USMM, BPA, FSC, Legal, Hyderabad).

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Why consider Novartis?

799 million. That’s how many lives our products touched in 2019. And while we’re proud of that fact, in this world of digital and technological transformation, we must also ask ourselves this: how can we continue to improve and extend even more people’s lives?

We believe the answers are found when curious, courageous and collaborative people like you are brought together in an inspiring environment. Where you’re given opportunities to explore the power of digital and data. Where you’re empowered to risk failure by taking smart risks, and where you’re surrounded by people who share your determination to tackle the world’s toughest medical challenges.

Imagine what you could do at Novartis!

Division

PHARMA

Business Unit

US PHARMA

Country

USA

Work Location

East Hanover, NJ

Company/Legal Entity

Novartis Pharmaceuticals

Functional Area

Audit & Finance

Job Type

Full Time

Employment Type

Regular

Shift Work

No