Sr. Contract Compliance Analyst

Who we are

Together, we’re on a mission to make good health more affordable and accessible, to help millions around the world enjoy healthier lives. It’s a mission that bonds our people across nearly 60 countries and a rich, diverse variety of nationalities and backgrounds. Working here means working with the world’s leading manufacturer of generic medicines, and the proud producer of many of the products on the World Health Organization’s Essential Medicines List. Today, at least 200 million people around the world take one of our medicines every single day. An amazing number, but we’re always looking for new ways to continue making a difference, and new people to make a difference with.

The opportunity

The purpose of the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access account managers and the contracted account to gain alignment on formulary product placement and compliance and to recover previously paid rebate or discounts in the event of noncompliant formulary findings.

How you’ll spend your day

• Review Managed Care Contracts, Formularies, Utilization Management, and PA policies to identify formulary/contract non-compliant findings.     
• Analyzes and resolves disputes with accounts involving contract interpretation, utilization management, and/or formulary positioning.  Engages Managed Markets members as needed and other internal teams.   
• If applicable accounts are in post-audit schedule, help Manager/AD conduct analysis on post-audit findings.  
• Tracks and communicates recoverability rates and financials for data accuracy and reporting.
• Aids in the delivery of key information in support of rebate modeling, contract performance assessment, and financial analysis.
• Communicates financial impacts to key internal stakeholders such as Revenue Accounting and Gross to Net.
•  Understands fundamental mechanics of claims validation, rebate systems, and outside formulary tools such as MMIT and FingerTip Formulary.

Your experience and qualifications

Education required:    Bachelor’s degree with emphasis in Business, Finance, Accounting or related fields or equivalent combination of education, training and/or direct work related experience.

Education preferred:     Masters preferred 

Years of experience required:  Thorough understanding of Managed Care contracting as it relates to formulary access and tier position; Industry understanding of step-edits, NDC blocks, prior authorizations, copay differentials, preferred and non-preferred status is a plus. 
•    Ability to articulate comprehensive understanding of contract terms and conditions
•    Advanced understanding of pharmaceutical rebate flow and decision points
•    Minimum 3-4 years’ experience in financial analysis.
•    Minimum 2-3 years’ experience working with drug formularies 
•    Advanced Excel skills

Specific experience required:  High level knowledge of drug formulary structure (PA, QL, Tiers, ST), understanding of Managed Care contracting as it relates to formulary access and tier position for biosimilars and pharmacy drugs (Medical Claims/Managed Care), and Pharmaceutical contract language.  Ability to display and articulate comprehensive understanding of Medical/Managed Care Rebate agreements.  

Specific experience preferred:  
Brand pharmaceutical business, specifically in market access, rebate adjudication, formulary modeling.
•    Negotiation and presentation skills
•    Understanding of drug purchase discounts and interaction with Rx based rebates

Specialized or Technical  Knowledge:    MS Office, FLEX Model N, SAP Business Intelligence preferred, MMIT, Policy Finder, Excel functionality – Pivot tables/V-lookups

Enjoy a more rewarding choice

We are strengthening and adding to our critical teams with great talent and capabilities: Teva, a global organization with a brand of evolving success. Be part of it!

We offer a competitive benefits package, including Medical, Dental, Vision, and Prescription coverage starting on the first day. We also offer Disability and Life Insurance, Paid Time Off, Paid Holidays, 6% match on the 401(k), Employee Stock Purchase Plan, and Tuition Assistance.

Already Working @TEVA?

If you are a current Teva employee, please apply using the internal career site available on "Employee Central". By doing so, your application will be treated with priority. You will also be able to see opportunities that are open exclusively to Teva employees. Use the following link to search and apply: Internal Career Site

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