Manager, Contract & Formulary Compliance

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 Manager, Contract & Formulary Compliance is responsible for supporting the development, performance and analysis of Managed Care data, post audit disputes, and PBM customer dispute analytics. This is a customer/client facing role that will focus on both excel driven analysis and superior presentation skills.

How you’ll spend your day

• Review Managed Care Contracts, data, and perform analysis on PBM/customer disputes when/if they arise.       
• Prepare PowerPoint presentations and be prepared to present data findings to customers in an effort to recover paid rebates or continue to withhold rebates according to contract terms.   
• Work in conjunction with Third Party Auditors on all post audit initiatives according to Teva’s rolling post audit schedule.  Lead meetings, conduct analysis and work with TPA on any findings.  Communicate findings with customer and resolve issues.  
• 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.  
   

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:  5 +years of Managed Care Pharmaceutical related business or finance experience.
•    Experience in Pharmaceutical Managed Care modeling, analytics, or contracting for a manufacturer, Health Plan, PBM, GPO and/or in a consulting capacity.
•    Proven ability to interpret and manage complex data sets. effectively in a team-based environment, balancing diverse cross-functional perspectives, complex problem solving, and collaboration skills.
•    Strong financial acumen and analytical skills, with the ability to translate insights into business impacts and actionable next steps.
•    Ability to effectively synthesize and communicate complex business proposals and to accurately interpret business considerations and impacts.
•    Highly organized and self-motivated, with a strong customer focus that’s well-suited for a fast-paced environment.
•    Understanding of the 340B landscape.
•    Highly advanced Microsoft 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, audit, and/or dispute resolution.
•    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.

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