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Contract Compliance Specialist

Contract Management
Marketing
Business Intelligence
Internal Communications
Financial Modeling
Cash Flow
Finance
Financial Acumen
Description:

Duties & Responsibilities:

  •  Support and lead from a Contract Compliance perspective, the evaluation of the current contracting / pricing paradigm and recommend, for implementation, approaches to ensure alignment of rebates paid with performance. Look for ways to optimize contracts and enhance BI value.
  •  Manage key multifaceted contracted customers including creating, analyzing, calculating and processing complex discounts/rebates, and discount offerings according to mandated legislation (i.e.340B) and/or contracting guidelines.
  •  Respond to questions within and outside the organization from internal and external customers regarding complex contract issues that require interpretation on issues related to payment calculations, discounts/rebates and claim utlization.
  •  Develop and perform complex analyses and reports using financial modeling techniques
  •  For 340B, duties may include: Support and lead internal communications, analysis and reporting related to 340B and Manage the 340B dispute process for either
  • State Medicaid Program, Covered Entities and/or PBMs.
  •  Participate in the LTF Development and Process. Ensure accrual projections are accurate and reflect Contracting strategies for internal stakeholders within Analytics and Insights and Finance in a timely manner. As a result collaboration and continuous communication with the Federal Field Force and other stakeholders is essential.
  •  Assist the Contract Development team in providing insightful business cases that include a gap analysis on data elements and on developing a Contract Account
  • performance analysis that is presented to External and Internal Customers.
  • Monitor legislative changes or market events to ensure Contract template language is updated accordingly to mitigate any potential risk for BI.
  •  Participate in internal and external audits of ensuring customer compliance with contractual terms and conditions.
  • Coordinate and lead in the development of SOP's specific to managing contracts and contract data to ensure standardization of the necessary controls and
  • effectiveness of business processes. Cross train other analysts on departmental Compliance activities and customer specific processes.
  •  Collaborate cross functionally, both internally and externally, having the ability to demonstrate a strong business and financial acumen and decision-making skills.
  •  Manage the planning of preparation of the monthly cash flow report for the Treasury group.
  •  Participate on various cross collaboration project teams, addressing a variety of business needs, including process enhancements, system initiatives, and reporting. Consistently follow company policies and procedures to ensure compliance with all internal policies and guidelines, Compliance and regulations.

Previous negotiation, managed care, or PBM/Payor/Covered Entity experience is preferred.

  • Understanding of Contract Law, Compliance with Government Regulations and limit exposure to potential litigious proceedings for BIPI.
  • Innovative and able to translate business needs into opportunities.
  • Demonstrate strong attention to detail, analytical and problem-solving abilities.
  • Strong leadership, communication, presentation and project management skills.
  • Strong strategic and critical thinking skills.
  • Sound judgement for good decision-making.
  • History of successful performance.
  • Proficiency in MSOffice, Outlook and database applications.
  • Location flexible.
  • Experience with PBM/MCO contract management highly desired 
  • Bachelors degree from an accredited institution required.
  • Advanced degree certification in marketing, economics, finance, or related field is strongly preferred.
  • Minimum of five (5) years of relevant experience in the pharmaceutical or related industry, or with a PBM, Wholesaler or Covered Entity with and at least three (3) years of experience in a contracting, pricing, reimbursement, 340B or managed markets role strongly preferred
QUALIFICATION/ LICENSURE :
  • Work Authorization : Green Card, US Citizen, Other valid work visa
  • Preferred years of experience : 3+ Years
  • Travel Required : No travel required
  • Shift timings: Not specified
Job Location Ridgefield, Connecticut
Pay USD 40.00 - USD 44.00 Per Hour
Contract Duration 13 week(s)