Associate Director Contracts, Managed Care Rebates

Location
Foster City, CA
Posted
Apr 27, 2022
Ref
2996724
Required Education
Bachelors Degree
Position Type
Full time
Gilead Sciences, Inc. is a biopharmaceutical company that has pursued and achieved breakthroughs in medicine for more than three decades, with the goal of creating a healthier world for all people. The company is committed to advancing innovative medicines to prevent and treat life-threatening diseases, including HIV, viral hepatitis and cancer. Gilead operates in more than 35 countries worldwide, with headquarters in Foster City, California.

The Associate Director, Managed Care, will have responsibility and oversight of Rebate Operations with-in the Managed Care Contracts team which includes agreements with managed care organizations, PBM's, correctional facilities and Integrated Delivery Networks. He/she will also be responsible for the following duties and tasks.

Primary Responsibilities:

· Manage a team of department Managers and analysts to ensure that managed care rebate claims are paid accurately, timely and paid in compliance with contractual arrangements.

· Act as a subject matter expert on managed care payment/discount processing, validation process and demonstrate an understanding of key terms/requirements in managed care agreements.

· Support the growth, training, and development of Manage Care team members with timely feedback.

· Review transactions for accuracy and compliance with managed care programs and internal Gilead procedures. Proactively identify, investigate, challenge, and communicate on potential issues, and react to and solve problems.

· Ensure timely processing of pricing/discounts to avoid unnecessary penalties.

· Communicate directly with external customers (managed care organizations) and internal customers (including, but not limited to National Accounts Team, Accounts Payable, Legal, Finance, Government Pricing and Contracting Managers) to ensure visibility of discounts and/or disputes.

· Develop, analyze, and communicate on trends derived from standard department reports. Provide regular status, market updates, key performance indicators, statistical analysis, and summary reporting to appropriate stakeholders, including analytical summaries.

· Support/lead development and maintenance of Managed Care claims validation systems; including suggesting new/improved business requirements, potential enhancements and, when applicable, supporting testing processes for new or updated systems.

· Approve managed care claims and oversee the work of department Mgrs./Analysts.

· Creates and implements standard department reports and supports other ad hoc reporting.

· Develop, document and implement department policies and procedures. Ensure team members are well integrated into the rebate operations team and ensure both initial and on-going training is conducted.

· Creates special reports and provides analysis support to management based on trends and needs

· Create an inclusive environment where people can speak up and share diverse perspectives, a difficult message, or contrary opinion without fear (psychological safety) to support a respectful and transparent work environment for all

• Communicate directly with contract management system vendor to ensure proper system functionality and to design system enhancements. Partner with external vendors and Gilead Business IT for system testing, upgrades, problem resolution, and planning of future department needs.

• Communicate directly with Finance, Accounting, SOX, Compliance Sr. Manager, and IT to ensure that all data is accurate and provided or accessible on a timely basis to assist with accruals, forecasting, audits, and financial impact assessments.

• Mentor and develop department analysts to further career growth and succession planning.

• Provide training to internal stakeholders.

• Ad hoc projects, as assigned.

Qualifications:

• Bachelor's Degree (general business, finance, accounting, economics)

• 10 or more years of contract administration experience in the pharmaceutical/biotechnology or related industry.

• Prior management experience and strong leadership skills.

• Must exercise sound business judgment and strong analytics when reviewing and forming an opinion regarding new issues, opportunities, or other challenges.

• Deep knowledge and experience with contract management and rebate/chargeback processing and/or customer management

• Strong analytical, verbal, written and interpersonal skills with an emphasis on strategic market management and follow through, and issue resolutions abilities are required.

• Experience with Model N and Validata contracting systems, including demonstrable knowledge of systems and reporting mechanisms that support contracting and the pharmaceutical/biotechnology or related industry.

• Familiarity with government program regulations that affect the rebate process

• Proven track record of meeting or exceeding objective and goals.

• Must demonstrate advanced knowledge of proficiency with Microsoft Access, Excel, PowerPoint, and Word.

• Able to multi-task effectively with multiple interruptions in a deadline intensive environment.


For jobs in the United States:

As an equal opportunity employer, Gilead Sciences Inc. is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans' Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact careers@gilead.com for assistance.

Following extensive monitoring, research, consideration of business implications and advice from internal and external experts, Gilead has made the decision to require all U.S. employees and contractors to receive the COVID-19 vaccines as a condition of employment. "Full vaccination" is defined as two weeks after both doses of a two-dose vaccine or two weeks since a single-dose vaccine has been administered. Anyone unable to be vaccinated, either because of a sincerely held religious belief or a medical condition or disability that prevents them from being vaccinated, can request a reasonable accommodation.​

For more information about equal employment opportunity protections, please view the ‘EEO is the Law' poster.

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