Analyst II, Managed Care Rebate Operations

Analyst II, Managed Care Rebate Operations
United States - California - Foster City

Gilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigational drug candidate, we seek to improve the care of patients living with life-threatening diseases around the world. Gilead’s therapeutic areas of focus include HIV/AIDS, liver diseases, cancer and inflammation, and serious respiratory and cardiovascular conditions.

Making an impact on a global scale
Inclusion is one of the company’s five core values. That’s because we know that we are stronger and more innovative at Gilead when we are informed by a diverse set of backgrounds, experiences and points of view. Gilead Sciences is a biopharmaceutical company that discovers, develops and commercializes innovative therapeutics in areas of unmet medical need. The company's mission is to advance the care of patients suffering from life-threatening diseases worldwide.

When you join Gilead, you join our mission to change the world by enabling people to live healthier and more fulfilling lives. Come join a mission-driven bio-pharmaceutical organization that values inclusion and diversity, has a strong portfolio of products, and is constantly #CreatingPossible

Gilead Sciences is continuing to hire for all open roles. Our interview process may be conducted virtually and some roles will be asked to temporarily work from home. Over the coming weeks and months, we will be implementing a phased approach to bringing employees back to site to ensure the health and safety of our teams.

For Current Gilead Employees and Contractors:
Please log onto your Internal Career Site to apply for this job.

Job DescriptionGilead 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.

Gilead Sciences Inc. is seeking an Analyst II to take the lead in managing Gilead's day-to-day administration and processing of all Managed Care Commercial/Medicare Part D contract payments, in support of the contract development activities of the Managed Markets Strategy & Operations group. This group is responsible for managing and supporting Gilead's strategies with national and regional Managed Markets accounts to provide appropriate patient access to Gilead's products. This position has primary ownership of maintaining strong relationships with Payers and ensuring that all contract payments and associated reporting are completed on time while following established policies and procedures. Function as a rebate data subject matter expert to ensure proper data validation, verification of contract compliance, rebate processing, and payment analysis to protect Gilead from revenue leakage.

This position sits in Foster City, CA.

Duties and Responsibilities (include but not limited to):

• Review, validate, and pay customer rebate invoice submissions within contractual timeframes to ensure data is accurate to allow Gilead to properly process and pay on time.
• Manage and operationalize contracts in Gilead's operational systems based on terms and conditions written in the agreements as well as making sure contractual obligations are accurately captured and updated.
• Work with external customers and internal stakeholders to resolve disputes in a timely manner and to Gilead's advantage whenever practical.
• Manage general customer service inquires and supervise routing of questions to appropriate resources.
• Function as a subject matter expert and technical resource on rebating systems/tools.
• Proactively research and analyze payment variances and trends, to find outliers and research root causes for potential upstream errors or market activity.
• Support the development and maintenance of policies and standard operating procedures to ensure compliance.
• Participate in internal and external audits, when needed, to demonstrate compliance with policies, laws, and regulations.
• Effectively interact with various key internal and external stakeholders (i.e. Customers, Contract/Account managers, Strategy and Analytics, FP&A, A/P, legal, 3rd party consultants, etc.)
• Ability to manage and lead special projects as needed. Remain flexible and adaptive to changing business requirements and processes.
• Work collaboratively with the team to accomplish departmental goals.

Basic Qualifications:

High School Degree and Six Years' Experience

OR

Associates Degree and Five Years' Experience

OR

Bachelor's Degree and Four Years' Experience

Preferred Qualifications:

• 3+ years of related experience in biotech, pharmaceutical, healthcare industry.
• Strong verbal, written, and interpersonal skills are required to ensure ability to interact with all levels of internal and external stakeholders.
• Proven analytical experience and critical thinking skills are required.
• Proven ability to prioritize and manage rebate payment processing across channels and customers, including Commercial plans, Medicare Part D, Managed Medicaid and Health Exchanges, with limited supervision to meet deadlines and exercise sound judgements in a fast-paced environment.
• Invoice processing and customer service skills are required with an emphasis on time management, prompt follow-through, and being proactive.
• Working knowledge of various claim processing principles, documentation requirements, and processing systems is required.
• Basic knowledge of Model N and/or Validata is preferred but not required.
• Knowledge of health plans, PBMs, and pharmacy business is a plus.
• Demonstrate decision making skills, ability to work collaboratively in a team structure, as well as ability to problem solve and troubleshoot issues by self with minimum guidance is required.
• Proficiency in Microsoft Excel and PowerPoint is required.
• Basic knowledge of Tableau or Alteryx is a plus.
• Demonstrate understanding and interpretation of contract language.

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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., Canada, Australia, Singapore, and Hong Kong 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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Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.

Gilead provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.

For Current Gilead Employees and Contractors:
Please log onto your Internal Career Site to apply for this job.






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