- Logic and Analytical skills with strong attention to detail and trends (i.e. ability to analyze claims payments for accuracy, trending etc.)
- Contract language experience (reading, understanding and drafting contracts)
- Highly proficient in Excel, Word & PowerPoint (including redlining in Word, Pivot Tables in Excel)
- Strong communication skills; ability to communicate with internal and external stakeholders as well as management
- Ability to manage multiple tasks simultaneously and ability to work independently with little or no supervision
- A nice to have would be pharmaceutical industry knowledge, market access, rebate payment and contracting, but this is not a necessity.
- The Contract Operations Specialist is responsible for developing Market Access contracts including: template development, strategy interpretation, language negotiation, approval, and execution. In this role, they will manage and meet deliverables of business operations to monitor, evaluate and administer claims to be paid and ensure payments are accurate, timely, formulary compliant and entered in contract systems consistent with agreement terms, following corporate controls/approved guidelines and SOX regulations.
- Expected to establish and maintain collaborative working relationships with internal/external contacts and peers to ensure effective communication and a high-level of customer service to support successful implementation and execution of contract terms and payments.
- Must possess an in-depth knowledge of claims processes, systems and an understanding of Market Access contracting processes and strategies to ensure contract compliance.
- Validate, Monitor and Update Customer Master Data.
- Work with Customer Facing Team and Customers to obtain accurate membership rosters
- Process, monitor, review, measure, track, validate, research, analyze and report on customer activity/utilization reported by contract customers, wholesalers, and others using chargebacks, rebates and sales data.
- Understand and interpret contract language and regulations as it relates to contract setup and maintenance to ensure accurate calculation of customer reimbursements.
- Develop and maintain strong working relationships to facilitate the exchange of key information, understand and address needs, and clarify contract requirements with internal and external customers.
- Collaborate with peers to manage priorities and coordinate efforts with a focus on providing excellent customer service.
- Contribute to contract management and strategy approaches through knowledge of
- reimbursement arrangements and potential business operations capabilities.
- Meet and understand all compliance-related requirements such as completion of mandatory training, adherence to audit controls, and adherence to all company policies, SOPs, job aids, and Sarbanes-Oxley requirements.
- Participate on cross-functional teams lending support and input from a Market Access
- perspective as well as special projects as assigned by management.
- Develop and communicate reporting techniques/tools emphasizing trend analysis as it relates to strategy development, contract performance, and compliance.
- Proactively seeks and recommends enhancements and improvements in Market Access claims processes, including recommending resources, new approaches, negotiating agreeable solutions, or involving next-level management as needed.
- Bachelor's degree or 4+ years of experience
- Contract Language Experience
- Logic and mathematical skills
- Highly proficient in Excel, Word & Power Point
- MBA
- Knowledge of contract operations
- Pharmaceutical or related healthcare business experience
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Contracts Specialist - Wilmington, United States - The Fountain Group
Description
Job Description
Job DescriptionQualifications:
Overview:
Duties:
Required for the role
Desired for the role
Pay Range: $35 - $42/Hour
Company DescriptionThe Fountain Group is a nationwide staffing firm with over 80 Fortune clients. Since 2001, TFG has maintained a consistent standard of excellence, and our work is broadly recognized every year through numerous industry performance awards. Our success is a team effort.Browse our website below for additional information on our company.
The Fountain Group
4505 Woodland Corporate Blvd, Tampa, FL 33614
"We work in Life Sciences, Clinical, Engineering, IT, and more. Above all, we specialize in people."
Company Description
The Fountain Group is a nationwide staffing firm with over 80 Fortune clients. Since 2001, TFG has maintained a consistent standard of excellence, and our work is broadly recognized every year through numerous industry performance awards. Our success is a team effort.\r\r
Browse our website below for additional information on our company.\r
\r
The Fountain Group\r
\r
4505 Woodland Corporate Blvd, Tampa, FL 33614\r
"We work in Life Sciences, Clinical, Engineering, IT, and more. Above all, we specialize in people."
