Sr. Contract Compliance Analyst III - Parsippany, United States - Teva Pharmaceuticals

Teva Pharmaceuticals Parsippany, United States

2 weeks ago

Description

Sr. Contract Compliance Analyst III

Date: May 16, 2024

Location:

Parsippany, United States, New Jersey, 07054

Company: Teva Pharmaceuticals

Job Id: 54798

Who we are

Together, were on a mission to make good health more affordable and accessible, to help millions around the world enjoy healthier lives. Its 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 worlds leading manufacturer of generic medicines, and the proud producer of many of the products on the World Health Organizations Essential Medicines List. Today, at least 200 million people around the world take one of our medicines every single day. An amazing number, but were always looking for new ways to continue making a difference, and new people to make a difference with.

The opportunity

The purpose of the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access account managers and the contracted account to gain alignment on formulary product placement and compliance and to recover previously paid rebate or discounts in the event of noncompliant formulary findings.

Reporting to the Sr. Director Contract Compliance, the incumbent will be responsible for identifying and investigating formulary positions on PBM and Health Plan websites and formal Pharmacy Drug Lists (PDL) to validate product placement complies with all terms and conditions of the managed care contract. Using critical thinking skills and data analytics, the incumbent will complete complex investigational audit reviews, identify risks and compliance issues and present findings both verbally and in writing to key internal and external stakeholders. In addition, the Sr. Contract Compliance Analyst will participate in identifying and recommending contracting strategy changes as it relates to the effectiveness of the contract terms and conditions.

The Sr. Contract Compliance Analyst reports to Sr. Director Contract Compliance within the Revenue Optimization and Contract Compliance group. (ROCC).

How youll spend your day

Major duties and responsibilities required to achieve the positions objectives and be successful in the Sr. Contract Compliance Analyst role:

Establishes audit plan to review top 80% of contracted account formularies across commercial, Medicare Part D, and managed Medicaid channels.

Reviews Teva products on each formulary and assesses compliance within stated terms and conditions of contract. Requests and obtains supporting documentation (prior authorizations, step edits, etc.) as need to complete assessment.

Maintains system to identify and track the status of all disputed records within each account and channel. Reports compliance savings.

Analyzes claim data to identify formulary outliers and to assess financial impact of formulary noncompliance

Completes formulary assessment documents for Compliance Committee review. Supports their compliance assessment.

Your experience and qualifications

Education: Bachelors Degree Required, MBA Preferred

Experience Required:

Minimum 2-3 years experience working in a Pharmacy Technician role

Thorough understanding of Managed Care contracting as it relates to formulary access and tier position; Industry understanding of step-edits, NDC blocks, prior authorizations, copay differentials, preferred and non-preferred status is a plus.

Ability to articulate comprehensive understanding of contract terms and conditions

Advanced understanding of pharmaceutical rebate flow and decision points

Minimum 5-7 years experience in financial analysis.

Minimum 2-3 years experience working with drug formularies

Advanced Excel skills

Preferred Experience:

Brand pharmaceutical business, specifically in market access

Negotiation and presentation skills

Understanding of drug purchase discounts and interaction with Rx based rebates

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, 13 paid Holidays, 6% match on the 401(k), Employee Stock Purchase Plan, and Tuition Assistance.

Already Working @TEVA?

If you are a current Teva employee, please apply using the internal career site available on "Employee Central". By doing so, your application will be treated with priority. You will also be able to see opportunities that are open exclusively to Teva employees. Use the following link to search and apply:Internal Career Site )

The internal career site is available from your home network as well. If you have trouble accessing your EC account, please contact your local HR/IT partner.

Tevas Equal Employment Opportunity Commitment

Teva Pharmaceuticals is committed to equal opportunity in employment. It is Teva's global policy that equal employment opportunity be provided without regard to age, race, creed, color, religion, sex, disability, pregnancy, medical condition, sexual orientation, gender identity or expression, ancestry, veteran status, national or ethnic origin or any other legally recognized status entitled to protection under applicable laws. We are committed to a diverse and inclusive workplace for all. If you are contacted for a job opportunity, please advise us of any accommodations needed to support you throughout the recruitment and selection process. All accommodation information provided will be treated as confidential and used only for the purpose of providing an accessible candidate experience.

Important notice to Employment Agencies - Please Read Carefully

Teva Pharmaceuticals USA does not accept unsolicited assistance from agencies for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

EOE including disability/veteran

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