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    Associate Director of Chargeback Operations - Boston, MA, United States - Vertex Pharmaceuticals

    Vertex Pharmaceuticals
    Vertex Pharmaceuticals Boston, MA, United States

    2 weeks ago

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    Description
    Associate Director of Chargeback Operations page is loaded Associate Director of Chargeback Operations
    Apply locations Boston, MA time type Full time posted on Posted 5 Days Ago job requisition id REQ-21204 Job Description

    The Associate Director of Chargeback O perations is a critical role , reporting into the Director, Pricing, Analytics & Contract Management (PACM) team within the US Market Access organization .

    This is an exciting opportunity for a subject matter expert that applies an enterprise-level mindset and technical expertise at the intersection of data, process optimization, automation, and innovation .

    The ideal candidate is passionate about patients , focused on driving results, and is willing to be involved in hands-on execution while building new functional capabilities .

    This role will interact with senior Commercial and Vertex leadership and the successful individual must be adept at cross-functional collaboration , while also hav ing a high degree of attention to detail and accuracy to mitigate revenue leakage .

    This role is expected to build out our chargeback function as we expand into new disease areas , operating with compliance and integrity and contributing to Vertex's corporate goals.

    This is a hybrid/on-site role based in Boston, MA (3 days onsite, 2 days remote weekly ).

    P lay a critical role in setting up in-house chargeback function , working cross-functionally with 3 PL, Trade & Distribution, Accounting, and DTE, etc.

    to develop policies, efficient processes, system requirements, and department al SOPs .
    Partner with Government Pricing & Programs , Contract Operations , Payer Accounts and Legal, etc. to p rovide key insights during contracting strategy design, contract development, negotiation, and execution processes .

    Stay current with all promulgated and proposed federal regulations that could potentially impact chargeback and/or rebate adjudications , strategically assessing and communicating potential impact to current and/or future processes .

    O versee and optimiz e the chargeback adjudication process , ensuring accuracy and compliance with industry regulations and internal SOX controls .

    Responsible for end-to-end contract administration operations, including Model N/Revitas contract set-up, membership management, and customer payment administration . Establish processes to ensure consistent translation of contract terms into operational solutions .

    Manage contract compliance, including timely verification of eligible members and/or plans and validation of customer policies to confirm rebate and chargeback eligibility.

    Support strategic assessments of the benefits and impact of automation or implementation of digital solutions to business-critical processes. Collaborate with DTE to Improve system(s) capabilities to meet evolving business requirements and seek process efficiencies.

    Model N/Revitas Chargeback module SME including capability to establish complex calculations within systems, or alternative manual spreadsheets if not systematically possible.

    Partner with DTE to manage enhancement backlog, trouble shoot issues.

    Research, review, and interpret complex data to evaluate performance criteria on a unit-by-unit and customer-by-customer basis , identify trends and key insights .

    Perform complex financial analytics to further execute and validate chargebacks to ensure accuracy .

    Partner with USMA Data & Analytics COE teams to create and maintain monthly and quarterly chargeback related reporting .

    Lead review and analysis of contractual payment activities, dashboards, and trends , collaborating with GTN Forecasting team on ad hoc analyses.

    Bachelor's degree in a quantitative or technological discipline required (e.g., Engineering, Computer Science, Accounting, Statistics, Economics, Finance)


    8 + years US pharmaceutical industry experience with increasing responsibilities in contract operations, contract management, financial analysis, chargeback validation , processing, and payments to FSS , Wholesalers , GPOs and IDNs .

    5 + years' experience with managed care contract admin tech nology ( i.e . Experience with in-house Chargeback d epartments preferably w/outsourced order to cash

    Intellectual curiosity , active listener , and willingness to challenge the status quo and experiment when appropriate , focusing on continuous learning and improvement.

    Strong business acumen, passion for innovation, ability to navigate ambiguity, and manages well through complexi ty.

    Effective communicator, someone who can inspire and energize people with ideas and a bility to influence decision-makers through incisive analysis and persuasive communication.

    High level of p roficiency in Microsoft applications, including Excel, PowerPoint and Word .
    MBA, MPH or a Master's in a quantitative discipline .

    8 + years in biotech/pharmaceuticals in a quantitative role in Managed Markets / Commercial / Finance / Investment Banking, or 3 + years in biopharma consulting (management, strategic or economic consulting) post-MBA/PhD, with meaningful biotech/pharmaceuticals with direct reports and quantitative decision support experience .

    Project management experience and familiarity with project management techniques .
    Contract strategy implementation experience .

    Value based contract implementation experience highly preferred .
    Experience in working with senior leadership to support financial forecasting and analytics, and/or commercial launch planning .
    K nowledge of AI/ML tools, query languages/tools (SQL, Alteryx) , blockchain technology and data visualization tools .
    #Vertex is a global biotechnology company that invests in scientific innovation.

    Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law.

    Vertex will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.
    Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager, or contact Talent Acquisition at
    Help Us Achieve Our Mission

    Vertex is a global biotechnology company that invests in scientific innovation to create transformative medicines for people with serious diseases.

    The company has approved medicines that treat the underlying causes of multiple chronic, life-shortening genetic diseases — cystic fibrosis, sickle cell disease and transfusion-dependent beta thalassemia — and continues to advance clinical and research programs in these diseases.

    Vertex also has a robust clinical pipeline of investigational therapies across a range of modalities in other serious diseases where it has deep insight into causal human biology, including APOL1-mediated kidney disease, acute and neuropathic pain, type 1 diabetes, myotonic dystrophy type 1 and alpha-1 antitrypsin deficiency .

    Vertex's global headquarters is now located in Boston's Innovation District and its international headquarters is in London.

    Additionally, the company has research and development sites and commercial offices in North America, Europe, Australia, Latin America and the Middle East.

    Vertex is consistently recognized as one of the industry's top places to work, including 14 consecutive years on Science magazine's Top Employers list and one of Fortune's 100 Best Companies to Work For.

    For company updates and to learn more about Vertex's history of innovation, visit or follow us on Facebook , Twitter/X , LinkedIn , YouTube and Instagram .

    The diversity and authenticity of our people is part of what makes Vertex unique, and we recognize that each employee brings diverse perspectives and strengths.

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