Senior Manager, Chargeback Operations

Senior Manager, Chargeback 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

For Current Gilead Employees and Contractors:

Please log onto your Internal Career Site to apply for this job.

At Gilead, we're creating a healthier world for all people. For more than 35 years, we've tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer - working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference.

Every member of Gilead's team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we're looking for the next wave of passionate and ambitious people ready to make a direct impact.

We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Gilead and help create possible, together.

Job Description

The Senior Manager, Chargeback Operations, will have responsibility and oversight of the Chargeback team's day-to-day operations making sure contracting is accurate and payments are adjudicated on time to ensure patient access. This oversight includes agreements within Specialty Pharmacy, Government Contracts and Commercial Contracts. This position will also be responsible for the following duties and tasks. This role will follow a hybrid working schedule on-site in Foster City, CA.

Job Responsibilities:
Responsible for auditing of contract data and eligibility to be fully compliant with contract agreements.
Perform data integrity and quality control checks to identify areas of improvement or training needed within the department.
Proactively identify potential issues and inefficiencies that arise in the areas of chargebacks and offer recommendations/solutions to department management and resolves escalated issues.
Effectively liaises with external customers or vendors to ensure satisfactory services levels and resolve issues.
Builds relationships with senior management and cross-functional teams.
Establishes business relationships internally and externally of the department to facilitate current and future needs.
Assists with developing, implementing, and complying with standardized departmental operating procedures and implements specific policies and procedures to comply with local legislation.
Follows Standard Operating Procedures (SOPs) related to pricing and contracts.
Ensures compliance with all Government program rules, regulations, and legislation affiliated with these programs within the scope of eligibility maintenance and the administration and processing of chargebacks.
Helps to create an inclusive environment where people can share diverse perspectives, difficult messages, or contrary opinions without fear (psychological safety) to support a respectful and transparent work environment for all.
Provides direct supervision to employees.
Supports the growth, training, and development of Chargeback team members with timely feedback.
Be the main point of contact for Revenue System Management (Model N), facilitate discovery sessions and lead the data assessment and profiling activities.
Design complex reports based on KPIs (key performance indicators), to meet the strategic goals of the organization.
Effectively research and reconciliation of exceptions/errors. Communicate with wholesalers and end customers in the reconciliation process.
Coordinate dispute information with Chargeback Analyst and Distributor partners as needed to resolve contract error discrepancies. Manage follow up communications with distributors to ensure errors are resolved on the front end.
Document any identified gaps in contracting membership procedures and work with the team leaders and managers to find resolution
Serve as a business partner to account management teams to provide customer or account reports and other information to facilitate contract negotiation or renewal.

Knowledge:
Desired knowledge of implementing complex contract designs into Model N.
Detailed understanding of Chargeback claims processing, Admin Fees and Incentive Rebates principles, techniques and their appropriate application is required.
Knowledge of Government (340B/FSS) and Commercial programs and relevant regulations to ensure Gilead is compliant with government and commercial pricing programs that affect contract management and claims processing.
Understands basic requirements of Government Pricing and the impact of commercial contracting decisions.
Data management skills and the ability to analyze information to provide relevant and reliable data are required.
Effective influencing skills to provide recommendations to business leaders.
Effective decision making and problem-solving skills.
Able to work collaboratively in a team structure are required.
Able to spend majority of time working independently using well-defined and established procedures with little guidance.
Ability to provide data insights to support negotiations/contracting.

Basic Qualifications:

Bachelor's Degree and Eight Years' Experience

OR

Masters' Degree and Six Years' Experience

Preferred Qualifications:
6+ years of related experience in biotech or pharmaceuticals industry and a BS or BA degree.
Experience implementing complex contract designs operationally in system of records (i.e., Model N)
Strong people and project management skills
Strong knowledge of pharmaceutical order process and customer service
Ability to resolve complex/escalated issues.
Recognizes and interprets business issues/opportunities and recommend solutions through analysis.
Strong verbal, written, and interpersonal skills with an emphasis on time management, follow-through, and issue-resolution abilities.
Critical thinking and analysis skills are required.
Must have the ability to multi-task in a deadline-intensive environment.
Proficiency in Tableau, Model N, Microsoft Excel, PowerPoint, and Word
Experience in a utilization-based claim processing environment in the pharmaceutical or biotech industry helpful, but not required.

People Leader Accountabilities:
Create Inclusion - knowing the business value of diverse teams, modelling inclusion and embedding the value of diversity in the way they manage their teams.
Develop Talent - understand the skills, experience, aspirations and potential of their employees and coach them on current performance and future potential. They ensure employees are receiving the feedback and insight needed to grow, develop and realize their purpose.
Empower Teams - connect the team to the organization by aligning goals, purpose, organizational objectives and holding to account. They provide the support needed to remove barriers and connect their team to the broader ecosystem

The salary range for this position is: $154, $199, Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location. These considerations mean actual compensation will vary. This position may also be eligible for a discretionary annual bonus, discretionary stock-based long-term incentives (eligibility may vary based on role), paid time off, and a benefits package. Benefits include company-sponsored medical, dental, vision, and life insurance plans*.

For additional benefits information, visit:

* Eligible employees may participate in benefit plans, subject to the terms and conditions of the applicable plans.

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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 for assistance.

For more information about equal employment opportunity protections, please view the 'Know Your Rights' 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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