Senior Manager, Market Access Rebate Gross to Net COE
3 weeks ago
Company Description
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas immunology, oncology, neuroscience, and eye care and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us Follow @abbvie onTwitter,Facebook,Instagram,YouTubeandLinkedIn.
Job Description
Primary Job Function:
Primary responsibility is to facilitate the achievement of the largest component of AbbVie US sales, margin and price for all branded products focusing on the management and maintenance of the Market Access Contracting operations and rebate processing associated with: Pharmacy Benefit Managers (PBMs), Health Maintenance Organizations (HMOs) and Group Purchasing Organizations (GPOs).
The position is responsible for supporting the objectives of the Market Access organization by managing the creation, maintenance, and management of the commercial rebate payment process validations, consistent with established contracting terms and formulary policies. This position is also responsible for managing the analysis, summarizing ongoing disputes, and reporting on the value of rebate claims recaptured via the center of excellence.
The incumbent is responsible for identifying, establishing, developing, and implementing appropriate processes to maintain rebate payment accuracy and contract compliance for AbbVie.
Core Job Responsibilities:
Responsibilities will include, but are not limited to:
Initiate process and provide Payer analytics invoice to invoice across clients/pharmacies w/ comparative KPIsDevelopment brand by brand utilization profiles to identify risk/opportunity regarding formulary access barriersFully burdened GTN awareness at a client level, pharmacy dispensing profiles, 340b risk, copay demand (max/accm/HDHP)Codify client detail to allow comparability/traceability across payers and enhance communication with MA RAMsEstablish timing, content, and KPIs for ongoing reporting to KAMs/Leadership teamsManage relationship with IQVIA, MMIT, MA MAT support team to ensure alignment and awareness of formulary access issues/opportunitiesProduce tracking and monitoring of disputes, wins/losses, financial contribution over time.Monitors rejections/reversals and field feedback on formulary status and access complianceMonitor rebate invoicing and ensure contract compliance, negotiate disputes, and processes settlement paymentsSupervisory/Management Responsibilities:Manage staff of one Finance Lead/Senior Financial Analyst.
Position Accountability/Scope:
Manage the coordination and preparation of payer invoicing verses payments processed to provide ongoing awareness to finance leadership;(i) ensuring that payments are processed within contract terms; (ii) ensuring that identified disputes are recaptured and elevated to payers; (iii) ensuring that all Gross to Net benefits and dispute opportunities have had appropriate level of review with management, OEC and legal prior to issuing to account when required. Recommend contracting strategies on new agreements and contract renewals based on historical disputes. Support account managers and serve as a subject matter expert with external customer dispute resolution. Build an effective network within Pricing and Contracting and across marketing and sales, AbbVie finance and legal department. Assist with analysis and evaluation of Market Access contracts, including analysis of utilization and market share data for rebate agreements and purchase data for discount contracts to identify potential risks/opportunities.
Qualifications
Skills/Experience Requirements:
Basic Qualifications:
7+ years of progressive Accounting/Finance.
The candidate must also possess the following skill sets:
Function independently and provide the leadership required to negotiate change/compromise to drive the business forward to reach the intended goalsThe ability to interact with and support senior level management and to partner effectively and independently in a matrix organization.Strong organizational, analytical, problem solving, planning and decision-making skills.Adapt at analyzing and summarizing data from multiple sources.Additional Information
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state orlocal law: The compensation range described below is the range of possible base pay compensation that the Companybelieves ingood faith it will pay for this role at the timeof this posting based on the job grade for this position.Individualcompensation paid within this range will depend on many factors including geographic location, andwemay ultimatelypay more or less than the posted range. This range may be modified in thefuture. We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick),medical/dental/visioninsurance and 401(k) to eligibleemployees. This job is eligible to participate in our short-term incentiveprograms. This job is eligible to participate in our long-term incentiveprograms Note: No amount of payis considered to bewages or compensation until such amount is earned, vested, anddeterminable.The amount and availability of any bonus,commission, incentive, benefits, or any other form ofcompensation and benefitsthat are allocable to a particular employee remains in the Company's sole andabsolutediscretion unless and until paid andmay be modified at the Companys sole and absolute discretion, consistent withapplicable law. AbbVie is committed to operating with integrity, driving innovation, transforming lives, serving our community and embracing diversity and inclusion. It is AbbVies policy to employ qualified persons of the greatest ability without discrimination against any employee or applicant for employment because of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information, gender identity or expression, sexual orientation, marital status, status as a protected veteran, or any other legally protected group status.
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