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Membership & Contracts Analyst II (Medicaid, Medicare)
1 month ago
Our client, a world-leading Pharmaceutical Company in Parsippany, NJ is currently looking for a Membership & Contract Validation Analyst II to join their expanding team.
Position Details:
Job Title: Membership & Contracts Analyst II (Medicaid, Medicare)
Duration: 9 months contract, extendable up to 24 months
Location: Parsippany, NJ
Working from the office 2-5 days per week, per policy (Currently 2 days a week in office)
Hybrid Tuesday and Wednesday onsite and Monday, Thursday and Friday.
Note:
The client has the right-to-hire you as a permanent employee at any time during or after the end of the contract.
You may participate in the company group medical insurance plan
Job Description:
Title: Membership & Contract Validation Analyst II
Responsible for the review of all new Direct/Indirect customer set ups in Revitas MODEL N FLEX and of member eligibility.
Ensure Classes of Trade are accurate and available by customer and geographic area for downstream reporting, for internal analytics, and for sales segment reporting to achieve sales targets and comply with Government Pricing requirements.
Will also be responsible for working with internal and external auditors to provide required information for Class of Trade compliance.
Responsible for collaborating with the Contracts, Pricing and Rebates group to ensure successful implementation and maintenance of brand/generic contracts and rebates in MODEL N FLEX.
Responsible for collaborating with the Brand team to implement all brand strategies and agreements into MODEL N FLEX.
Provide sales analytics on customers and classes of trade for Sales Segment reporting to support management in achievement of brand/generic sales targets.
Collaborate with the Customer Administration Audit team on audit and analytics review of indirect customer analysis.
Providing quarterly analytics to the team of wholesaler trends and providing quarterly analytics for memberships to management.
Responsible for supporting group lead/manager with back up responsibilities, as well as any other duties or projects, as assigned or business needs required.
Proficient in Excel. Able to navigate, do V-lookups, and pivot tables.
Shift:
Monday – Friday 8:00am – 5:00pm - Hybrid or remote - Hybrid Tuesday and Wednesday onsite and Monday, Thursday and Friday.
Temp to Perm:
Contingent with the possibility to extend
Core Essential Skill sets:
Proficient in determining class of trade assignments
340B Review and experience with determining eligibility.
Proficient in the Flex membership environment
Excel – Pivot and V-lookups
Attention to detail
Professional communication skills
Team player
Motivated
Travel Requirements:
Some travel may be required.
Physical Requirements:
Working from the office 2-5 days per week, per policy (Currently 2 days a week in office)
Functional Knowledge and skills:
Ability to work independently and with a team.
Good verbal and written communication skills.
Organized, detail oriented, analytical and can multi-task to manage changing priorities.
