Senior Manager, Commercial Contracting - Managed Care Rebate Operations
Full Time
Foster City, CA 94404
$149,600 - $193,600 a year
Posted
Job description
For Current Gilead Employees and Contractors:
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Job Description
Gilead Sciences, Inc. is a biopharmaceutical company that has pursued and achieved breakthroughs in medicine for more than three decades, with the goal of creating a healthier world for all people. The company is committed to advancing innovative medicines to prevent and treat life-threatening diseases, including HIV, viral hepatitis, and cancer. Gilead operates in more than 35 countries worldwide, with headquarters in Foster City, California.
Job Description
The Sr. Manager will have responsibility and oversight of the Managed Care Rebate 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 managed care organizations, PBMs, and Integrated Delivery Networks. This position will also be responsible for the following duties and tasks.
Responsibilities:
- 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 commercial program rules, regulations, and legislation affiliated with these programs within the scope of eligibility maintenance and the administration and processing of rebates
- 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 Managed Care team members with timely feedback
- Recommends process improvements to department management and resolves escalated issues
- Reviews, approves, audit payment packages on a timely, consistent basis
- Tracks all payments and checks to ensure data captured from internal and external sources are accurate and loaded in the correct system
Commercial Contracting Knowledge:
- Knowledge of relevant commercial programs managed care pharmacy benefit programs and relevant regulations 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.
- Customer service management skills required
Basic Qualifications:
Bachelor's Degree and Eight Years Experience
OR
Master's Degree and Six Years Experience
OR
Ph.D.
Preferred Qualifications:
- 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
The salary range for this position is: $149,600.00 - $193,600.00. 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:
https://www.gilead.com/careers/compensation-benefits-and-wellbeing
- Eligible employees may participate in benefit plans, subject to the terms and conditions of the applicable plans.
For jobs in the United States:
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
careers@gilead.com
for assistance.
For more information about equal employment opportunity protections, please view the
'Know Your Rights'
poster.
NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
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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