Manager, Rebates (Finance)

Description:

The primary responsibilities of the Manager, Managed Care Rebates, are to provide management, mentoring, and training analysts as needed and ensure the Rebate Analysts have the tools to excel in their roles. As a Manager, this role will be responsible for leading and supporting the Managed Care claims processing, contract maintenance, formulary and data validation, data management, report generation, and trend insights. In addition, this role will have direct oversight of a team. This position will provide support to the Director, Trade Finance in the management of the day-to-day activities of the US and India Managed Care Rebate Analysis and Adjudication process. This will include review and approval of managed care rebates, admin fees, and other related fees in accordance with the Company's designated authority limits and monitoring the effectiveness of internal control procedures, policies and SOP's that govern the processing of all customer managed care claims (such as price protection, managed care rebates, admin fees, etc.) for compliance with SOX. It is the responsibility of the Manager to ensure all payments are on time and accurate. This person must possess a strong working knowledge of Managed Care pharmaceutical contracting, especially in rebate administration. The expectation is that this incumbent will become a subject matter expert within our Model N Flex and Validata systems and ensure systems are set up to accurately validate and calculate per contracted terms. Develops and leads Validata training for department as needed. Ensures setup and maintenance of customer contracts and membership within the rebate system is accurate for formulary and script level validation. This role is also responsible for evaluating new functionality as it pertains to Model N Flex and Validata in the semi-annual releases to determine if and how Amneal can benefit from the changes. The incumbent shall have responsibility for the day-to-day management of the two third-party vendors providing data-scrubbing services for our managed care claims. The incumbent will manage and coordinate the overall team structure for the Managed Care rebate department. The Manager will need to continually assess the current state of the respective departmental structure and processes in Bridgewater and India and work to streamline the procedures as needed, as well as work to coordinate what the best future state of the departmental managed care processing will look like in coordination with Management.This incumbent shall develop and manage processes to accurately validate accrual schedules for Managed Care Rebate programs as it pertains to the monthly/quarterly close responsibilities. This will include extensive use of BTI and the Manager will have an active role in the closing process. The Manager will lead, manage, develop and motivate individuals to collectively build a high-performing team in the Managed Care rebate area in a rapidly changing, fast paced environment.

Essential Functions:

• Set team goals, provide direction and management in the day-to-day functions, mentor, develop and train associates as needed and ensure the Amneal US and India Rebate Analysts have the tools to excel in their roles. Oversee the management of departmental workload and trackers (such as the Customer Contract Tracker, Specialty Brand Management Tracker, etc.) in the US and India. Maintain account assignment list with constant review for appropriate allocation of workload. Provide direction and management in processing of Managed Care rebates, price protection, and admin fees. Develop and ensure staff's goals and performance are written and aligned with Trade Finance organization goals. Encourage team building and staff training, where appropriate. Responsible for writing year-end evaluations for all direct reports. Develop team operational plan and adjust as necessary.
• Regularly host management status review meetings with respective departments and team members. Host contract review meetings with various teams as changes occur, review proposed contract language for managed care contracts to ensure agreements are executable. Develop and provide monthly reports on specialty and biosimilar pharmacy and medical rebate claims to provide detailed data to the Market Access team in order to validate formulary coverage, rebates paid, trending, etc.
• Partner with IT, department management to implement Validata program set up and ensure the scrubbing to claims is accurately processed. Provide direction for system updates to Flex and Validata systems to accommodate new programs and ensure UAT is performed when necessary. Partner with IT and Amneal' Model N experts to resolve system issues, identify best practices and determine alternative set-ups for more efficiency. Establish a positive rapport amongst staff and other departments Assist with any Business Development efforts or software implementations, as needed.
• Develop and provide month-end close reports for specialty and biosimilar pharmacy and medical rebates and perform regular reviews to ensure completeness and accuracy. This is critical to the successful accrual-based accounting for the Company's gross to net sales in accordance with US GAAP which is clearly the area of greatest financial risk on the Company's financial statements. These accurals also feed our Medicare ASP calculations, which directly influence our formulary inclusions. Provide monthly updates on 3rd party vendor estimates and accruals.
• Review and approve managed care rebate payments per the DOA. Correctly identify any types of disputes and make necessary adjustments to ensure deductions are classified correctly and processed appropriately. As needed, oversee the development of reports in Flex and Validata based on team's requirements that will reduce manual efforts to effectively resolve disputes and reclaim dollars for Amneal. Where disputes are identified, support and work with respective analyst to secure paybacks from customers. Communicate often with customers to advise on disputes, data errors, and status of claims.

 

Education:

• Bachelors Degree (BA/BS) Business, Finance or direct work experience - Required

Experience:

• 7 years or more in rebates, returns, or customer claims
• 5 years or more in pharmaceutical contracting or rebate validations
• 5 years or more in managing people or process

Skills:

• Be able to identify efficiencies needed to streamline processing of rebates, fee and work with various internal departments - Advanced
• Strong team management and leadership skills. - Advanced
• Research and analytical thinking capabilities. - Advanced
• Problem solving and decision making. - Advanced
• Planning and organizing. - Advanced
• Strong verbal and written communication, interpersonal and customer service skills - Advanced
• Must be able to work independently and exercise good professional judgment. - Advanced
• Ability to work extremely well under tight timeframes and be well organized - Advanced

Specialized Knowledge:

• Model N Flex - Revenue Management and Validata is required or similar experience.