The Contract Operations Specialist role is pivotal in helping patients access life-changing medicines. This role is responsible for working with internal/external customers on all aspects of Market Access, including Master Data, Contracting, Membership, Chargebacks, and Rebates. Responsibilities include the receipt, analysis, impact assessment, resolution, and posting/reporting of all contractual payments across various customer segments (Health Plans, GPOs, Specialty Pharmacies, Physicians, Wholesalers), and maintaining all related documentation. The specialist will also develop Market Access contracts, including template development, strategy interpretation, language negotiation, approval, and execution. They will manage and meet business operations deliverables to monitor, evaluate, and administer claims for payment, ensuring accuracy, timeliness, formulary compliance, and proper entry into contract systems according to agreement terms, corporate controls, and SOX regulations. Establishing and maintaining collaborative relationships with internal/external contacts and peers is crucial for effective communication and customer service to support contract terms and payments. An in-depth knowledge of claims processes, systems, and Market Access contracting processes and strategies is required for contract compliance.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree