Senior Manager, Contract Ops & Revenue Integrity (Remote)

Otsuka Pharmaceutical Co., Ltd.
•$134,615 - $201,250•Remote

About The Position

The Senior Manager, Contract Operations & Revenue Integrity protects and optimizes gross-to-net (GTN) revenue for the company’s drug portfolio. Working across contract strategy, government pricing, financial forecasting, and legal compliance, the role mitigates financial risks involving insurance rebates, chargebacks, duplicate discounts such as 340B programs, and statutory government liabilities. The position is a strategic partner to brand teams and managed markets account executives. The role monitors GTN performance, supports forecasting and pricing strategies, and identifies revenue leakage or financial anomalies in commercial and government channels. It also oversees contract compliance and fraud-prevention work, including audits of PBM and payer rebate invoices, dispute resolution, and systems that detect duplicate 340B discounts paired with Medicaid rebates. The Senior Manager monitors the accuracy of federal pricing metrics and supports compliance with the Inflation Reduction Act, the Medicaid Drug Rebate Program, and federal pricing structures. The position collaborates with Account Management, Pricing Strategy, Legal, Finance, and Brand Management, capturing dispute impacts in GTN results, supporting pre-deal analyses, and creating executive-ready risk mitigation models.

Requirements

  • Bachelor’s degree in Finance, Economics, Business Administration, or life sciences.
  • At least 5 years of experience in the pharmaceutical or biotech industry, focused on Market Access, Pricing & Contracting, Gross-to-Net (GTN) accounting, or commercial financial analytics.
  • Accountability for results, focus on strategic objectives, high performance standards, and active participation in leading change.
  • Strategic thinking and problem solving, considering long-term impacts on customers, patients, employees, and the business.
  • Patient and customer centricity, with ongoing attention to customer and stakeholder needs.
  • Impactful communication, using logic, clarity, and respect to influence at all levels.
  • Respectful collaboration, valuing others’ perspectives and working across diverse partnerships toward shared goals.
  • Active participation in professional development.

Nice To Haves

  • MBA or advanced financial certification.

Responsibilities

  • Monitor and analyze the gross-to-net (GTN) pipeline to identify revenue leakage in commercial payer and government channels.
  • Partner with GTN forecasting to build accurate models for payer discount liabilities and pricing strategies.
  • Identify anomalies or unexpected financial variance in commercial and government rebates.
  • Validate contract fulfillment terms against historical pharmacy claims data to identify overpayments or duplicate discounts.
  • Execute audit protocols for Pharmacy Benefit Manager (PBM) and payer rebate invoices.
  • Coordinate and support audits, including selecting and coordinating with third-party auditors.
  • Manage the dispute process, including customer engagement, legal coordination, and escalation where required.
  • Oversee systems that flag and mitigate duplicate 340B drug discount violations paired with Medicaid rebates.
  • Monitor the calculation accuracy of federal pricing metrics, including Average Manufacturer Price (AMP), Best Price (BP), and Average Sales Price (ASP).
  • Ensure alignment with the Inflation Reduction Act (IRA), Medicaid Drug Rebate Program, and federal pricing structures.
  • Act as an internal control expert to protect the organization against federal compliance penalties.
  • Partner with Account Management, Pricing Strategy, Legal, Finance, and Brand Management teams.
  • Ensure the GTN financial impact of disputes is appropriately captured.
  • Support pre-deal analyses by assessing potential GTN and revenue integrity impacts.
  • Build executive-ready risk mitigation models outlining regulatory or marketplace trends.

Benefits

  • Comprehensive medical coverage
  • Dental coverage
  • Vision coverage
  • Prescription drug coverage
  • Company-provided basic life insurance
  • Accidental death and dismemberment insurance
  • Short-term disability insurance
  • Long-term disability insurance
  • Tuition reimbursement
  • Student loan assistance
  • 401(k) match
  • Flexible time off
  • Paid holidays
  • Paid leave programs
  • Other company-provided benefits
  • Incentive opportunity
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