Sr. Rebate Analyst, Managed Care (Commercial Contracting) - Foster City, CA

Gilead Sciences•Foster City, CA

3d•$126,820 - $164,120

About The Position

Gilead Sciences Inc. is seeking a Senior Rebates Analyst to lead the day-to-day administration and processing of Managed Care Commercial and Medicare Part D contract payments in support of the Managed Markets Strategy & Operations group. The group manages and supports Gilead’s strategies with national and regional Managed Markets accounts to provide appropriate patient access to Gilead products. The analyst is primarily responsible for maintaining strong relationships with payers and ensuring that contract payments and associated reporting are completed on time and in accordance with established policies and procedures. The role serves as a rebate data subject matter expert, ensuring proper data validation, contract-compliance verification, rebate processing, and payment analysis to protect Gilead from revenue leakage.

Requirements

Bachelor’s degree and five years of experience, or a master’s degree and three years of experience.
Ability to prioritize and manage rebate payment processing across channels and customers, meet deadlines, and exercise sound judgment in a fast-paced environment with limited supervision.
Invoice-processing and customer-service skills, including time management, prompt follow-through, and a proactive approach.
Working knowledge of claim-processing principles, documentation requirements, and processing systems.
Data-management skills and ability to analyze and communicate relevant information to internal and external stakeholders.
Decision-making skills; ability to collaborate, solve problems, and troubleshoot issues independently with minimal guidance.
Ability to develop effective solutions to complex problems with limited tools and guidance.
Proficiency in Microsoft Excel and PowerPoint.
Ability to understand and interpret contract language.
Strong verbal, written, and interpersonal skills, with ability to interact effectively with all levels of internal and external stakeholders.
Proven analytical experience and critical-thinking skills.

Nice To Haves

Basic knowledge of Model N and/or Validata.
Knowledge of health plans, pharmacy benefit managers (PBMs), and the pharmacy business.
Basic knowledge of Tableau or Alteryx.

Responsibilities

Create, manage, and analyze operational reports and metrics to monitor contractual service levels, identify and communicate program trends, and support continuous improvement.
Enter contracts into operational systems according to agreement terms and conditions, ensuring contractual obligations are accurately captured and updated.
Work with external customers and internal stakeholders to resolve disputes promptly and, where practical, in Gilead’s favor.
Use statistical methods to gather and analyze data, create reports, and recommend potential adjustments based on variance analysis.
Serve as a subject matter expert and technical resource for rebate systems and tools.
Review and validate customer submissions within established timeframes to ensure data accuracy and timely processing and payment.
Track submissions and payments through Gilead systems, including SharePoint, Model N, Validata, and OIMS, to allow adequate lead time for rebate payments.
Work with the management team to prioritize business-segment needs and define data requirements for business processes and analysis projects.
Research and analyze payment variances and trends, identify outliers, and investigate root causes of potential upstream errors or market activity.
Support development and maintenance of policies and standard operating procedures to ensure compliance.
Participate in internal and external audits as needed to demonstrate compliance with policies, laws, and regulations.
Interact with internal and external stakeholders, including customers, contract and account managers, Strategy and Analytics, FP&A, Accounts Payable, Legal, and third-party consultants.
Manage general customer service inquiries and route questions to appropriate resources.
Manage and lead special projects as needed while adapting to changing business requirements and processes.
Collaborate with the team to accomplish departmental goals.