Chargeback Analyst II
United States - California - Foster City
Gilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigational drug candidate, we seek to improve the care of patients living with life-threatening diseases around the world. Gileads therapeutic areas of focus include HIV/AIDS, liver diseases, cancer and inflammation, and serious respiratory and cardiovascular conditions.
Making an impact on a global scale
Inclusion is one of the companys five core values. Thats because we know that we are stronger and more innovative at Gilead when we are informed by a diverse set of backgrounds, experiences and points of view. Gilead Sciences is a biopharmaceutical company that discovers, develops and commercializes innovative therapeutics in areas of unmet medical need. The company's mission is to advance the care of patients suffering from life-threatening diseases worldwide.
When you join Gilead, you join our mission to change the world by enabling people to live healthier and more fulfilling lives. Come join a mission-driven bio-pharmaceutical organization that values inclusion and diversity, has a strong portfolio of products, and is constantly #CreatingPossible
Chargeback Analyst II
Essential Duties and Job Functions: Effective communicator with the ability to communicate directly with internal and external customers to ensure that accurate pricing and discounts are being extended and to coordinate on resolution of customer issues in a timely manner.
Monitor contract requirements to ensure customer and Gilead remain in compliance with contract terms and conditions.
Ability to solve problems independently with little supervision but within departmental guidelines.
Maintain contract parameters within Gilead\'s contracting operational systems including customer membership/affiliations, products, prices, performance tiers, date ranges, and incentive percentages.
Effectively resolve chargeback claims in an accurate and timely manner. Proactively review, analyze, and establish claim processing standard operating procedures as needed to ensure claims are processed according to company policies and contractual obligations.
Develop reports and analysis to support metric tracking statistics to departmental management as requested in order to keep them advised as to the status, volume, and potential liability of future rebate, fee, and other payments.
Memorize and consistently apply internal Gilead rules for data creation and maintenance in order to ensure Gilead is compliant with government and commercial pricing programs.
Knowledge, Experience and Skills:
Excellent communication skills, strong verbal, written and interpersonal skills with an emphasis on teamwork, time management, follow-through, and issue resolution abilities.
Interest in working with large amounts of data. Detail oriented and able to spot data anomalies, outliers, patterns and trends.
Able to multi-task with multiple interruptions in a deadline-intensive environment.
Ability to demonstrate flexibility, voicing concerns and proposing alternatives.
Able to recognize and interpret business issues/opportunities and recommend solutions through analysis.
Working knowledge of chargeback claim processing principals, techniques and their appropriate application.
Strong proficiency in Microsoft Excel//Word/PowerPoint and of 3rd party claim processing tools (e.g., Model N, etc.).
Bachelor's degree in business administration, marketing finance or related field. 4-5 years of experience in a utilization-based claim processing environment in the pharmaceutical or biotech industry helpful, but not required.
Effectively resolve chargeack submissions timely and accurately, including the research and reconciliation of exceptions/errors. Communicate with wholesalers and end customers in the reconciliation process.
Proactively identify potential issues and inefficiencies that arise in the areas of chargebacks, and offer recommendations and solutions.
Load contracts (customer, products, pricing, eligibility, dates) into Gilead\'s contract management system and verify accuracy of all data.
Responsible for the maintenance of contract data and eligibility to be fully compliant with contract agreements.
Communicate new and updated contract data to wholesalers in a timely manner such that accurate pricing will be extended to eligible contract customers.
Minimize the volume and amount of wholesaler chargeback deductions.
Effectively collaborate with internal business teams (Government Pricing, Accounting, Finance, IT) to ensure transaction, exceptions/errors, and deductions are processed and resolved accurately and timely.
Work with Gilead IT, systems vendors and consultants to design and implement system fixes/enhancements.
Experience processing chargebacks in Model N or I-many contract management systems is a plus.
Everyone at Gilead is motivated by our overarching mission to discover and deliver innovative therapies that improve patient care in areas of unmet medical needs. But it's just what we do that gives us an edge, it's how we do it. We expect everyone at Gilead to lead by example, guided by our core values:
- Integrity - Doing What's Right
- Inclusion - Encouraging Diversity
- Teamwork - Working Together
- Accountability - Taking Personal Responsibility
- Excellence - Being Your Best
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 email@example.com for assistance.
For more information about equal employment opportunity protections, please view the EEO is the Law' 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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