at TAD PGS, Inc. in Lake Zurich, Illinois, United States
Job Description
We have an outstanding Contract position for aSenior Membership Analystto join a leading Company located in the Lake Zurich, ILsurrounding area.
The Sr. Membership Analyst is responsible for all membership and class of trade activities. Extracts, analyzes, and interprets data from an array of systems to address compliance issues . Internal liaison between Finance, customer service, data services, and Contract Operations. The Sr. Analyst also prepares and summarizes commercial and customer trends and communicates business drivers, market dynamics to Commercial Operations and Financial Services. Job Responsibilities:+ Develops and coordinates assigned account membership, and maintenance including contract eligibility, and COT reviews.
+ Qualify membership eligibility before chargebacks are processed. Distinguish by contract, committed program, and COT.
+ Administers, and maintains all class of trade membership, and fee eligibility in Model N system.
+ Timely, and efficient confirmation, and validation of contract eligibility within required timelines.
+ Acts as ombudsman for assigned accounts, and their members. Investigate complaints, problems, and achieve equitable settlements and resolutions.
+ Facilitates the various internal functional groups (Order Services, Customer Operations, Chargebacks, IT, etc.) as they relate to assigned accounts and their members. This includes written correspondence, contract updates and maintenance, chargeback discrepancies, membership etc .
+ Develops and communicates all pertinent information regarding membership , as necessary, to the field sales force and internal management team.
+ Manage 340B quarterly terminations and other 340B government requests including quarterly reporting
+ Primary external point of contact regarding membership via maintenance and analysis of group email box
+ Perform audits related to sales and class of trade membership as they are brought forward both internally and externally.
+ Perform individual contract access inclusion checks weekly and apply metrics to inclusion sets for analysis.
+ Ensures data quality of all outgoing reports and analyses.
+ Identify process improvement opportunities , and develops, or enhance tools to assist in the work deliverables.
+ Use SAP, Model N, Qlik, BEX, MicroStrategy, and other databases/tools to obtain, prepare, compile, and analyze information.
+ Analyze key KPIs to drive improvements in Commercial Membership Validation process.
+ Provide support during the new molecule process by ensuring membership information is up to date .
+ Participates in any and all reasonable work activities as assigned by management.
Basic Hiring Criteria:+ Bachelor’s Degree required ( Advanced degree is a plus).
+ Minimum of 5 years of related experience (preferably with contracting, pricing, healthcare membership experience).
+ Knowledge of pharmaceutical industry, hospital/pharmacy products, and/or medical device contractual terms and conditions is strongly preferred.
+ Demonstrated business acumen and experience with customer agreements (preferably experience with GPO, IDN, and hospital and/or clinic contracting) is a plus.
+ Strong interpersonal, written, and verbal communication skills accompanied with critical thinking and problem resolution skills.
+ Proficient with Microsoft Office applications (Excel, Word, PowerPoint, Access, and advanced skill set with Excel).
+ Knowledge of ERP systems (SAP, Qlik, etc.) and other database concepts preferred.
+ Able to manage and prioritize multiple complex projects with demonstrated time management skills as well as the ability to work independently.
+ Ability to work effectively with all employees and external business contacts while conveying a positive, service-oriented attitude.
+ Ability to maintain complete confidentiality and discretion in business relationships and exercise sound business judgment.
+ All employees are responsible for ensuring the compliance to company documents, programs and activities related to Health, Safety, Environment, Energy and Quality Management System as per your roles and responsibilities.
VEVRAA Federal Contractor / Request Priority Protected Veteran Referrals / Equal Opportunity Employer / Veterans / Disabled
The Company will consider qualified applicants with arrest and conviction records.
To read our Candidate Privacy Information Statement, which explains how we will use your information, please visithttp://www.tadpgs.com/candidate-privacy/orhttps://pdsdefense.com/candidate-privacy/
