Senior Manager, Contract Ops, Revenue Integrity

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $134.6k - $201.3k / year

⏰ Full Time

🟠 Senior

💹 Revenue Operations

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Otsuka Pharmaceutical Companies (U.S.)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💊 Pharmaceuticals

🏥 Healthcare

🧬 Biotechnology

Pharmaceuticals • Healthcare • Biotechnology

Otsuka Pharmaceutical Companies (U. S. ) is a prominent player in the pharmaceutical manufacturing industry, dedicated to creating innovative products for better health worldwide. The company comprises two main entities: Otsuka America Pharmaceutical, Inc. (OAPI), which is focused on commercializing Otsuka-discovered and in-licensed products in North America, and Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC), which specializes in the clinical development and global registration of innovative healthcare solutions, particularly in the field of neuroscience.

📋 Description

• 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 models for payer discount liabilities and pricing strategies • Identify anomalies or unexpected variance in commercial and government rebates • Validate contract fulfillment terms against pharmacy claims data to identify overpayments or duplicate discounts • Execute audit protocols for Pharmacy Benefit Manager (PBM) and payer rebate invoices • Coordinate audits with third-party auditors • Manage disputes, including customer engagement, legal coordination, and escalation • Oversee systems addressing duplicate 340B drug discount violations paired with Medicaid rebates • Monitor accuracy of federal pricing metrics including AMP, BP, and ASP • Ensure alignment with the Inflation Reduction Act (IRA), Medicaid Drug Rebate Program, and federal pricing structures • Serve as an internal control expert to protect against federal compliance penalties • Partner with Account Management, Pricing Strategy, Legal, Finance, and Brand Management • Capture GTN financial impacts of disputes • Support pre-deal analyses by assessing GTN and revenue integrity impacts • Build executive-ready risk mitigation models for regulatory and marketplace trends

🎯 Requirements

• Bachelor’s degree in Finance, Economics, Business Administration, or life sciences required • 5+ years of experience in the pharmaceutical or biotech industry • Direct experience in Market Access, Pricing & Contracting, Gross-to-Net (GTN) accounting, or commercial financial analytics • MBA or advanced financial certification highly preferred

🏖️ Benefits

• Comprehensive medical, dental, vision, and prescription drug coverage • Company-provided basic life insurance • Accidental death and dismemberment insurance • Short-term and long-term disability insurance • Tuition reimbursement • Student loan assistance • Generous 401(k) match • Flexible time off • Paid holidays • Paid leave programs • Other company-provided benefits

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