Manager, Chargeback Operations

Manager, Chargeback Operations 

SUMMARY OF POSITION  

The Manager, Chargeback Operations reports into the Associate Director, Chargeback Operations, PACM team within the US Market Access organization. This is an exciting opportunity for a candidate looking to grow their skills within a dynamic organization focusing on Group Purchasing Organization (GPO) membership, chargeback processing and contract interpretation. This individual will be responsible for reviewing and processing membership lists to maintain accurate contract eligibility. Additionally, this candidate will process daily chargebacks to ensure timely and accurate credits to wholesalers, pay quarterly administrative fees to our partnered GPOs and settle outstanding credit and rebills between Wholesalers, Specialty Distributors and Accounts Receivable. 

This position will work cross-functionally with several different groups, especially with Trade & Distribution, Accounting, DTE, Government Pricing & Programs, Contract Operations, Field Sales, Trade Accounts and Legal. Additionally, this role will require external collaboration with 3PLs, Wholesalers/Distributors and GPOs. 

RESPONSIBILITIES  

• Process Lead for chargeback adjudication, including definition and tracking of key operational metrics 

• Monthly audit of customer (member) level data from the GPOs to ensure compliance with our program 

• Adjudicate and process customer chargeback submissions including manual submissions and resubmissions for payment. This entails identifying and resolving all customer, product and vendor fields not covered or found 

• Work directly with customers to resolve chargeback disputes in accordance with Vertex’s contractual obligations 

• Maintain and manage GPO membership rosters for eligibility 

• Reconcile chargeback deductions – facilitate collection of denial and work with collections team  

• Reporting, ad hoc and monthly on performance of membership and chargeback processes 

• Manage and respond to requests for GPO audit of membership and chargebacks 

• Audit of chargeback membership data for inconsistencies related to rejections and or other membership eligibility issues 

• Review chargeback membership for proactive corrections to avoid future errors and rejections  

• Create and maintain thorough and organized documentation in preparation for internal/external audit activities 

MINIMUM QUALIFICATIONS  

• Bachelor's Degree highly desired in a quantitative discipline  

• 5 + years of experience in pharmaceutical industry in chargebacks 

• 2 + years of ModelN Flex experience processing chargebacks and setting up Contracts 

• Proficient in Microsoft Word and Excel – Pivot tables a plus 

• Resolving disputes in a timely and accurate manner 

• Effective communication skills with internal stakeholders and customers 

• Must be able to work independently and in a team environment 

• Demonstrated ability to work accurately in a fast-paced complex, customer-focused environment executing to specific deadlines 

• Proven track record in identifying and implementing process improvements and efficiencies 

• Must have excellent customer relations and customer service skills 

• Must be a self-starter, relentlessly drive to improve the status quo and be solution-focused 

• Timely follow-up on open items and ensure follow-through is conducted with the appropriate sense of urgency