Senior Analyst, Managed Care Operations

Company Description

IntegriChain is the data and application backbone for market access departments of Life Sciences manufacturers. We deliver the data, the applications, and the business process infrastructure for patient access and therapy commercialization. More than 250 manufacturers rely on our ICyte Platform to orchestrate their commercial and government payer contracting, patient services, and distribution channels. ICyte is the first and only platform that unites the financial, operational, and commercial data sets required to support therapy access in the era of specialty and precision medicine. With ICyte, Life Sciences innovators can digitalize their market access operations, freeing up resources to focus on more data-driven decision support. With ICyte, Life Sciences innovators are digitalizing labor-intensive processes – freeing up their best talent to identify and resolve coverage and availability hurdles and to manage pricing and forecasting complexity.

We are headquartered in Philadelphia, PA (USA), with offices in: Ambler, PA (USA); Pune, India; and Medellín, Colombia. For more information, visit , or follow us on Twitter @IntegriChain and LinkedIn.

Job Description

Your mission at IntegriChain:

To help ensure the success of high-quality and on-time delivery of rebate claims processing for IntegriChain's BPSaaS Customers.

What this role entails:

• Processing of Managed Care and/or Medicaid Rebates
• Validate formulary compliance against contracted terms
• Download, log, and track data and contract submissions
• Run and create reports/analyses in Excel spreadsheets and other software packages to support payment reviews and approvals.
• Ensure calculations are in compliance with contractual terms
• Reconcile and document any rebate variances
• Resolve errors and disputes within the rebate system based on a defined set of rules and procedures.
• Follow and ensure compliance with defined business processes and pre-established guidelines to perform the functions of the job.
• Provide updates to management as required on the delivery status of assigned work.
• Ensure department SLA's are met for delivery
• Prepare and analyze ad hoc reporting
• Support ad hoc projects

What success looks like in this role:

• Rebate claims are delivered on time and are of high quality
• Data and contracts are downloaded within the required SLAs
• Compliance with department business processes
• Proactive and clear communication with the Team Lead and other business partners

Qualifications

What you'll need to thrive in this role:

• Ability to prioritize and manage multiple tasks effectively and work in a fast-paced environment
• Attention to detail, along with strong troubleshooting and data analysis skills
• Ability to adapt to change
• Excellent verbal and written communication skills
• Ability to interact with all levels of personnel, including management, from both business and technical teams
• Advanced skill in Microsoft Office applications (2010 or greater), specifically Word, Excel, Access, PowerPoint, and Visio.
• Ability to rapidly learn new software systems and processes

What you'll bring to the table:

• Any graduate (finance, accounting, or information management preferred)
• Experience in claims processing or handling claims utilization data is required
• Preferably worked in Insurance, Finance, and Pharma contracting domains as a Data Analyst/Claims Analyst/Rebate Analyst/Process Associate
• Experience with ICyte, Model N(Flex) or Model N(Powered by N), or other relatable rebate systems required
• Previous experience with Managed Care Rebates, Medicaid Rebates, Government Pricing, and Chargebacks is required
• 2+ years of direct experience, 3/4+years of overall experience

Additional Information

What does IntegriChain have to offer?

• Mission driven: Work with the purpose of helping to improve patients' lives
• Excellent and affordable medical benefits + non-medical perks including Flexible Paid Time Off and much more
• Robust Learning & Development opportunities including over 700+ development courses free to all employees

IntegriChain is committed to equal treatment and opportunity in all aspects of recruitment, selection, and employment without regard to race, color, religion, national origin, ethnicity, age, sex, marital status, physical or mental disability, gender identity, sexual orientation, veteran or military status, or any other category protected under the law. IntegriChain is an equal opportunity employer; committed to creating a community of inclusion, and an environment free from discrimination, harassment, and retaliation.