Manager, Managed Care Operations

Job title: Manager, Managed Care Operations

Location: Morristown, NJ

About the job

Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you’ll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. 

The Contract Manager is responsible for contract analytics of the top national accounts relating to Commercial Contract, Medicare Part D, Medical Claims.  Responsibilities include timely and accurate analyses of payments to identify trends and to validate adjudicating payments are in accordance with contracted terms and conditions.  The Contract Manager will conduct this analysis for Sanofi’s business units including, but not limited to, General Medications and Specialty.  The analysis would be presented to management and business partners on a monthly or quarterly basis to support account performance measurements.  The candidate will have a fundamental understanding of contract strategies, markets, and Sanofi companies’ products.  This position will work in close cooperation with the Contract Operations Senior Manager and counterparts in Contract Development, Strategy, and IT.

About Sanofi 

We’re an R&D-driven, AI-powered biopharma company committed to improving people’s lives and delivering compelling growth. Our deep understanding of the immune system – and innovative pipeline – enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people’s lives. 

Main Responsibilities:

• Analytics and Reporting on 2 Top National Accounts; Zinc & Caremark

• Manage all aspects of contracts including fully understanding the terms and conditions to appropriately set up contracts, update for contract amendments and adjudicate claims accurately.  Illustrate deep understanding of the contract and be able to effectively interpret and analyze key components of the contract. 

• Analyze rebate payments utilizing reporting tools and third party data sources to compare quarterly (or monthly) sales, rebates and market share trends.  Robust understanding and analysis of variances vs. prior periods.  Provide meaningful, concise trending and variance commentary to Senior Management as needed. 

• Cross functional communication with Contract Development and Account teams, ensuring understanding and awareness of customer issues. 

• Data validation to ensure contract compliance on utilization based agreements

• Verify that all product and eligible members comply with contract requirements – interact with customers and account managers to resolve any data discrepancies

• Analyze product formulary placement and utilization management policy to ensure appropriate contract tier placement and rebate payment

• Analyze contract exceptions for interpretation in the system(s) for accuracy of calculations/process compliance

• Ensure all payments are fully compliant with the terms of the contract. 

• Participate in ad hoc projects.

About You

Education:

• Bachelor’s Degree.

Required Experience and Skills:

• 3+ years work experience in the Pharmaceutical or Healthcare industry

• Deep analytical skills

• Strong oral and written communication skills and ability to clearly communicate the complicated analysis to the business parties

• Independent problem solving and leadership skills in managing the account

• Professional manner and tact

• Organized, accurate and detail oriented, disciplined and dedicated to superior quality work

• Strong sense of commitment and teamwork

• Ability to work independently

• Ability to multi-task and meet established deadlines

• Proficient in Microsoft Office Tools

Preferred Experience and Skills:

• Bachelor’s Degree in Finance, Accounting, or Business

• Experience with rebate invoice processing in pharma

• Strong Excel skills

• Model N experience

• Financial experience

Why Choose Us?

• Bring the miracles of science to life alongside a supportive, future-focused team. 

• Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally. 

• Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact. 

• Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave. 

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law. 

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All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs, and additional benefits information can be found here.