Manager, Contracts Compliance (14567)

Compensation Data

This position offers a base salary typically between $111,000 and $183,000.  The position may be eligible for a role specific variable or performance based bonus and or other compensation elements.  For an overview of our benefits please click here. 

Description

This role is based on-site at our Ridgefield, CT location with hybrid flexibility of 2-3 days per week on-site. 

To help develop and advance the strategic and tactical goals of Boehringer-Ingelheim or BIPI in the retail, wholesale, long term care, hospital, specialty, and other relevant markets through the optimization analysis while protecting the assets of BIPI, as applicable, and to provide support to the Associate Director, Contract Compliance by: developing a comprehensive discount accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in order to support the Contracting Department´s efforts to maximize revenue and minimize liabilities. Within the Contract´s Department, this individual will provide support to the Associate Director, Contract Compliance and the Director of Contract Development, as applicable, and as it pertains to managing the terms and conditions of complex contractual rebate obligations to managed care, institutional, retail and wholesale customers for the life of the contract and ensure the accurate and timely validation, analysis and communication of account performance results. The individual will also assess administrative feasibility of product and contract strategies, enhance performance metrics and monitor ongoing results to as it pertains to growth trends and competitive activities, provide support for the ongoing needs of the department with respect to the design and development of innovative systems, ensure accuracy and completeness of data in the various systems for reporting, ensure compliance with State and Federal Regulations; manage special projects; support customer audits and assist in the settlement of disputes. As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies´ success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, diversity and inclusion, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim´s high regard for our employees.

Duties & Responsibilities

• Manage key multifaceted contracted customers including creating, analyzing, calculating and processing complex discounts/rebates, charge-backs, and discount offerings according to mandated legislation (i.e.340B) and/or contracting guidelines. In addition, ensure compliance of member eligibility as set forth in the contractual terms and conditions to identify ineligible claims/purchases and any potential impacts to Government Pricing Programs.
• Respond to questions within and outside the organization from internal and external customers regarding complex contract issues that require interpretation on issues related to payment calculations, discounts/rebates or membership.
• Develop and perform complex analyses and reports using financial modeling techniques
• For 340B, duties may include: Support and lead internal communications, analysis and reporting related to 340B and Manage the 340B dispute process for either State Medicaid Program, Covered Entities and/or PBMs.
• Participate in the LTF Development and Process. Ensure accrual projections are accurate and reflect Contracting strategies for internal stakeholders within Analytics and Insights and Finance in a timely manner. As a result collaboration and continuous communication with the Federal Field Force and other stakeholders is essential.
• Support and lead from a Contract Compliance perspective, the evaluation of the current contracting / pricing paradigm and recommend, for implementation, approaches to ensure alignment of rebates paid with performance. Look for ways to optimize contracts and enhance BI value.
• Assist the Contract Development team in providing insightful business cases that include a gap analysis on data elements and on developing a Contract Account performance analysis that is presented to External and Internal Customers.
• Monitor legislative changes or market events to ensure Contract template language is updated accordingly to mitigate any potential risk for BI.
• Participate in internal and external audits of ensuring customer compliance with contractual terms and conditions.
• Coordinate and lead in the development of SOP´s specific to managing contracts and contract data to ensure standardization of the necessary controls and effectiveness of business processes. Cross train other analysts on departmental Compliance activities and customer specific processes.
• Collaborate cross functionally, both internally and externally, having the ability to demonstrate a strong business and financial acumen and decision-making skills.
• Manage the planning of preparation of the monthly cash flow report for the Treasury group.
• Participate on various cross collaboration project teams, addressing a variety of business needs, including process enhancements, system initiatives, and reporting. Consistently follow company policies and procedures to ensure compliance with all internal policies and guidelines, Compliance and regulations.

Requirements

• Bachelors degree from an accredited institution required.
• Advanced degree certification in marketing, economics, finance, or related field is strongly preferred.
• Minimum of five (5) years of relevant experience in the pharmaceutical or related industry, or with a PBM, Wholesaler or Covered Entity with and at least three (3) years of experience in a contracting, pricing, reimbursement, 340B or managed markets role strongly preferred.
• Previous negotiation, managed care, or PBM/Payor/Covered Entity experience is preferred.
• Understanding of Contract Law, Compliance with Government Regulations and limit exposure to potential litigious proceedings for BIPI.
• Innovative and able to translate business needs into opportunities.
• Demonstrate strong attention to detail, analytical and problem-solving abilities.
• Strong leadership, communication, presentation and project management skills.
• Strong strategic and critical thinking skills.
• Sound judgement for good decision-making.
• History of successful performance.
• Proficiency in MSOffice, Outlook and database applications.
• Location flexible.

• Experience with EDI Charge-back transactional set is desired.

Eligibility Requirements:

• Must be legally authorized to work in the United States without restriction.
• Must be willing to take a drug test and post-offer physical (if required).
• Must be 18 years of age or older.