Gross to Net Payment Senior Analyst

About the role

The Gross to Net Payment Senior Analyst processes and analyzes payments for wholesaler chargebacks, Medicaid and other government rebates, as well as managed care rebates and other customer incentive rebates and fees. All payments must be processed in a timely manner, and in accordance with contracts and internal guidelines and controls. The Senior Analyst responds to inquiries from customers and the business and is the main contact for payment questions involving assigned customers and the related Accounts Receivable. Additionally, the Senior Analyst will be responsible for monthly/quarterly reporting to ensure adherence and compliance with internal controls.

Responsibilities

• Ensure accurate and timely payments of wholesaler chargebacks, Medicaid and other government rebates, as well as managed care rebates and other incentive rebates and fees for assigned accounts within the Model N.
• Conduct variance analysis on payments to ensure accuracy compared to prior period or expected payments.
• Complete more in-depth analysis for certain payments, including review and validation of script level data for managed care payments and Medicaid rebates.
• Assist with cross-payment review for duplicate discounts and make recommendations for disputes.
• Interpret and understand revenue and rebate contracts and how they relate to rebate setup in Model N.
• Manage the setup of new rebate and fee programs in Model N as well as modifications to existing programs.
• Resolve disputes and discrepancies by interacting with wholesalers, Medicaid programs, and rebate customers.
• Manage AR resolution related to these payments.
• Strictly adhere to internal controls, including obtaining proper supporting documentation and approvals for payments.
• Organize and retain all documentation associated with the receipt, processing, reconciliation, and payment of chargebacks, rebates, and fees.
• Ensure related monthly/quarterly reporting requirements for controls are met.
• Manage and utilize Model N for processing gross to net payments to ensure all information is properly recorded.
• Devise and create additional ad-hoc reports upon request for analysis of gross to net payments to assist in forecasting.
• Analyze payment variances and trends to identify outliers and research root causes for potential upstream errors.
• Support the development and maintenance of policies and standard operating procedures to ensure compliant operations.
• Participate in internal and external audits to demonstrate compliance with policies, laws, and regulations.
• Perform other duties as assigned to assist with the department’s gross to net payment processing and reporting.

Qualifications

• Bachelor’s degree in Business, Accounting, or Finance field preferred or commensurate experience.
• Minimum of 3+ years of business experience in an office environment with prior experience in processing, handling, or payment of invoices.
• 3+ years’ experience in chargebacks, Medicaid, Contracts, and/or Finance preferred.
• Pharmaceutical industry experience is a plus.

Skills

• Experience with the Medicaid Rebate program and other government healthcare programs is a plus.
• Ability to function in a high volume, process-based, customer-focused environment.
• Excellent interpersonal communication (written and verbal) and teamwork skills.
• Must be accurate, detail-oriented, and organized.
• Strong analytical and problem-solving skills.
• Ability to work diligently without constant supervision.
• Excellent PC and systems skills; proficient in Excel and Word. SAP experience a plus.
• Proven track record of attaining organizational and personal objectives.
• Adaptable, strong team player with outstanding communication skills and ability to work with all functional areas.
• Ability to prioritize work to meet deadlines; self-motivated with a sense of urgency.
• Ability to identify and lead change as required for process improvements.

About Keenova

At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support—showing up in big moments and small to help patients find comfort and confidence. We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology, men’s health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference. Learn more at www.keenova.com.