Manager, Chargeback Operations

Vertex Pharmaceuticals

Vertex Pharmaceuticals

Operations
Boston, MA, USA
Posted on Dec 23, 2024

Job Description

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

Pay Range:

$129,440 - $194,160

Disclosure Statement:

The range provided is based on what we believe is a reasonable estimate for the base salary pay range for this job at the time of posting. This role is eligible for an annual bonus and annual equity awards. Some roles may also be eligible for overtime pay, in accordance with federal and state requirements. Actual base salary pay will be based on a number of factors, including skills, competencies, experience, and other job-related factors permitted by law.

At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations. From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more.

Flex Designation:

Remote-Eligible

Flex Eligibility Status:

In this Remote-Eligible role, you can choose to be designated as:
1. Remote: work remotely five days per week and come into the office on occasion – you’re always welcome on-site; or select
2. Hybrid: work remotely up to two days per week; or select
3. On-Site: work five days per week on-site with ad hoc flexibility.

Note: The Flex status for this position is subject to Vertex’s Policy on Flex @ Vertex Program and may be changed at any time.

Company Information

Vertex is a global biotechnology company that invests in scientific innovation.

Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.

Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager, or contact Talent Acquisition at ApplicationAssistance@vrtx.com