Senior Technical Operations Contractor -STOC- job vacancy

Vacancy expired!

Position:Senior Technical Operations Contractor

Location:Lansdale, PA

Duration:12 Months

Responsibilities:

General Contracting Lead
Oversight and management of contract lifecycles
Collaborate with internal/external teams to create, implement, monitor and measure contracts, amendments and notifications
30-day E2E from receipt of signed contract to implementation in the system
Review contracts (fertility, specialty, infliximab, contraception, SP GPO contraception, SP GPO, etc.)
Establish mailboxes, share drives, file share at both Organon and with IC as needed
Manage documentation
Work with Marc Rowe to ensure the migration of the signed and unsigned contracts and the rest of the Client Share Drive folders and contents over to client
Storage
Naming conventions
Permissions
Total contracts: 75 payor, 150 provider
Outline and train MA&AM on E2E process to guide the contracting collaboration between stakeholders
Conduct quarterly reviews with Interchain
Consider facilitating an annual review of contract performance with leaders from brands, operations, legal, account management, marketing, etc. to ensure that ROI is met
Develop SOP and/or WI to reflect the role's processes

Interchain Liaison:

Ensure mailboxes and file share are up and running
Ensure manual tasks such as price protection and market share (e.g. ReUnite) calculations are documented in SOPs, validated and can be supported
Establish GoA if needed
Determine if IC can accommodate tiered Organon approvers
Provide contracts to IC within 48 hours of signing

Store on Share Drive:

Customer Membership and Eligibility Tasks
Provide customer, membership, eligibility support
Provide issue resolution support
Approve credit / rebills for customer issues
After contracts are signed reach out to the GPOs and their CME teams and introduce via email to IC to establish a relationship; then request their rosters go directly to IC; otherwise, you must forward them on a regular basis
Chargeback and Wholesaler Tasks
Determine effect of backorders/failure to supply on IC rebate payments; see Ken McDaid
Provide issue resolution support
Determine who approves chargeback errors; approve reconciliations; ensure Organon has decision rights on complex issues for compliance and audit purposes
Contract Analyst Type Tasks (TBD)
Ensure government contracts set up and running appropriately (Medicaid, State, 340B, FSS, TriCare, VA, DoD)
Ensure IC is ready to go with market share, and other calculations; inform Compliance of work going on outside the system
Review and approve contract set up term sheets created by IC including bundles and/or stacking?
Review and approve price protection?
Review and approve utilization and other customer data?
Review and approve payments and packages/documentation (within 48 hours)?
Establish standing meetings, weekly then monthly then quarterly with IC
Notify IC of any/all price changes right away

Systems:

Support testing when needed of new/changed contracts, price protection; start w/basics CBs, Fees, REB, Scrubbing, then more complex items like MS, F2S; test SOPs
Support contract related testing prior to and post Spin between stakeholders as needed on systems, apps, tools and processes
Support IC, IT and other areas of Organon with testing of systems, apps, tools and processes as needed
Data and Reporting
Determine reporting needs across MA&AM team; coordinate with IC to either leverage existing reports, create new, or leverage analytics platforms
Identify a single POC for reporting to avoid duplication, control number of users/licenses
IC provides iCyte (wholesaler data) and SiSense analytics platforms
IC provides 5 basic reports in the current SOW
Note: data is deduped; not double paid

Qualifications:

Responsibilities to include:

Audit Support
Work Instruction Maintenance
Product Audit Evidence
Business Analyst support for Projects
Project / Contract Testing
Contract Eligibility research and resolution
340 Maintenance and Monitoring as extension with Interchain
Chargeback settlement communications with Customer as extension with Interchain
Pricing verification with 3PL, Wholesalers and Interchain (to include meeting facilitation, Issue and Change management)
Rebate and Admin Fee Payment review and approval
Amendment Management and Implementation support
Plan Eligibility Maintenance and Audit
Audit Support for Payment and Claims Reconciliation
Formulary Validation
Customer Issue Resolution as an extension of Interchain
Rebate and Admin Fee Payment review and approval
Amendment Management and Implementation support

Senior Technical Operations Contractor -STOC23-01107