Job Description
The Central Contract Services (CCS) Senior Specialist will function as a vital member of the broader Integrated Account Management team focusing on ensuring development and execution of core contract activities such as membership and contract eligibility management, chargeback management, and data analysis. Additionally, they will seek resolution of customer inquiries and collaborate with cross functional teams to develop, implement, and execute contract strategies. The CCS Senior Specialist will also be responsible for driving continuous improvement of these core contract activities to ensure the highest level of integrity, customer service and value to internal stakeholders and external customers.
Core Responsibilities
Provides account management leadership to ensure development and execution of customer contract activities related to management of:
Customer Eligibility
Membership
Chargebacks
Data validation, investigation & problem resolution
Audits, compliance, and SOXcontrols
Adjudicates claims in accordance with Terms and Conditions and collaborates with the Accounts Receivable team to research and resolve deductions in a timely manner in accordance with the Distribution Services Agreements.
Partners with cross functional internal and external stakeholders such as business teams supporting our full portfolio of contracts, Order Management Center, field support teams, Wholesalers/Distributors, GPOs and other stakeholders to provide leadership and subject matter expertise to assist with developing and implementing contracts/programs, product launches and other collaborative initiatives.
Develops relationships with wholesaler/distributor and stakeholders in the development and pull through of all managed care contract, price, eligibility, and chargeback activities, inquiries, and issue resolution.
Leads the ongoing evaluation and identification of process improvement opportunities to ensure that the Central Contract Services Team provides operational excellence and innovative solutions in the delivery and execution of all contract related responsibilities.
Collaborates with all key stakeholders to manage new strategies and develop SOP's (Standard Operating Procedures) and WI's (Working Instructions) as necessary and ensures staff adherence.
The CCS Specialist will leverage working knowledge of core contract strategies, terms and conditions as well as thought leadership to ensure the success of this center of excellence.
Ensures contract related management is timely and meets compliance standards.
Demonstrates awareness of and sensitivity by creating equitable experiences for all customers and coworkers.
Utilizes strengths and accepts diversity in team members, customers, or other individual stakeholders (e.g., in background or experience) to improve their own performance.
Manages ad-hoc projects to drive and support strategic initiatives.
Maintains a high level of proficiency in ModelN, our company's Accounts and other relevant systems and applications.
Additional Qualifications & Experience
Required
BS/BA degree required.
3+ years business experience in Managed Care Contracting or Pharmaceutical industries.
Accuracy, attention to details and the ability to work under strict deadlines.
Ability to collaborate with cross functional teams and stakeholders; internally and externally.
Strong leadership skills
Strong project management skills
Strong problem-solving skills
Excellent organizational and interpersonal skills
Strong communication skills
Flexible to adapt; ability to pivot and change direction according to internal and/or external strategies, priorities, or events.
Innovative; the ability to implement new ideas and improvements and to think outside the box.
Working knowledge of MS Word and Excel
Preferred
5+ years business experience in Managed Care Contracting or Pharmaceutical industries.
Current Employees apply HERE
Current Contingent Workers apply HERE
US and Puerto Rico Residents Only:
Our company is committed to inclusion, ensuring that candidates can engage in a hiring process that exhibits their true capabilities. Please click here if you need an accommodation during the application or hiring process.
We are an Equal Opportunity Employer, committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status, or other applicable legally protected characteristics. For more information about personal rights under the U.S. Equal Opportunity Employment laws, visit:
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We are proud to be a company that embraces the value of bringing diverse, talented, and committed people together. The fastest way to breakthrough innovation is when diverse ideas come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another's thinking and approach problems collectively.
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U.S. Hybrid Work Model
Effective September 5, 2023, employees in office-based positions in the U.S. will be working a Hybrid work consisting of three total days on-site per week, Monday - Thursday, although the specific days may vary by site or organization, with Friday designated as a remote-working day, unless business critical tasks require an on-site presence.This Hybrid work model does not apply to, and daily in-person attendance is required for, field-based positions; facility-based, manufacturing-based, or research-based positions where the work to be performed is located at a Company site; positions covered by a collective-bargaining agreement (unless the agreement provides for hybrid work); or any other position for which the Company has determined the job requirements cannot be reasonably met working remotely. Please note, this Hybrid work model guidance also does not apply to roles that have been designated as "remote".
San Francisco Residents Only:We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance
Los Angeles Residents Only:We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance
Search Firm Representatives Please Read Carefully
Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
Employee Status:
RegularRelocation:
No relocationVISA Sponsorship:
NoTravel Requirements:
10%Flexible Work Arrangements:
HybridShift:
1st - DayValid Driving License:
NoHazardous Material(s):
n/aJob Posting End Date:
01/11/2025*A job posting is effective until 11:59:59PM on the day BEFOREthe listed job posting end date. Please ensure you apply to a job posting no later than the day BEFORE the job posting end date.
Requisition ID:R327831