Senior Analyst - Medicaid, Gross To Net

ROLE SUMMARY

For more than 170 years, Pfizer has continuously worked to make a difference by delivering innovative therapies that improve the lives of our patients. By building a talented community of colleagues that align with our patient-focused purpose and core values, Pfizer has improved global health and impacted more than 780 million patients around the world.

The Gross to Net Organization (GTN) is part of the broader Global Financial Solutions (GFS) and consists of the Chargebacks, Membership, and Medicaid Rebates process areas. The GTN Organization has colleagues in three locations: Memphis, TN and San Jose, Costa Rica & Tampa, Florida, each playing an important role in the domestic revenue cycle. GTN processes include US Wholesaler Chargeback submissions and Medicaid Rebates payments (involving annual volume of approximately 12,500 State invoices and 880,000 claim lines, leading to ~$1.2B in Rebate payments each year).

The Medicaid Sr. Analyst will own critical relationships, tasks, and processes within the organization and be responsible for effectively collaborating with colleagues in remote locations of varying positions within Pfizer.  While the ability to work independently and perform day to day responsibilities will be required, seizing accountability, developing stakeholder relationships, and leading through change will be critical.

The position requires excellent Technical, Problem Solving & Analytical skills, Leads Change, Acts Decisively and the ability to build strong relationships across the end-to-end process.  The position will be primarily based in Tampa.

ROLE RESPONSIBILITIES

• Build an in-depth understanding of the end-to-end Medicaid Rebates process, developing into a Process SME.

• Qtrly Rebates Claims Processing & 340B Duplicate Discounts validation work for critical states.

• Manage/Oversee the Pharmacy Rx Duplicate claims validation process.

• Perform Dispute Resolutions with State Medicaid Agencies, to lower aged balances.

• Backup for Flex Rebates system configuration activities (including Pricing & Contracts).

• Self-starter who works of own initiative with little guidance from Management.

• Manage smaller projects and be seen as a cooperative colleague that gets things done.

• Coordinate results from colleagues with whom there is no direct reporting relationship.

• Make decisions in a timely manner, sometimes with incomplete information and under tight deadlines and pressure.

• Own issue resolution from start to finish.

• Support escalation process by quickly finding common ground and solving issues for the good of all.

• Supports and leads select in-house processes, continuous improvement initiatives, and stakeholder collaborations.

• Organize workload, prioritizes, and proactively follow up on outstanding items.

• Initiate, develops, and manages formal relationships with key internal colleagues & external customers.

Other Skills

• Strong organizational skills required to coordinate with business partners both in and out of the organization

• Excellent oral, written, and overall communication skills with the ability to conduct meetings and present ideas to groups

• Change Agile with the ability to easily move from one task to another, juggle multiple tasks at one time and effectively deal with change

• Strong business acumen and professionalism with the ability to interface effectively with all levels of management and operations colleagues in all applicable Pfizer Finance and business functional areas

• Process oriented with strong organizational and planning skills required to coordinate with business partners both in and out of the organization

• Ability to operate independently and remain focused through change or uncertainty

REQUIRED BASIC QUALIFICATIONS

• Bachelor’s degree in Accounting, Finance, or Business-related discipline

• 3+ years of relevant finance/accounting experience

• Advanced Microsoft Office capabilities – Excel, Access

• Strong analytical and problem-solving skills

PREFERRED QUALIFICATIONS

• Master’s degree preferred

• Life Sciences industry experience (Medicaid chargebacks)

Other Job details:

• Last day to apply: February 10, 2023

• Work Location Assignment: Must be able to work from Pfizer Tampa office 2-3 days per week, or as needed by the business

Relocation assistance may be available based on business needs and/or eligibility.

Pfizer requires all U.S. new hires to be fully vaccinated for COVID-19 prior to the first date of employment.  As required by applicable law, Pfizer will consider requests for Reasonable Accommodations.

Sunshine Act

Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws and implementing regulations.  These laws and regulations require Pfizer to provide government agencies with information such as a health care provider’s name, address and the type of payments or other value received, generally for public disclosure.  Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue, reimbursement of recruiting expenses for licensed physicians may constitute a reportable transfer of value under the federal transparency law commonly known as the Sunshine Act.  Therefore, if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we pay or reimburse, your name, address and the amount of payments made currently will be reported to the government.  If you have questions regarding this matter, please do not hesitate to contact your Talent Acquisition representative.

EEO & Employment Eligibility

Pfizer is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability or veteran status.  Pfizer also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA.  Pfizer is an E-Verify employer.

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