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Senior Manager, Contract Ops, Revenue Integrity
Otsuka Pharmaceutical Companies (U.S.). Monitor and analyze the gross-to-net (GTN) pipeline to identify revenue leakage in commercial payer and government channels .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Gross-to-Net (GTN) accounting, pricing strategies, and compliance with federal regulations, particularly in the pharmaceutical or biotech industry. Proficient in financial analysis, dispute management, and collaboration with cross-functional teams to ensure revenue integrity and mitigate risks.
Highest-signal resume keywords
Gross-To-Net (GTN) AccountingMarket AccessPricing & ContractingPharmaceutical Industry ExperienceFinancial Analysis
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Revenue Leakage AnalysisPayer Discount Liability ModelingAudit Protocol ExecutionContract Fulfillment ValidationFederal Pricing Metrics MonitoringRisk Mitigation ModelingDispute ManagementPharmacy Claims Data AnalysisAnomaly IdentificationRegulatory Compliance
Soft Skills
Customer EngagementLegal CoordinationCollaborationProblem SolvingCommunication
Certifications & Qualifications
MBAAdvanced Financial Certification
Industry Keywords
PharmaceuticalBiotech340B Drug DiscountMedicaid RebatesInflation Reduction ActMedicaid Drug Rebate ProgramFederal CompliancePricing StrategyFinancial IntegrityCommercial Financial Analytics
About the role
Key responsibilities & impact- Monitor and analyze the gross-to-net (GTN) pipeline to identify revenue leakage in commercial payer and government channels
- Partner with GTN forecasting to build models for payer discount liabilities and pricing strategies
- Identify anomalies or unexpected variance in commercial and government rebates
- Validate contract fulfillment terms against pharmacy claims data to identify overpayments or duplicate discounts
- Execute audit protocols for Pharmacy Benefit Manager (PBM) and payer rebate invoices
- Coordinate audits with third-party auditors
- Manage disputes, including customer engagement, legal coordination, and escalation
- Oversee systems addressing duplicate 340B drug discount violations paired with Medicaid rebates
- Monitor accuracy of federal pricing metrics including AMP, BP, and ASP
- Ensure alignment with the Inflation Reduction Act (IRA), Medicaid Drug Rebate Program, and federal pricing structures
- Serve as an internal control expert to protect against federal compliance penalties
- Partner with Account Management, Pricing Strategy, Legal, Finance, and Brand Management
- Capture GTN financial impacts of disputes
- Support pre-deal analyses by assessing GTN and revenue integrity impacts
- Build executive-ready risk mitigation models for regulatory and marketplace trends
Requirements
What you’ll need- Bachelor’s degree in Finance, Economics, Business Administration, or life sciences required
- 5+ years of experience in the pharmaceutical or biotech industry
- Direct experience in Market Access, Pricing & Contracting, Gross-to-Net (GTN) accounting, or commercial financial analytics
- MBA or advanced financial certification highly preferred
Benefits
Comp & perks- Comprehensive medical, dental, vision, and prescription drug coverage
- Company-provided basic life insurance
- Accidental death and dismemberment insurance
- Short-term and long-term disability insurance
- Tuition reimbursement
- Student loan assistance
- Generous 401(k) match
- Flexible time off
- Paid holidays
- Paid leave programs
- Other company-provided benefits