Sr. Chargeback Analyst

SUMMARY OF POSITION

We are seeking a highly skilled and experienced Senior Chargeback Analyst to join our dynamic team in the pharmaceutical industry. As a key member of our finance and operations department, the Senior Chargeback Analyst will play a critical role in overseeing and optimizing the chargeback adjudication process. The ideal candidate will bring in-depth knowledge of pharmaceutical industry regulations, a meticulous approach to data analysis, and strong communication skills to collaborate with internal teams and external partners.

ORGANIZATION STRUCTURE

Alvogen is a leading player in the generic pharmaceutical industry, dedicated to providing high-quality and affordable healthcare solutions. With a commitment to excellence and innovation, we are expanding our team and seeking a qualified Sr. Chargeback Analyst. This position reports to the Manager of Chargeback Operations and has no direct reports.

RESPONSIBILITIES

Primary responsibilities of this role include the following:

• Lead the chargeback adjudication process, ensuring accuracy and compliance with industry regulations.
• Evaluate and process customer chargeback submissions, addressing discrepancies in customer, product, and vendor information.
• Responsible for maintaining target performance goals related to the disposition of chargebacks to drive a quality customer experience, reduce risk of financial leakage, and mitigate risk of deductions.

• Conduct regular audits of opioid disbursements to ensure compliance with government regulations, supporting regulatory compliance initiatives.

• Collaborate with customers to resolve chargeback disputes in alignment with contractual agreements.
• Work closely with the DEA Compliance director to uphold regulatory standards.
• Maintain relationships with key accounts and drive effective communication related to contract changes to support accuracy in the chargeback submission process.

• Maintain and manage GPO/IDN membership rosters, ensuring eligibility and adherence to contractual obligations.
• Perform periodic audits on membership data to ensure accuracy and eligibility of customer identifiers (ex. 340B, DEA, HIN, etc.)

• Perform comprehensive weekly analysis of commercial contract changes, summarizing the impact of each change.
• Conduct weekly chargeback reconciliations, ensuring alignment between iContracts and SAP.
• Responsible for the development, analysis, and interpretation of chargeback trend reports highlighting key activities and insights for key stakeholders and leadership teams.

• Reconcile chargeback deductions, facilitate denial collections, and collaborate with the collections team for efficient resolution.
• Responsible for understanding customer contract terms and conditions related to Chargeback submissions to ensure timely resolution of disputes.
• Adhere to target deduction resolution goals to mitigate adverse impact to working capital.

• Conduct audits of chargeback membership data, addressing inconsistencies related to rejections and membership eligibility issues.
• Proactively audit and review chargebacks for corrections, minimizing errors and rejections.

• Act as a liaison between IT and sales operations for EDI transactions, ensuring seamless communication and data transfer.
• Responsible for Chargeback change management processes including development of business requirements, test script development, user acceptance testing, regression testing, and resolution of defects with IT teams.

• Assist the commercial rebate team in preparing and adjudicating small claims, contributing to overall team efficiency.

• Proactively identify opportunities for process improvement and contribute to special projects as needed.
• Responsible for the development and management of process documentation including Standard Operating Procedures, Work Instructions, Process Maps, and Process Risk Documents.

QUALIFICATIONS

• Bachelor's degree in business, finance, or related field.
• Extensive experience in chargeback adjudication within the pharmaceutical industry, preferably 3 years.
• In-depth knowledge of government regulations, DEA compliance, and pharmaceutical contracting.
• Strong analytical and problem-solving skills.
• Excellent communication and negotiation abilities.
• Proficient in SAP, iContracts, and EDI transactions.
• Proficient in Microsoft Office Applications (Word, Excel, PowerPoint).
• Experienced with data acquisition, management, and visualization software preferred.
• Strong technical writing skills and process management experience.
• Detail-oriented with a proactive approach to error prevention and correction.