Loading...
 

Manager - Business Assurance

Facility:  Legal, Compliance and Audit
Location: 

Plainsboro, NJ, US

About the Department                                                                                                                                                 

At Novo Nordisk, our Strategy, Finance, and Operations team works to provide strategic direction to the company, ensuring that everything we do is viable and built to last. Overseeing and safeguarding Novo Nordisk’s short and long-term planning, the Strategy, Finance and Operations team works closely with the business across the organization to develop strategies and business plans, monitor industry trends, and provide operating recommendations. We regulate accounting, uphold workplace safety, manage our supply chain and sampling, support technology, provide commercial insights & analytics, maintain our facilities and assure the integrity and completeness of all business transactions. At Novo Nordisk, you will have the opportunity to build a life-changing career in a global business environment. We encourage our employees to make the most of their talent. And we reward hard work and dedication with the opportunity for continuous learning and personal development. Are you ready to realize your potential?

 

The Position

This position leads the business assurance function for Managed Care contracts. The role is responsible for managing an external team whose primary role is to ensure the validation of formulary eligibility for invoicing of all Commercial and Part D rebates. This includes the implementation and development of processes and procedures. Responsible for the development of best in class processes for formulary validation and research. Identify and track formulary compliance for Commercial Contracts team. Responsible to all aspects of commercial customer audits, from engagement of audit vendor, alignment of state holders, through audit resolution.

 

Relationships

Reports to the head of Rebate Operations & Insights and works closely with Rebate Operations and Insights, Contract Management and Compliance and Strategic Pricing teams, field and home office management. External relationships include oversight of Novo Nordisk Global Service Center formulary management team, managed care customers, field sales personnel and system vendors.

 

Essential Functions

  • Accountable for the oversight of the formulary compliance research and report-out to internal leadership and Novo Nordisk Account Teams
  • Accountable for stakeholder and vendor engagement for commercial customer audits
  • Ensures Formulary Research team is accurately analyzing
  • Monitor formulary compliance to ensure contract profitability and customer satisfaction
  • Oversees that formulary compliance is reflective of the contract language
  • Provides analysis support for senior management
  • Provides formulary research for commercial and Part D contracts monthly/quarterly depending on the rebate claim frequency
  • Responsible for development and training for formulary research staff on formulary validation processes and industry knowledge
  • Responsible for development of the procedures and process for formulary compliance research
  • Works with Account Executives and customers to verify formulary discrepancies. Fiscal Responsibilities: Establishes, oversees implementation, and monitors adherence to administrative policies and procedures, including Sarbanes-Oxley controls
  • Manages a budget for the unit
  • Provide recommendations to Strategic Pricing team on formulary research findings to improve contract strategies
  • Responsible for development of reports confirming formulary compliance
  • Responsible for development of tools and metrics to evaluate and monitor formulary compliance. Reporting: Reviews and approves formulary validation reports prior to Commercial Contracts team implementing in the rebate system
  • Responsible for audit conclusion report out ensuring financial resolution of audit and learnings are operationalize by Novo Nordisk business units
  • Responsible for managing all business assurance related to rebate operations including and not limited to ensuring compliance between contractual exclusion language and contract set up in the third party system; 340B compliance and oversight and calculation of third party fees related to identification of 340B duplicate discounts.

 

Physical Requirements

0-10% overnight travel required.

Novo Nordisk requires all employees, both Field and Office-based, to be fully vaccinated with a COVID-19 vaccine prior to the first date of employment. As required by applicable law, Novo Nordisk will consider requests for reasonable accommodation for those unable to be vaccinated. You will be required to upload an image of your COVID-19 vaccine card at the time of hire and/or on your first day of employment

 

Qualifications

  • Bachelor 's Degree required; relevant experience in specialized area may be substituted for degree when appropriate; advanced degree preferred
  • A minimum of 6+ years of progressive and related experience required with at least 3+ years in formulary analysis, contract analysis, rebate administration and/or pricing experience required
  • At least two years management experience required
  • Knowledge of Payer formulary concepts and processes is required
  • Background in contract development or interpretation a plus
  • Excellent PC skills required
  • Knowledge of manufacture rebate processes/systems a plus
  • Must have demonstrated leadership skills, an ability to manage and improve people and processes

 

We commit to an inclusive recruitment process and equality of opportunity for all our job applicants. 

 

At Novo Nordisk we recognize that it is no longer good enough to aspire to be the best company in the world. We need to aspire to be the best company for the world and we know that this is only possible with talented employees with diverse perspectives, backgrounds and cultures. We are therefore committed to creating an inclusive culture that celebrates the diversity of our employees, the patients we serve and communities we operate in. Together, we’re life changing.

 

Novo Nordisk is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, protected veteran status or any other characteristic protected by local, state or federal laws, rules or regulations.

 

If you are interested in applying to Novo Nordisk and need special assistance or an accommodation to apply, please call us at 1-855-411-5290. This contact is for accommodation requests only and cannot be used to inquire about the status of applications.