Manager- Business Assurance

About the Department 

The Finance and Operations dept. brings insights and intelligence to inform decision making & drives digitalization and business solutions to attain NNI goals. Finance and Operations works closely across the organization to guide enterprise-wide resource allocations, investment choices, drive core operations and develop insights to drive growth and operational excellence across the value chain while innovating for future capabilities. Our focus on innovation ensures we're constantly building future capabilities. We're responsible for regulating accounting, upholding workplace safety, managing our supply chain and sampling, supporting technological and data innovation, insights and analytics, delivering patient support solutions, maintaining our facilities and assuring 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 opportunities for continuous learning and personal development. Are you ready to maximize your potential with us?

The Position

This position is part of the business assurance function for Commercial, Part D, & Managed Care contracts. This role is responsible for ensuring the validation of formulary eligibility for invoicing of all Commercial and Part D rebates as well as effectuating all business assurance initiatives including but not limited to utilization management controls, 340B compliance, and contract compliance.

Relationships

This individual contributor role reports to the Sr. Manager of Business Assurance and works closely with various teams in PCOR & Market Access as well as field and home office management. External relationships include partnership with Novo Nordisk Global Service Center formulary validation team, managed care customers, field sales personnel, and system vendors.

Essential Functions

• Accountable for formulary compliance research including review of preferred drug lists and plan policy documents
• Monitor formulary compliance to ensure contract profitability as well as contract compliance by the customer
• Provides analysis support around commercial rebate exclusions, formulary compliance, and utilization management controls and reports out to internal leadership and account teams
• Provide recommendations to Strategic Pricing team on formulary research findings to improve contract strategies
• Ensuring compliance between contractual exclusion language and contract set up in the third-party system
• Monitoring 340B compliance as well as calculation of third-party fees related to identification of 340B duplicate discounts
• Works with external vendors on enhancements to validation tool and/or exclusion processes
• Works with Account Executives and customers to verify formulary discrepancies as well as resolve open disputes
• Demonstrates knowledge of internal business operations and applies this knowledge to analyses, processes and deliverables
• Consistently follows company policies and procedures to ensure compliance with all guidelines, Sarbanes Oxley compliance, regulations, and policies
• Identifies opportunities and makes recommendations for optimal performance, processes, and compliance improvement
• Trains and mentors new team members in the areas of systems, processes, analytic models and presentations
• Leads with excellent communication and interpersonal skills and demonstrates effectiveness at working with stakeholders

Physical Requirements

0-10% overnight travel required.

Qualifications

• Bachelor's degree preferred; relevant experience may be substituted for degree when appropriate
• Requires a minimum of 6 years of progressively responsible, relevant experience; at least 3 years in pharmacy or medical claims, formulary analysis, contract analysis, rebate administration, or utilization management controls required
• In-depth knowledge of US healthcare systems & strong understanding of payer formulary concepts and processes required
• Ability to perform analysis; identify trends and insights; and translate into actionable insights required
• Ability to communicate at all levels of the organization
• Ability to develop and maintain strong internal and external relationships
• Demonstrated critical thinking and analytical skills required.
• Attention to detail and readiness to delve into and resolve problems
• Self-motivator who seeks to improve accuracy and efficiency of analytical work and business processes
• Strong proficiency in Excel and Powerpoint required.
• Knowledge of pharmaceutical contracting and/or manufacturer rebate processes a plus

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.