Associate Director, AI-Driven Managed Care Operations

Sanofi; Morristown (NJ); On-site; USD 149,000 - 215,000; Full time

Job summary

Sanofi Morristown, NJ, seeks an Associate Director of Managed Care Operations to lead cross-functional initiatives spanning CMS IRA programs, the MFP initiative, and prefunding with PBMs. You will collaborate with Treasury, Finance, IT and Data Science to drive AI-enabled efficiency and ensure regulatory compliance across complex programs.

Key responsibilities include shaping internal process architecture, managing post-launch operations, and coordinating vendor payments while maintaining strict

Qualifications

• Bachelor's degree required.
• Extensive knowledge of Managed Care.
• 4 years of Model N experience.
• Ability to take ownership of initiatives and drive them to completion.
• Strong project management skills.
• Financial experience preferred.
• Proficient in Microsoft Office Tools, Excel a must.
• Ability to collaborate effectively with external vendors.
• Strong oral and written communications skills.
• Collaborative mindset, consistently fostering teamwork to achieve goals.

Responsibilities

• Shape MFP internal process architecture, define business requirements, and manage day-to-day program operations post-launch.
• Coordinate daily payment processing with third-party vendors and ensure ongoing compliance and financial accuracy.
• Design and implement an end-to-end PBM prefunding process with Pharmacy Benefit Managers, including tracking frameworks.
• Coordinate with Treasury, Finance, Account Management, and Operations on funding strategies as SME and process lead.
• Drive tactical implementation of AI to enhance operational efficiency, including formulary validation and improving invoice processing.
• Assess emerging technologies, contribute to business cases for adoption, and collaborate with IT and Data Science teams.
• Own end-to-end processing and reporting for all four CMS IRA programs with regulatory deadlines.
• Partner with Finance, Strategic Pricing, and Government Pricing to manage multiple deadlines with precision.
• Serve as primary business liaison for transition to Validata platform, supporting requirements and testing.
• Develop and deliver training programs to minimize disruption.
• Support SOX control compliance and maintain documentation.
• Coordinate with PwC audits as a key contact for inquiries and remediation.
• Process and manage invoices from managed care customers outside the Big 3 base.
• Coordinate with Account Management and Finance to resolve discrepancies and maintain vendor relationships.
• Train and mentor team members and provide backup coverage during absences.
• Partner across multiple disciplines as SME and support ad hoc projects.

Skills

Managed Care

Model N

Project management

Financial experience

Excel

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sanofi Morristown, NJ, seeks an Associate Director of Managed Care Operations to lead cross-functional initiatives spanning CMS IRA programs, the MFP initiative, and prefunding with PBMs. You will collaborate with Treasury, Finance, IT and Data Science to drive AI-enabled efficiency and ensure regulatory compliance across complex programs.

Key responsibilities include shaping internal process architecture, managing post-launch operations, and coordinating vendor payments while maintaining strict