Associate Director, Managed Care Operations — AI & MFP Leader

Sanofi EU; Morristown (NJ); On-site; USD 180,000 - 210,000; Full time

Job summary

Sanofi Inc. in Morristown, NJ, seeks an Associate Director of Managed Care Operations to lead and optimize operational processes spanning CMS MFP, PBM prefunding, and AI-enabled workflow improvements. The role partners with Treasury, Finance, Legal, and Digital teams to deliver strategic, compliant outcomes.

The candidate should bring deep Managed Care knowledge, project management excellence, and a track record of driving cross-functional initiatives in a fast-paced environment.

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 shared goals and drive organizational success.
• Highly organized, meticulous, and detail-oriented, with a disciplined approach and unwavering commitment to delivering superior quality work

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 frameworks for tracking, monitoring, and resolving funding discrepancies.
• Coordinate with Treasury, Finance, Account Management, and Operations on funding strategies while serving as primary subject matter expert and process lead.
• Drive tactical implementation of AI to enhance operational efficiency within Managed Care Operations, including developing AI-powered solutions for formulary validation and improving invoice processing workflows.
• Assess emerging technologies, contribute to business cases for adoption, and collaborate with IT and Data Science teams to translate innovations into measurable business value.
• Own end-to-end processing and reporting for all four CMS IRA programs while ensuring strict adherence to regulatory deadlines to avoid penalties and regulatory risk.
• Partner with Finance, Strategic Pricing, and Government Pricing to manage multiple concurrent compliance deadlines with precision.
• Serve as primary business liaison for the transition from the legacy ECP system to the Validata platform, supporting requirements definition, testing, and workflow integration.
• Develop and deliver comprehensive training programs to minimize operational disruption.
• Support SOX control compliance for Managed Care Operations, ensuring adherence to all control requirements and maintaining accurate documentation.
• Coordinate with PwC audit activities, serving as a key point of contact for audit inquiries, evidence requests, and remediation efforts.
• Process and manage invoices from managed care customers outside the Big 3 customer base, ensuring accurate tracking, timely payment processing, and compliance with contract terms.
• Coordinate with Account Management and Finance to resolve discrepancies and maintain strong vendor relationships.
• Train, mentor, and provide backup coverage for team members during extended absences and vacancies while maintaining cross-functional knowledge.
• Partner with Treasury, Legal, Finance, Pricing & Analytics, Digital, Contract Development, and Account Management as a subject matter expert across multiple managed care disciplines.
• Support Director, Managed Care Operations on ad hoc projects as required.

Skills

Strong project management

Ownership of initiatives

Excellent communication

Collaborative mindset

Education

Bachelor's degree

Tools

Excel

Microsoft Office

Job description

Sanofi Inc. in Morristown, NJ, seeks an Associate Director of Managed Care Operations to lead and optimize operational processes spanning CMS MFP, PBM prefunding, and AI-enabled workflow improvements. The role partners with Treasury, Finance, Legal, and Digital teams to deliver strategic, compliant outcomes.

The candidate should bring deep Managed Care knowledge, project management excellence, and a track record of driving cross-functional initiatives in a fast-paced environment.