Manager, Managed Care Operations

BioSpace; Morristown (NJ); On-site; USD 90,000 - 130,000; Full time

Job summary

Sanofi Inc. in Morristown, NJ is seeking a Manager, Managed Care Operations to lead contract analytics for top national accounts across Commercial, Medicare Part D, and Medical Claims. You will analyze terms, adjudicate claims, and provide monthly or quarterly insights to management and partners.

The role requires a strong background in contract strategies, markets, and product knowledge across General Medications and Specialty. Collaboration with Contract Operations leadership is essential.

Qualifications

• Bachelor's degree required; advanced degree strongly preferred.
• 3+ years of work experience, with 2 years in an operations role preferred.
• Excellent analytical and problem-solving skills.
• Professional manner and tact.
• Strong oral and written communications skills.
• Model N experience preferred.
• Organized, accurate and detail oriented.
• Strong sense of commitment and teamwork.
• Ability to work independently.
• Ability to multi-task and meet established deadlines.
• Proficient in Microsoft Office Tools.

Responsibilities

• Analytics and Reporting on 2 Top National Accounts.
• Manage all aspects of a national contract including analyzing terms and conditions to appropriately set up contracts, update for contract amendments and adjudicate claims accurately.
• Analyze rebate payments utilizing reporting tools and the third-party data sources to compare quarterly (or monthly) sales, rebates, and market share trends.
• Lead account manager meetings to provide insight into the top accounts and products.
• Partner with Contract Development and account management to operationalize complex / value-based contracts.
• Research and develop reports for General Medications and Specialty quarterly Finance reserve meeting.
• Ad Hoc request support

Skills

Analytical thinking

Problem solving

Communication skills

Organization

Teamwork

Independent work

Time management

Microsoft Office

Multitasking

Detail oriented

Education

Bachelor's degree

Advanced degree

Tools

Model N

Job description

Job Title: Manager, Managed Care Operations

Location: Morristown, NJ

About The Job

The Contract Manager is responsible for contract analytics of the top national accounts relating to Commercial Contract, Medicare Part D, Medical Claims. Responsibilities include timely and accurate analyses of payments to identify trends and to validate adjudicating payments are in accordance with contracted terms and conditions. The Contract Manager will conduct this analysis for Sanofis business units including, but not limited to, General Medications and Specialty. The analysis would be presented to management and business partners on a monthly or quarterly basis to support account performance measurements. The candidate will have a fundamental understanding of contract strategies, markets, and Sanofi companies products. This position will work in close cooperation with the Contract Operations Senior Manager and counterparts in Contract Development, Strategy, and IT.

Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, youll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs.

About Sanofi

Were an R&D-driven, AI-powered biopharma company committed to improving peoples lives and delivering compelling growth. Our deep understanding of the immune system and innovative pipeline enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve peoples lives.

Main Responsibilities

• Analytics and Reporting on 2 Top National Accounts
• Manage all aspects of a national contract including analyzing terms and conditions to appropriately set up contracts, update for contract amendments and adjudicate claims accurately.
• Analyze rebate payments utilizing reporting tools and the third-party data sources to compare quarterly (or monthly) sales, rebates, and market share trends.
• Lead account manager meetings to provide insight into the top accounts and products.
• Partner with Contract Development and account management to operationalize complex / value-based contracts.
• Research and develop reports for General Medications and Specialty quarterly Finance reserve meeting.
• Ad Hoc request support

Note:

The list above is not comprehensive; this job is also responsible for other duties as assigned.

• Participate in customer meetings and audits as required.
• Interact with Account Managers, Contract Development, Accounts Payable and Brand Team as necessary.
• Support departmental projects as required.
• Comply with all SOX requirements.

Qualifications

About You

• Bachelor's degree required; advanced degree strongly preferred
• 3+ years of work experience, with 2 years in an operations role preferred
• Excellent analytical and problem-solving skills
• Professional manner and tact
• Strong oral and written communications skills
• Model N experience preferred
• Organized, accurate and detail oriented, disciplined and dedicated to superior quality work
• Strong sense of commitment and teamwork
• Ability to work independently
• Ability to multi-task and meet established deadlines
• Proficient in Microsoft Office Tools

Why Choose Us?

• Bring the miracles of science to life alongside a supportive, future-focused team.
• Discover endless opportunities to grow your talent and drive your career, whether its through a promotion or lateral move, at home or internationally.
• Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.
• Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks gender-neutral parental leave.

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Aff... All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

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All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs, and additional benefits information can be found here.