Membership Analyst

Fresenius Kabi USA; Lake Zurich (IL); Hybrid; USD 65,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401K with company contribution

Wellness program

Job summary

A leading healthcare firm in Lake Zurich, Illinois, seeks an experienced Analyst responsible for data analysis and compliance regarding membership and class of trade. The role requires 3-5 years of experience in contracting or healthcare and a Bachelor's Degree. Proficiency in Microsoft Excel and knowledge of ERP systems like SAP is essential. Candidates should possess strong communication skills and the ability to manage multiple projects. A competitive salary and comprehensive benefits package are offered.

Qualifications

• 3-5 years of related experience in contracting or healthcare.
• Strong understanding of pharmaceutical and medical device contracts.
• Proficient in Microsoft Office, particularly Excel.

Responsibilities

• Analyze and interpret data for compliance issues.
• Develop and maintain class of trade membership.
• Facilitate communication between various internal teams.

Skills

Data analysis

Interpersonal communication

Critical thinking

Problem resolution

Time management

Education

Bachelor's Degree

Advanced degree

Tools

Microsoft Excel

SAP

Qlik

MicroStrategy

VeevaVault

Job description

The Analyst is responsible for all membership and class of trade activities. Extracts, analyzes, and interprets data from an array of systems to address compliance issues. Internal liaison between Finance and Contract Operations. The Analyst interfaces with Chargebacks team and Contract Operations coordinators to identify, communicate, and resolve all issues regarding membership.

This is a hybrid position, and the selected candidate will be required to work onsite in the Lake Zurich, Illinois office 3 days a week.

Responsibilities

• Develops and coordinates assigned account membership, and maintenance including contract eligibility, and COT reviews.
• Qualify membership eligibility before chargebacks are processed. Distinguish by contract, committed program, and COT.
• Administers, and maintains all class of trade membership, and fee eligibility in Model N system.
• Timely, and efficient confirmation, and validation of contract eligibility within required timelines.
• Acts as ombudsman for assigned accounts, and their members. Investigate complaints, problems, and achieve equitable settlements and resolutions.
• Facilitates the various internal functional groups (Order Services, Customer Operations, Chargebacks, IT, etc.) as they relate to assigned accounts and their members. This includes written correspondence, contract updates and maintenance, chargeback discrepancies, membership etc.
• Develops and communicates all pertinent information regarding membership, as necessary, to the field sales force and internal management team.
• Perform audits related to sales and class of trade membership as they are brought forward both internally and externally.
• Perform individual contract access inclusion checks weekly and apply metrics to inclusion sets for analysis.
• Ensures data quality of all outgoing reports and analyses.
• Identify process improvement opportunities, and develops, or enhance tools to assist in the work deliverables.
• Use SAP, Model N, BEX, MicroStrategy, Qlik, VeevaVault, Spring CM, and other databases/tools to obtain, prepare, compile, and analyze information.
• Analyze key KPIs to drive improvements in Commercial Membership Validation process.
• Provide support during the new molecule process by ensuring membership information is up to date.
• Completes all training requirements, including all department‑specific, compliance training, etc.
• Participates in any and all reasonable work activities as assigned by management.
• All employees are responsible for ensuring the compliance to company documents, programs and activities related to the Health, Safety, Environment, Energy, and Quality Management Systems, as per your roles and responsibilities.

Requirements

• Bachelor's Degree required (Advanced degree is a plus).
• Minimum of 3-5 years of related experience (preferably with contracting, pricing, healthcare membership experience).
• Knowledge of pharmaceutical industry, hospital/pharmacy products, and/or medical device contractual terms and conditions is strongly preferred.
• Demonstrated business acumen and experience with customer agreements (preferably experience with GPO, IDN, and hospital and/or clinic contracting) is a plus.
• Strong interpersonal, written, and verbal communication skills accompanied with critical thinking and problem resolution skills.
• Proficient with Microsoft Office applications (Excel, Word, PowerPoint, Access, and advanced skill set with Excel).
• Knowledge of ERP systems (SAP, Qlik, Veeva, etc.) and other database concepts preferred.
• Able to manage and prioritize multiple complex projects with demonstrated time management skills as well as the ability to work independently.
• Ability to work effectively with all employees and external business contacts while conveying a positive, service‑oriented attitude.
• Ability to maintain complete confidentiality and discretion in business relationships and exercise sound business judgment.

Additional Information

Salary Range: $65,000 - $80,000 per year

Final pay determinations will depend on various factors, including, but not limited to experience level, education, knowledge, skills, and abilities. Our benefits and programs are comprehensive and thoughtfully crafted to ensure our colleagues live healthy lives and have support when it matters most.

We offer an excellent salary and benefits package including medical, dental and vision coverage, as well as life insurance, disability, 401K with company contribution, and wellness program.

Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.