Senior Manager, Contract Ops & Revenue Integrity (Remote)

Otsuka Us

United States

Remote

USD 135,000 - 201,000

Full time

5 days ago
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Benefits offered by this job

Comprehensive medical, dental, vision
Generous 401(k) match
Tuition reimbursement
Paid holidays and flexible time off
Disability insurance

Job summary

Otsuka Pharmaceutical Co., Ltd is seeking a Senior Manager, Contract Ops & Revenue Integrity to protect and optimize GTN revenue across the drug portfolio. The role sits remotely in the United States and partners with brand teams and managed markets to address rebates, 340B, and government pricing complexities.

The position emphasizes governance of AMP/BP/ASP, IRA compliance, and proactive risk modeling, with a focus on cross-functional collaboration and strategic decision support.

Qualifications

  • 5+ years in pharma/biotech with GTN, contracting or analytics.
  • Experience with government pricing metrics (AMP, BP, ASP) and IRA alignment.
  • Strong cross-functional collaboration and communication.

Responsibilities

  • Revenue Optimization & GTN Management: monitor GTN pipeline, build forecasting models, identify anomalies in rebates.
  • Contract Compliance & Fraud Prevention: validate contract terms, execute PBM/audits, manage dispute process and 340B controls.
  • Government Pricing & Regulatory Oversight: monitor AMP/BP/ASP, ensure IRA alignment and compliance.
  • Cross-Functional Collaboration: partner with Account Management, Pricing Strategy, Legal, Finance and Brand Management; support pre-deal GTN analyses.

Skills

GTN analytics
Pricing & Contracting
Financial forecasting
Cross-functional collaboration

Education

Bachelor’s degree in Finance Economics Business Administration or life sciences
MBA or advanced financial certification

Job description

Senior Manager, Contract Ops & Revenue Integrity (Remote)### Senior Manager, Contract Ops & Revenue Integrity (Remote)Apply: Remote: Full time: Posted Today: End Date: December 31, 2026 (30+ days left to apply): R13228The Senior Manager, Contract Operations & Revenue Integrity is responsible for protecting and optimizing the gross-to-net (GTN) revenue for the company’s drug portfolio. Operating at the intersection of contract strategy, government pricing, financial forecasting, and legal compliance, this role mitigates financial risks related to complex insurance rebates, chargebacks, duplicate discounts (e.g., 340B programs), and statutory government liabilities. The individual serves as a critical strategic partner to brand teams and managed markets account executives. **Key Responsibilities** **1. Revenue Optimization & GTN Management** * Monitor and analyze the gross-to-net (GTN) pipeline to identify revenue leakage points within commercial payer and government channels.* Partner with GTN forecasting to build accurate models for forecasting payer discount liabilities and pricing strategies.* Identify anomalies or unexpected financial variance in commercial and government rebates. **2. Contract Compliance & Fraud Prevention** * Validate contract fulfillment terms against historical pharmacy claims data to identify overpayments or duplicate discounts.* Execute audit protocols for Pharmacy Benefit Manager (PBM) and payer rebate invoices.* Coordinate and support all aspects of such audit, including selection and coordination with third party auditors.* Responsible for the dispute process, including engaging with the customer, legal coordination, and escalation where required.* Oversee systems that flag and mitigate duplicate 340B drug discount violations paired with Medicaid rebates. **3. Government Pricing & Regulatory Oversight** * Monitor calculation accuracy for federal pricing metrics including Average Manufacturer Price (AMP), Best Price (BP), and Average Sales Price (ASP).* Ensure absolute alignment with the Inflation Reduction Act (IRA), Medicaid Drug Rebate Program, and federal pricing structures.* Act as an internal control expert to protect the organization against federal compliance penalties. **4. Cross-Functional Strategic Collaboration** * Partner closely with Account Management, Pricing Strategy, Legal, Finance, and Brand Management teams.* Ensure GTN financial impact of all disputes is appropriately captured* Support pre-deal analyses by assessing potential GTN and revenue integrity impacts.* Build executive-ready risk mitigation models outlining shifting regulatory or marketplace trends. **Job Requirements & Qualifications** * **Education**: Bachelor’s degree in Finance, Economics, Business Administration, or life sciences required. An MBA or advanced financial certification is highly preferred.* **Experience**: 5+ years of experience in the pharmaceutical or biotech industry, with a direct focus on Market Access, Pricing & Contracting, Gross-to-Net (GTN) accounting, or commercial financial analytics**Competencies** **Accountability for Results -** Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change. **Strategic Thinking & Problem Solving -** Make decisions considering the long-term impact to customers, patients, employees, and the business. **Patient & Customer Centricity -** Maintain an ongoing focus on the needs of our customers and/or key stakeholders. **Impactful Communication -** Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka. **Respectful Collaboration -** Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative.Minimum $134,615.00 - Maximum $201,250.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate’s job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws.**Application Deadline**: This will be posted for a minimum of 5 business days.**Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.Come discover more about Otsuka and our benefit offerings; https://ah-prod.com/multi/videoplayer/player.html?v=6385356920112. **Join Our Talent Community:** Stay connected with Otsuka by joining our Talent Community. Tell us about your interests, and we’ll notify you about future opportunities that align with your background. https://community.hireez.com/cielo-otsuka/82cb3591**Disclaimer:**This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting EEAccommodations@otsuka-us.com.**Statement Regarding Job Recruiting Fraud Scams**At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives. They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf.Please understand, Otsuka will **never** ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment.Otsuka will also never ask you to download a third-party application in order to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not from an official Otsuka email address. Please take extra caution while examining such an email address, as the scammers may misspell an official Otsuka email address and use a slightly modified version duplicating letters.To ensure that you are communicating about a legitimate job opportunity at Otsuka, please only deal directly with Otsuka through its official Otsuka Career website https://vhr-otsuka.wd1.myworkdayjobs.com/en-US/External.Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka’s call center at: 800-363-5670. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: https://www.ic3.gov, or your local authorities.Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. (“Otsuka”) does not accept unsolicited assistance from search firms for employment opportunities. All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka’s application portal without a valid written search agreement in place for the position will be considered Otsuka’s sole property. No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
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