Senior Specialist, Central Contract Services

Merck

North Wales (Montgomery County)

Hybrid

USD 117,000 - 184,000

Full time

2 days ago
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Benefits offered by this job

Medical Insurance
Dental & Vision
401(k) Plan
Paid Holidays
Vacation & Sick Days

Job summary

Merck in North Wales, PA is seeking a CCS Senior Specialist within NCOSC to oversee core contract activities across the US healthcare system, including membership, eligibility, chargebacks, and data analysis.

You will drive process improvements, collaborate with cross-functional teams, develop SOPs, and ensure timely, compliant execution to deliver high-value service to internal stakeholders and external customers.

Qualifications

  • Bachelor's degree and at least 3 years of experience.
  • Accuracy, attention to detail and the ability to work under strict deadlines.
  • Ability to collaborate with cross functional teams and stakeholders; internally and externally.
  • Strong leadership skills
  • Strong project management skills
  • Strong problem-solving skills
  • Excellent organizational and interpersonal skills
  • Strong communication skills
  • Flexible to adapt; ability to pivot and change direction according to internal and/or external strategies, priorities, or events.
  • Innovative; the ability to implement new ideas and improvements and to think outside the box.
  • Working knowledge of MS Word and Excel.
  • 3+ years business experience in Managed Care Contracting or Pharmaceutical industries.

Responsibilities

  • Provides account management leadership to ensure development and execution of customer contract activities related to management of: Customer Eligibility, Membership, Chargebacks, Data validation, investigation & problem resolution, Audits, compliance, and SOX controls.
  • Adjudicates claims in accordance with Terms and Conditions and collaborates with the Accounts Receivable team to research and resolve deductions in a timely manner in accordance with the Distribution Services Agreements.
  • Partners with cross functional internal and external stakeholders such as business teams supporting our full portfolio of contracts, Order Management Center, field support teams, Wholesalers/Distributors, GPOs and other stakeholders to provide leadership and subject matter expertise to assist with developing and implementing contracts/programs, product launches and other collaborative initiatives.
  • Develops relationships with wholesaler/distributor and stakeholders in the development and pull through of all managed care contract, price, eligibility, and chargeback activities, inquiries, and issue resolution.
  • Leads the ongoing evaluation and identification of process improvement opportunities to ensure that the Central Contract Services Team provides operational excellence and innovative solutions in the delivery and execution of all contract related responsibilities.
  • Collaborates with all key stakeholders to manage new strategies and develop SOP's (Standard Operating Procedures) and WI’s (Working Instructions) as necessary and ensures staff adherence.
  • The CCS Sr. Specialist will leverage working knowledge of core contract strategies, terms and conditions as well as thought leadership to ensure the success of this center of excellence.
  • Ensures contract related management is timely and meets compliance standards.
  • Demonstrates awareness of and sensitivity by creating positive experiences for all customers and coworkers.
  • Utilizes strengths and values differences among team members, customers, or other individual stakeholders to improve their own performance.
  • Manages ad-hoc projects to drive and support strategic initiatives.
  • Maintains a high level of proficiency in ModelN, our Company Accounts and other relevant systems and applications.

Education

Bachelor's degree (BS/BA)

Job description

Job Description

This position sits within NCOSC (National Contract Operations & Supply Chain), which delivers best-in-class, end-to-end services aimed at providing affordable patient access, insightful customer experiences, and enriching employee experiences for IAM Contract Management, Service Agreement, Account Management, and Channel Strategy lifecycles. The Integrated Account Management (IAM) Team manages direct account and contract responsibility across the entire US health care system: Pharmacy Benefit Managers, Health Plans, State Medicaid agencies, Integrated Delivery Networks, Hospital Systems, Group Purchasing Organizations, Federal agencies, Pharmacy/Wholesalers, and Infusion companies for our Company's commercial and government business.

The Central Contract Services (CCS) Senior Specialist will function as a vital member of the broader Integrated Account Management team focusing on ensuring development and execution of core contract activities such as membership and contract eligibility management, chargeback management, and data analysis. Additionally, they will seek resolution of customer inquiries and collaborate with cross functional teams to develop, implement, and execute contract strategies. The CCS Senior Specialist will also be responsible for driving continuous improvement of these core contract activities to ensure the highest level of integrity, customer service and value to internal stakeholders and external customers.

Primary Responsibilities
  • Provides account management leadership to ensure development and execution of customer contract activities related to management of:
    • Customer Eligibility
    • Membership
    • Chargebacks
    • Data validation, investigation & problem resolution
    • Audits, compliance, and SOXcontrols
  • Adjudicates claims in accordance with Terms and Conditions and collaborates with the Accounts Receivable team to research and resolve deductions in a timely manner in accordance with the Distribution Services Agreements.
  • Partners with cross functional internal and external stakeholders such as business teams supporting our full portfolio of contracts, Order Management Center, field support teams, Wholesalers/Distributors, GPOs and other stakeholders to provide leadership and subject matter expertise to assist with developing and implementing contracts/programs, product launches and other collaborative initiatives.
  • Develops relationships with wholesaler/distributor and stakeholders in the development and pull through of all managed care contract, price, eligibility, and chargeback activities, inquiries, and issue resolution.
  • Leads the ongoing evaluation and identification of process improvement opportunities to ensure that the Central Contract Services Team provides operational excellence and innovative solutions in the delivery and execution of all contract related responsibilities.
  • Collaborates with all key stakeholders to manage new strategies and develop SOP's (Standard Operating Procedures) and WI’s (Working Instructions) as necessary and ensures staff adherence.
  • The CCS Sr. Specialist will leverage working knowledge of core contract strategies, terms and conditions as well as thought leadership to ensure the success of this center of excellence.
  • Ensures contract related management is timely and meets compliance standards.
  • Demonstrates awareness of and sensitivity by creating positive experiences for all customers and coworkers.
  • Utilizes strengths and values differences among team members, customers, or other individual stakeholders (e.g., in background or experience) to improve their own performance.
  • Manages ad-hoc projects to drive and support strategic initiatives.
  • Maintains a high level of proficiency in ModelN, our Company Accounts and other relevant systems and applications.
Qualifications
Minimum Requirements
  • Bachelor's degree (BS/BA) and at least 3 years of experience.
  • Accuracy, attention to details and the ability to work under strict deadlines.
  • Ability to collaborate with cross functional teams and stakeholders; internally and externally.
  • Strong leadership skills
  • Strong project management skills
  • Strong problem-solving skills
  • Excellent organizational and interpersonal skills
  • Strong communication skills
  • Flexible to adapt; ability to pivot and change direction according to internal and/or external strategies, priorities, or events.
  • Innovative; the ability to implement new ideas and improvements and to think outside the box.
  • Working knowledge of MS Word and Excel
Preferred
  • 3+ years business experience in Managed Care Contracting or Pharmaceutical industries.
Required Skills

Account Management, Adaptability, Contract Management, Customer Insights, Customer Relationship Management (CRM), Data Analysis, Financial Acumen, Interpersonal Relationships, Market Access Strategies, Market Management, Product Knowledge, Sales Target Achievement, Strategic Thinking, Tender Management, Virology

Requirements

As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment and prohibit discrimination on the basis of race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other applicable legally protected characteristics. As a federal contractor, we comply with all affirmative action requirements for protected veterans and individuals with disabilities. For more information about personal rights under the U.S. Equal Opportunity Employment laws, visit:

EEOC Know Your Rights

EEOC GINA Supplement

We are proud to be a company that embraces the value of bringing together, talented, and committed people with diverse experiences, perspectives, skills and backgrounds. The fastest way to breakthrough innovation is when people with diverse ideas, broad experiences, backgrounds, and skills come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another’s thinking and approach problems collectively.

Learn more about your rights, including under California, Colorado and other US State Acts

The primary location for this posting is:

USA - Pennsylvania - North Wales (Upper Gwynedd)

Compensation Range

Where required by law, the compensation range for this role is provided below.

The salary range for the primary location of this role is:

$117,000.00 - $184,200.00

This range reflects the Company's reasonable expectation of the base salary applicable to this role at the time of posting. An employee’s position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs. The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.

We offer a comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k), paid holidays, vacation, and compassionate and sick days. More information about benefits is available at https://jobs.merck.com/us/en/compensation-and-benefits.

Additional location(s)

Please note the salary range above applies to the Primary Location of the position. Where a role has other listed locations, different compensation guidelines may apply. You may find the salary ranges for additional locations below. If the salary range is not listed for the location you are applying to, our Talent Acquisition team will provide further information to you relevant to your location.

Additional location(s) Compensation Information

San Francisco Residents Only: We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance

Los Angeles Residents Only

We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance

Employee Status

Regular

Relocation

No relocation

VISA Sponsorship

No

Travel Requirements

10%

Flexible Work Arrangements

Hybrid

Shift

Not Indicated

Valid Driving License

No

Hazardous Material(s)

n/a

Job Posting End Date

11/6/2026

  • A job posting is effective until 11:59:59PM on the day BEFORE the listed job posting end date. Please ensure you apply to a job posting no later than the day BEFORE the job posting end date.
Requisition ID

R422461

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