Associate Group Manager, SPCM, Contract Operations
Considering local candidates only.
Associate Group Manager of Contract Operations/Payer, PBM & Provider Payments Team is responsible for leading and overseeing the function and specialist team of contract operations managers tasked with managing the administration of payer, PBM, provider, Specialty Pharmacies and vendor contracts, supporting internal and external audit efforts and developing and maintaining Standard Operating Procedures.
Associate Group Manager is the subject matter experts (SMEs) on SPCM Contract Operations processes. As such, he/she collaborates with other functioning groups with SPCM to provide input on strategy/contract development, contract negotiations and implementation. He/she work closely with field partners (i.e. Account Managers, Franchise Program Mangers, etc), FOIM, Finance and manage care customers. Associate Group Manager has technical and business expertise, deep understanding of Revitas systems (i.e CARS, Validata), is detail orientation and able to develop and innovate new efficient and effective processes for future contracting strategies. Associate Group Manager is a standing member of the Contract Operations Leadership Team and, therefore, plays critical roles in the ongoing development of Contract Operations’ vision, strategy, goals, objectives and infrastructure.
In addition Associate Group Manger:
- Plays a leadership role in Contract Operations annual and longer-range strategic and tactical planning, setting annual objectives and identifying and planning for resource and budgetary needs for team and department
- Works with other SPCM teams, field partners, legal and others within the Commercial Organization to evaluate contract terms for business, legal and regulatory requirements and identify challenges as well as develop solutions for gaps
- Manages team to ensure accurate and timely calculations, validation and processing of customer payments. This includes reviewing customer payments to ensure accuracy with contract, SOPs and department processes prior to approving and releasing them the CARS system
- Guides team through internal and external audit processes and leads effort for post-audit corrective action plan development and implementation
- As applicable, develops performance metrics for monitoring, evaluation and reporting on commercial and government contracts management
- Leads development, education and ongoing maintenance of Contract Operations SOPs, systems, data, reporting templates and the like
- Oversees ICFR tracking and reporting, as per business and legal requirements and departmental policies & procedures
- Continuously trainings and develops team
- Hires, develops and oversees the work of direct reports
- Complies with all laws, regulations and policies that govern the conduct of GNE activities.
The successful candidate will demonstrate the following competencies critical to this role:
- Strategic Agility - Articulates wise, long-term objectives and strategies; balances what will pay off in the short run with what will provide long-term improvements
- Decision Making – Pushes decision making to the lowest appropriate level, stands behind decisions that have been made, shows good judgment in decision making.
- Communication – Listens well; expresses ideas fluently and logically; encourages direct and open discussions and can be depended on for truthfulness
- Innovation - Advocates for and helps progress new ideas that add business value; sees the value in others’ unique differences.