The role will partner with U.S.-based Market Access, Government Pricing, Finance, Compliance, Contract Operations, Information Systems, Membership, MDM, wholesalers, GPOs, and other external trading partners to support accurate and compliant chargeback processing in a highly controlled environment.
Key Responsibilities
Chargeback Processing & Validation
Support day-to-day execution of U.S. chargeback operations, including EDI claim review, validation, adjudication support, payment processing support, dispute follow-up, deduction research, and financial reconciliation activities.
Review and validate chargeback claims in Model N / GCPS to ensure accuracy of contract pricing, customer eligibility, membership alignment, wholesaler authorization, and product-level details.
Research and resolve chargeback exceptions including duplicate submissions, customer-not-found errors, wholesaler eligibility issues, pricing discrepancies, membership mismatches, 340B validation issues, and contract authorization exceptions.
Research and resolve chargeback exceptions including duplicate submissions, customer-not-found errors, wholesaler eligibility issues, pricing discrepancies, membership mismatches, 340B validation issues, and contract authorization exceptions.
Maintain accurate documentation of claim decisions, validation outcomes, supporting evidence, and follow-up actions.
Error Resolution & Research
Perform daily review of chargeback dispute and exception reports and complete required research within established timelines.
Use Model N / GCPS, SAP, HIBCC, HRSA, Tableau, customer master data, contract records, and wholesaler documentation to resolve claim errors and exceptions.
Coordinate with Membership, MDM, Government Pricing, Contracting, and Market Access teams to resolve customer, pricing, eligibility, and contract-related issues impacting chargeback processing.
Reprocess corrected claims and ensure timely closure of open items, aged exceptions, and escalated issues.
Claims Approval & Support & Documentation
Support manager review of complex chargeback claims involving high-value transactions, large discrepancies, manual adjustments, pricing exceptions, or unusual wholesaler activity.
Validate invoices, claim adjustments, comments, and supporting documentation to assist accurate adjudication decisions.
Prepare and maintain audit-ready documentation, approval evidence, process records, and workpapers supporting SOX-controlled activities.
Support SOP maintenance, process documentation, governance logs, and structured operational records.
Wholesaler, GPO & Stakeholder Support
Support resolution of wholesaler disputes, claim denials, deduction inquiries, customer eligibility questions, and operational issues.
Assist in reviewing rejected claims, evaluating supporting evidence, preparing rationale, and documenting dispute outcomes.
Collaborate with wholesalers, GPOs, specialty groups, internal stakeholders, and U.S.-based partners to support timely and accurate issue resolution.
Help identify recurring wholesaler submission errors and provide inputs for root-cause analysis and process improvement.
Deductions & Recovery Support
Support investigation of wholesaler deductions by reviewing supporting claim details, open deduction reports, prior communications, and GCPS / SAP data.
Analyze deductions to help determine validity, identify root causes, and support recovery or closure recommendations
Partner with Treasury, Finance, and the Chargebacks Manager on offset processing, payment recovery follow-up, and deduction status tracking.
Maintain deduction trackers and support reporting on open items, recovery trends, and unresolved exposures.
Reporting Analytics & Operational Insights
Prepare chargeback operational reporting, trend analysis, KPI inputs, and ad hoc analyses for Market Access, Government Pricing, Finance, Commercial Operations, and leadership stakeholders.
Support customer, wholesaler, product, contract, indirect sales, disputed transaction, and missing chargeback analyses
Identify recurring patterns in claim errors, disputes, deductions, eligibility issues, and pricing discrepancies.
Contribute to dashboard development, reporting improvements, and manual effort reduction initiatives.
Compliance, Controls & Audit Readiness
Ensure compliance with SOX controls, internal policies, pricing governance requirements, audit standards, and applicable pharmaceutical contracting regulations
Maintain audit-ready documentation, approval evidence, decision logs, dispute records, and process workpapers supporting operational compliance.
Identify operational, compliance, financial, and data integrity risks and lead mitigation and remediation efforts.
Support internal, external, and SOX audit activities and drive closure of audit observations.
Compliance, Controls & Continuous Improvement
Execute work in accordance with SOX controls, internal policies, pricing governance requirements, audit standards, and pharmaceutical contracting expectations.
Maintain accurate process documentation, decision logs, dispute records, approval evidence, and operational workpapers.
Identify data integrity, process, compliance, and operational risks and escalate appropriately.
Support process improvement, automation, UAT testing, workflow enhancement, SOP updates, and standardization initiatives.
What We Expect of You
We are all different, yet we all use our unique contributions to serve patients. The ideal candidate is a detail-oriented chargebacks / contracts and pricing operations professional with experience supporting pharmaceutical commercial operations, contract administration, pricing execution, customer eligibility validation, and operational controls. This individual should bring strong analytical skills, ownership, stakeholder collaboration, and a continuous improvement mindset to support accurate, compliant, and timely execution of chargeback processes.
Basic Qualifications
Master’s degree in finance, Accounting, Commerce, Business Administration, Economics, Life Sciences, or related discipline.
3–6 years of experience in pharmaceutical commercial operations, chargebacks, contracts and pricing, managed markets, finance, revenue management, sales operations, or related business operations.
Strong Excel, reporting, analytical, and documentation skills.
Ability to manage multiple priorities, meet timelines, and work effectively in a controlled, deadline-driven environment.
Preferred Qualifications
Pharmaceutical or biotechnology industry experience.
Knowledge of U.S. pharmaceutical chargebacks, market access contracting, reimbursement, customer eligibility, and membership management.
Experience with Model N Revenue Management, SAP, Revitas, or comparable platforms.
Working knowledge of Government Pricing, Class of Trade, 340B, GPO contracting, wholesaler operations, and commercial contracting.
Experience supporting US pharmaceutical commercial operations, contracts and pricing operations, sales operations, or related business operations in a regulated or highly controlled environment.
Experience supporting SOX controls, compliance programs, audits, and operational governance activities.
Strong problem-solving, communication, stakeholder management, and follow-through skills.
Experience working with U.S.-based stakeholders and distributed global operating models.
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