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(No West Coast – PST candidates) – (need USC, GC or GC-EAD for conversion).

***Please submit only quality candidates with valid resumes and LINKEDIN Profiles (REQUIRED)***

Please do not post any client details or the full job descriptions.

Top Required Skills

• 5+ years of experience with Healthcare Insurer Pricing and membership eligibility experience/ business knowledge
• 5+ yrs B2B manufacturing/distribution environment experience with Modern ERP Software (SAP and/or Oracle) experience required (will be supporting PBM fulfillment lifecycles)  
• 5+ years of experience with complex MS Excel formulas and pivot tables.
• Advanced knowledge of healthcare pricing and membership agreements

Duties:

Ensure contract-pricing data is accurately loaded based on customer specifications while ensuring we meet vendor rules around customer eligibility and accuracy in pricing.

• Demonstrates advanced knowledge of pricing and membership agreements
• Ability to review complex legal agreements and identify needed action items
• Analyze supplier contract bid awards to determine appropriate system hierarchical position to ensure accurate customer access
• Manage most complex supplier and customer pricing agreements
• Review and analyze supplier and customer contracts to ensure Company is compliant with agreements
• Determine appropriate member access to contract pricing based on required customer criteria
• Manages a portfolio of assigned suppliers and customers to ensure updates to pricing and member access are accurate; takes action to resolve discrepancies
• Works cross functionally to ensure Strategic and Intercompany pricing needs are met; takes corrective action as needed
• Assists in the SME review of partner agreements to ensure proposed language is in the best interest of the business
• Works cross functionally to ensure timely and accurate implementation of new and amended agreements related to contract pricing and membership
• Analyzes pricing and membership data to identify trends and gaps; actions as needed
• Reviews escalated issues and takes appropriate action to resolve
• Coordinates new team member training and evaluates member progress
• Reviews Credit and Debit requests for validity and accuracy
• Reviews team's submitted reports to ensure any needed corrective action was taken
• Partners with business intelligence team to create and maintain team reports
• Assigns incoming requests to team work queue to appropriate representative
• Identifies opportunities for process and/or system enhancements
• Works collaboratively on projects to identify solutions and process improvements
• Researches escalated supplier and customer pricing and membership claims and takes corrective action within established timelines
• Provides training and ongoing support to team members; shares knowledge and best practices
• Works collaboratively on projects to identify solution and process improvements

Skills:

• B2B
• Strong experience analyzing data and problem solving skills 
• Modern ERP Software (SAP and/or Oracle) experience required 
• Pricing and membership eligibility experience 
• Intermediate Microsoft Office products; some experience with complex Excel formulas 
• Excellent verbal and written communication skills with the ability to interact professionally with diverse groups.
• Ability to manage timelines and meet vendor specific deadlines
• Ability to multitask in a fast paced environment where accuracy

Education:

• Associates or higher degree preferred
• GED/HS required

Required Skills: 

• Contracts
• Data Entry
• B2B
• Pricing
• Oracle
• Business Intelligence
• Additional Skills:
• ERP
• SAP
• Claims
• Problem Solving
• Enterprise Resource Planning
• Microsoft Office
• Excellent Verbal and Written Communication Skills
• Subject Matter Expert
• Excel
• Queue Management
• Corrective Action
• Process Improvements

   

Regards,

Sachin Kumar

IT Recruiter

sachin@techcentertechnologies.com

Techcenter Technologies Inc

3240 East State Street Ext, Hamilton, NJ 08619