pbm reporting analyst

Navitus Health Solutions / Lumicera Health Services

<div></div><div><div><div><div>Location US-WI-Madison
</div><div>ID 2025-5183
</div><div><div><div><div>Category</div>
<div>Accounting/Finance
</div></div><div><div>Position Type</div>
<div>Full-Time
</div></div><div><div>Remote</div>
<div>No
</div></div></div></div></div></div><h2 class="jobSectionHeader"><b>Company
</b></h2><div><div><div>Navitus
</div></div></div><h2 class="jobSectionHeader"><b>About Us
</b></h2><div><div><div>Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.
</div></div></div><h2 class="jobSectionHeader"><b>Pay Range
</b></h2><div><div><div>USD $65,686.00 - USD $79,140.00 /Yr.
</div></div></div><h2 class="jobSectionHeader"><b>Work Schedule Description (e.g. M-F 8am to 5pm)
</b></h2><div><div><div>M-F 8am-5pm, CT
</div></div></div><h2 class="jobSectionHeader"><b>Overview
</b></h2><div><div><div><div>Navitus Health Solutions is seeking a Pricing and Underwriting Analyst II to join our Lumicera Specialty Pharmacy team!</div><div></div><div><br>
The Analyst II, Pricing and Underwriting is responsible for supporting the Pricing and Underwriting team with financial price modeling of provider networks, manufacturer rebates, cost of risk, and client administrative fees. The Analyst II will support the growth team with client proposals and will be responsible for performing an array of analyses and creating reports that facilitate critical business decisions. In addition, the Analyst II will perform supply chain modeling, analytics and contract analysis. The objective is to utilize and harness data in an effective manner to best serve our clients, promote our business model, and support client growth.</div><div></div><div><br>
This position will communicate and work cross functionally with other internal and external partners including, clients, consultants, vendors, and internal department teams to support cohesive and comprehensive responses to client proposals.</div><div></div><div><br>
Is this you? Find out more below!</div>
</div></div></div><h2 class="jobSectionHeader"><b>Responsibilities
</b></h2><div><div><div><div><div><b>How do I make an impact on my team?</b></div></div><div><ul><li><div>
Maintain and enhance sales support mechanisms for prospective clients.</div></li><li><div>
Calculate risk of pricing metrics and value derived from the relationship with the client.</div></li><li><div>
Monitoring and reporting on client-specific network performance, service metrics and supply chain procurement.</div></li><li><div>
Review, pro-actively identify, and support implementation of opportunities for rebate, pricing, and discount performance improvement via analysis.</div></li><li><div>
Research external and internal pricing trends and forecasts to contribute to overall pricing strategy.</div></li><li><div>
Develop and maintain databases to support business decisions and inform responses to client or prospective client requests.</div></li><li><div>
Track and report client performance impacts of relevant programs.</div></li><li><div>
Support development of other Analysts with training opportunities.</div></li><li><div>
Identify opportunities for client savings or program enhancements.</div></li><li><div>
Perform analyses as requested by internal and external business owners, or in support of identified business objectives.</div></li><li><div>
Demonstrate understanding of contractual terms and performance to assist in development of program strategies, pricing decisions, and contract language.</div></li><li><div>
Perform quality assurance to ensure accuracy of pricing and processes.</div></li><li><div>
Other duties as assigned.</div></li></ul></div><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Qualifications
</b></h2><div><div><div><div><div><b>What our team expects from you?</b></div></div><div><ul><li><div>
Bachelor's degree required. Emphasis in Business, Economics, Mathematics, or Actuarial Science preferred.</div></li><li><div>
2 years relevant experience with PBM, Pharmacy, managed care, business, statistics, or analytical programs required.</div></li><li><div>
Participate in, adhere to, and support compliance program objectives.</div></li><li><div>
The ability to consistently interact cooperatively and respectfully with other employees.</div></li></ul></div><div><b>
What can you expect from Navitus?</b></div><ul><li>
Top of the industry benefits for Health, Dental, and Vision insurance</li><li>
20 days paid time off</li><li>
4 weeks paid parental leave</li><li>
9 paid holidays</li><li>
401K company match of up to 5% - No vesting requirement</li><li>
Adoption Assistance Program</li><li>
Flexible Spending Account</li><li>
Educational Assistance Plan and Professional Membership assistance</li><li>
Referral Bonus Program &ndash; up to $750!</li></ul><div></div><div><b><br>
 #LI-Hybrid</b></div>
</div></div></div><h2 class="jobSectionHeader"><b>Location : Address
</b></h2><div><div><div>361 Integrity Drive
</div></div></div><h2 class="jobSectionHeader"><b>Location : City
</b></h2><div><div><div>Madison
</div></div></div><h2 class="jobSectionHeader"><b>Location : State/Province
</b></h2><div><div><div>WI
</div></div></div><h2 class="jobSectionHeader"><b>Location : Postal Code
</b></h2><div><div><div>53717
</div></div></div><h2 class="jobSectionHeader"><b>Location : Country
</b></h2><div><div><div>US</div></div></div></div>

Analyst II, Pricing and Underwriting

Infosys

<div>
 Hands on experience working with
 <br/>
 <br/>
 <ul>
  <li>
   Payer/ Provider/ PBM organizations
  </li>
  <li>
   Multiple stakeholders (internal/ customer/ vendors)
  </li>
  <li>
   Communicating and understanding architecture design decisions and impacts to features/user stories.
  </li>
  <li>
   Experience in legacy and web-based systems interfaces, Application Programmable Interfaces (APIs)
  </li>
  <li>
   Create and own detailed use cases, supporting functional requirements, user stories and acceptance criteria(s)
  </li>
  <li>
   Sound knowledge and experience on Agile.
  </li>
  <li>
   Experience and desire to work in a Global delivery environment. As a &lsquo;Product Analyst&rsquo; your role is pivotal to delivering feature user stories within a scrum team and continuously building a backlog for the scrum team. Work with the Product Manager to map out the user stories for a capability/feature, become the SME of the capability and develop products to meet the needs of customers and industry.
  </li>
 </ul>
</div>


Product Analyst-Healthcare

Infor

<div><div><div><div><div><div><h3 class="jobSectionHeader"><b>General information
</b></h3></div></div><div><div><div><div>Country
</div><div>India
</div></div><div><div>State
</div><div>Telangana
</div></div><div><div>City
</div><div>Hyderabad
</div></div><div><div>Job ID
</div><div>45275
</div></div><div><div>Department
</div><div>Customer Support
</div></div><div><div>Experience Level
</div><div>MID_SENIOR_LEVEL
</div></div><div><div>Employment Status
</div><div>FULL_TIME
</div></div><div><div>Workplace Type
</div><div>Hybrid
</div></div></div></div></div><div><div><div><h3 class="jobSectionHeader"><b>Description &amp; Requirements
</b></h3></div></div><div><div><div><div><div><div><div>Reporting to the Support Manager, the Product Support Analyst is responsible for providing world-class technical support for the Workforce Management application to Infor&rsquo;s enterprise clients. The Support Analyst must be able to multi-task and prioritize workload to meet individual and team objectives. The incumbent will investigate software defects reported by customers and collaborate with R&amp;D and Services as appropriate to deliver timely solutions. This position for who thrive in a fast paced environment and are looking to grow a rewarding career within Product Support. This position offers the exciting opportunity to utilize your strong technical and problem solving skills combined with the extensive product training and job coaching to help the Fortune 500 companies with their challenging issues that are critical to their daily operations.</div><div></div><div><b><br>
A Day in The Life Typically Includes:</b></div><div></div><div><br>
<ul><li>
Use analytical and problem solving skills to efficiently investigate and resolve customer issues reported though a ticketing system</li><li>
Deploy and configure middleware infrastructure such as Apache, WebLogic and WebSphere as well as RDBMS systems such as PostgreSQL, Aurora, Oracle and SQL Server to replicate customer issues as needed</li><li>
Using eclipse IDE, setup and remote debugged java code as necessary</li><li>
Groovy and JavaScript knowledge</li><li>
Support entire product including Time &amp; Attendance, Scheduling and Cognos and wide variety of issues ranging from application issues, installation/configuration and performance-related issues</li><li>
Work closely with R&amp;D, Product Management and Services team on software defects, enhancement requests and consulting issues respectively</li><li>
Meet or exceed all departmental goals including response times, customer satisfaction levels and knowledgebase contributions</li><li>
Utilize excellent communication skills to diffuse heightened end-user sensitivity and interact with multiple levels of the Customer's organization</li><li>
Ability to work on call on a rotational basis</li></ul></div></div><div></div><div><b><br>
Required skills:</b></div><div></div><div><br>
<ul><li>
Preferred University/College graduate with degree in Computer Science, Engineering, or relevant software/computer related fields or equivalent</li><li>
Will consider an incumbent with other education with the aptitude to learn</li><li>
Technical skills. Java, Groovy , SQL java script<br>
</li><li>
Proficiency with SQL and an understanding of relational database systems<br>
</li><li>
Superior communication, organizational, and problem solving skills</li><li>
Good exposure to object oriented programming</li></ul></div><div></div><div><div><b><br>
Preferred Qualifications:</b></div><div></div><div><br>
<ul><li>
Working knowledge of Workforce Management (Time &amp; Attendance / Health-care Scheduling)</li><li>
Working knowledge of middleware infrastructure such as Wildfly, Apache WebLogic and WebSphere, AWS, Aurora , PostgreSQL,</li></ul></div></div></div><br>
</div></div><div></div><div><div><br>
<div><b>About Infor</b></div><div></div><div><div><div><br>
Infor is where ambition meets impact. Join a global community of bold thinkers and innovators, where your expertise doesn&rsquo;t just solve problems. it shapes industries, unlocks opportunities, and creates real-world impact for billions of people. At Infor, you&rsquo;re not just building a career. you&rsquo;re helping to build what&rsquo;s next.</div><div></div><div><br>
Infor is a global leader in business cloud software products for companies in industry specific markets. Infor builds complete industry suites in the cloud and efficiently deploys technology that puts the user experience first, leverages data science, and integrates easily into existing systems. Over 60,000 organizations worldwide rely on Infor to help overcome market disruptions and achieve business-wide digital transformation.</div><div></div><div><br>
For more information visit www.infor.com</div></div></div><br>
<div></div>
</div></div><div><div><div><b>Our Values</b></div><div></div><div><div><div><br>
At Infor, we strive for an environment that is founded on a business philosophy called Principle Based Management&trade; (PBM&trade;) and eight Guiding Principles: integrity, stewardship &amp; compliance, transformation, principled entrepreneurship, knowledge, humility, respect, self-actualization.</div><div></div><div><br>
We have a relentless commitment to a culture based on PBM&trade;. Informed by the principles that allow a free and open society to flourish, PBM&trade; prepares individuals to innovate, improve, and transform while fostering a healthy, growing organization that creates long-term value for its clients and supporters and fulfillment for its employees.</div><div></div><div><br>
Infor is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive work environment. Infor does not discriminate against candidates or employees because of their sex, race, gender identity, disability, age, sexual orientation, religion, national origin, veteran status, or any other protected status under the law. If you require accommodation or assistance at any time during the application or selection processes, please submit a request by following the directions located in the FAQ section.</div><div></div><div><b><br>
Fraud Awareness</b></div><div></div><div><br>
We have been made aware of unauthorized individuals posing as Infor recruiters, including some who have made fraudulent offers of employment. Please read our guidelines and protect yourself from recruitment scams.</div><div></div><div><b><br>
Fraud Privacy Policy</b></div><div></div><div><br>
We value your privacy at Infor.</div></div></div></div></div></div></div></div></div></div></div><div></div>

Technical Support Analyst

State of North Dakota

<div><p><b>Summary of Work
</b></p><p>The North Dakota Insurance and Securities Department is seeking a dedicated and experienced attorney to support its Pharmacy Benefits Manager (PBM) Compliance Program. This role involves providing legal counsel, conducting regulatory examinations and investigations, and prosecuting violations of state PBM and insurance laws. The PBM Attorney will play a critical role in ensuring consumer protection and regulatory compliance in North Dakota's evolving insurance and pharmaceutical benefits landscape.</p>
<p><b>Duties and Tasks
</b></p><p>Conduct Regulatory Investigations and Legal Proceedings<br>
Examine and investigate PBMs and related entities; prepare and prosecute administrative and civil enforcement actions; draft legal documents; present arguments before tribunals and courts; and negotiate resolutions.<br>
</p><p>Legal Counsel and Policy Guidance<br>
Provide legal advice to the Insurance Commissioner, agency leadership, and staff on PBM and insurance statutes, rules, and regulations. Respond to legal inquiries from legislators, stakeholders, and the public.<br>
</p><p>Policy and Rule Development<br>
Draft and review legislation, administrative rules, and agency guidance. Monitor and analyze state and federal legal developments affecting PBM regulation and recommend policy responses.<br>
</p><p>Collaboration and Representation<br>
Collaborate with internal staff, other state and federal agencies, and national insurance regulators. Represent the Department in National Association of Insurance Commissioners (NAIC) working groups and external stakeholder meetings.<br>
</p><p>Education and Outreach<br>
Provide training and presentations on PBM compliance and insurance law to Department staff, legislators, and stakeholders. Participate in continuing education and regulatory conferences to maintain subject matter expertise.<br>
</p><p><b>Minimum Qualifications
</b></p><p>Juris Doctor (J.D.) from an accredited law school.</p><p>
Active membership (in good standing) with the North Dakota Bar, or eligible for admission by reciprocity within six months of hire.</p><p>
Minimum of three years of professional legal experience in one or more of the following areas: regulatory compliance, administrative law, litigation, pharmaceutical law, health care law, insurance law, or related legal fields.</p><p>
Experience preparing and presenting cases in administrative or judicial proceedings is preferred.</p>
<p><b>About Team ND
</b></p><p><i>&quot;Far and away the best prize life offers is the chance to work hard at work worth doing.&quot; - Theodore Roosevelt</i></p><p>
More than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota. At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage. Our purpose is to empower people, improve lives, and inspire success. Join us in being legendary.</p><p><b>
Total Rewards: </b>The State of North Dakota is committed to providing team members with a strong and competitive rewards package that support you, your health and your family.</p><p>
Considering a new position on Team ND? How does your current position stack up? Use our Total Rewards Calculator to estimate.</p>
<p><b>Application Procedures
</b></p><p>Applicants are screened based on qualifications, successful completion of the interview process and a background and criminal investigation. Applicants must be currently authorized to work in the United States on a full-time basis. <b>The Insurance Department does not provide sponsorships.</b></p><p>
Application package must be received by 11:59 PM Central Standard Time (CST) on the closing date listed on the opening.</p><p>
TO BE CONSIDERED FOR THIS POSITION APPLICATIONS MUST BE SUBMITTED ONLINE AT: www.nd.gov/careers</p><p>
Documents to be submitted:</p><p>
Resume</p><p>
Cover letter with a summary that clearly explains how the applicant's work experience is related to the summary of work and minimum/preferred qualifications.</p><p>
3 Professional References</p><p>
College Transcripts (copies or unofficial versions are acceptable for the initial application process but when the top candidate is given a conditional employment offer, they are required to present official transcripts)</p><p>
Anyone needing assistance or accommodations during any part of the application or interview process please contact Rachel, E-mail: rkriege@nd.gov; phone: (701) 328-2931 or TTY: 1-800-366-6888.</p>
<p><b>Equal Employment Opportunity
</b></p><p>The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.</p><p>
As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. Sect. 23-12-10.</p></div>

Pharmacy Benefits Manager Attorney

Optum

<div><p>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start <b>Caring. Connecting. Growing together.</b></p><p></p><p><br>
The Sr. Pharmacy Account Manager drives retention and growth through development of account strategies and business relationships with external clients. In this role, the focus will be on delivering best-in-class service to clients, leading, and managing internal and external relationships, as well as developing new business from existing clients. The ability to proactively identify client's needs and establish proactive plans will be key in this role. This role will conduct customer consultations, lead applicable negotiations and work with internal partners to support client commitments &amp; contractual deliverables.</p><p></p><p><br>
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.</p><p></p><p><b><br>
Primary Responsibilities:</b><br>
Operational Management:</p><ul><li>
Manages assigned larger/more complex external accounts with daily interactions with clients, consultants, brokers, and leaders both internal and externally</li><li>
Responsible for managing the day-to-day operational functions of multiple clients in the areas of Implementation /onboarding new customers, escalated member/client concerns, benefit design setup and changes, product/program implementation and other service delivery projects to ensure operational quality and client satisfaction</li><li>
Collaborates with multiple layers of operational teams in a complex matrix driven organization to ensure quality service delivery for the clients you serve</li><li>
Provides regular communication to management on client concerns and feedback</li><li>
Assists in client training for remote system access and reporting</li><li>
Oversees all PBM operational functions pertaining to day-to-day management of the client</li><li>
Responsible for the PBM operational management of self-funded clients in coordination with assigned account team members</li><li>
Identifies solutions to non-standard requests and problems and translates concepts into practice</li><li>
Leads team, segment, or organizational projects/workgroups</li><li>
Provides administrative/management/leadership back-up support to Director as necessary</li><li>
Consistently looks at existing processes, methods, and materials to find and implement opportunities for improvement</li><li>
Serves as Subject Matter Expert (SME) for other departments on specific issues/inquires</li><li>
Routinely identifies, develops, and shares best practice experience with peers</li><li>
Mentors and trains new and existing Account Managers when requested</li><li>
Facilitate resolution of all escalated requests by working with internal partners and conducting customer consultations as required</li><li>
Coordinate activities to support impact reporting, root cause analysis, and full remediation</li><li>
Ability to read, analyze and interpret SOPs and reporting</li><li>
Demonstrate a high level of knowledge pertaining to the customer's specific benefit design</li><li>
Coordinate 1/1 readiness activities; monitors new products and groups, scenario testing, facilitate daily updates/progress reports with client and internal functional partners</li><li>
Proactively identifies and leads process improvements initiatives</li><li>
Seeks stretch opportunities to expand knowledge and skillsets</li><li>
Perform other assignments and responsibilities as required by management</li></ul><p>
Client Relationship Management:</p><ul><li>
Represent the client internally to implement plan design, complete projects, and address ongoing service needs</li><li>
Assesses and interprets client needs and requirements and represents both internally and externally</li><li>
Maintains familiarity with assigned client contract terms as they pertain to service level performance</li><li>
Maintains and develops relationships with client leaders, key stakeholders, and brokers/consultants while maintaining focus on Optum strategies and goals</li><li>
Advanced internal department knowledge of cross-functional partners</li><li>
Establish and maintain strong relationships with clients to maintain consistency and drive client satisfaction</li><li>
Collaborate with boarder Account Team and Internal Business partners to maintain client action logs of outstanding items and identify issues/trends to determine corrective action steps; participate in regular discussions to review</li><li>
Demonstrate a high level of knowledge pertaining to the customer's specific benefit design</li><li>
Ability to understand, interpret, communicate, and execute on client requirements</li><li>
Ability to recognize, anticipate and manage downstream impacts to ensure project success/client satisfaction</li><li>
Seen as a consultative resource focused on best practices and optimal outcomes</li></ul><p></p><p><br>
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.</p><p><b>
Required Qualifications:</b></p><ul><li>
4+ years of Pharmacy, OR Pharmacy Benefit Management (PBM) experience</li><li>
4+ years of Account Management experience</li><li>
Rx Claim experience</li><li>
Proficient in Microsoft applications (Word, Excel, SharePoint, Outlook, etc.)</li><li>
Willing and able to learn PBM tools to drive operational activities (reporting tools, issue management tools, claims adjudication, etc.)</li><li>
Demonstrated communication, positive attitude, and professionalism in dealing with and having exposure to both internal and external clients</li><li>
Proven ability to Prioritize multiple tasks in a fast-paced production environment</li><li>
Demonstrated ability to work in self-motivated environment with limited supervision</li><li>
Ability to work a minimum 8-hour shift during regular business hours</li><li>
Ability to Travel 15%</li></ul><p></p><p><b><br>
Preferred Qualifications:</b></p><ul><li>
Certified Pharmacy Technician</li><li>
SalesForce or ServiceNow experience</li><li>
Advanced reporting skills</li></ul><p></p><ul><li><br>
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy</li></ul><p></p><p><br>
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.</p><p></p><p><b><br>
Application Deadline: </b>This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.</p><p></p><p><i><br>
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.</i></p><p></p><p><i><br>
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.</i></p><p></p><p><i><br>
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</i></p></div>

Senior Pharmacy Account Manager - Remote

<div><p>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start <b>Caring. Connecting. Growing together.</b></p><p></p><p><br>
The Accounts Payable Lead will provide strategic leadership and operational oversight of the AP function within a pharmaceutical or PBM (Pharmacy Benefit Management) environment. This role ensures accurate, compliant, and timely processing of invoices and payments, while driving process excellence, automation, and adherence to financial controls aligned with healthcare industry regulations.</p><p></p><p><b><br>
Primary Responsibilities:</b></p><ul><li>
Delivery:<ul><li>
Manage the full life cycle of payments including invoice validation, payment scheduling, execution, and reconciliation</li><li>
Monitor payment runs and resolve any issues related to payment failures or discrepancies</li><li>
Monitor and enforce internal controls across AP processes, including exception handling, reconciliations, and client payment accuracy</li><li>
Lead teams in understanding vendor and payer contracts to ensure correct financial accounting and reporting</li><li>
Ensure compliance with all legal, regulatory, and healthcare industry requirements, including payment transparency, anti-kickback regulations, and SOX controls</li><li>
Collaborate with finance and compliance teams to align AP processes with corporate objectives and regulatory mandates</li><li>
Lead and support the closure of AP-related audit issues and ensure all documentation meets internal and external audit standards</li></ul></li><li>
Strategic Leadership<ul><li>
Provide strategic leadership for the Accounts Payable process to ensure accuracy, timeliness, and compliance with industry standards, internal controls, and corporate policies</li><li>
Develop and implement efficient AP systems and processes tailored to the Pharma / PBM business, delivering value to both internal stakeholders and clients</li><li>
Establish and maintain mitigating measures and financial controls to manage risks and ensure audit readiness</li><li><p>
Be a change agent to drive awareness about global locations, culture to promote a solid &quot;One teamwork&quot; environment</p></li></ul></li><br>
<p></p><li>
Transformational:<ul><li>
Integration with business by understanding their Challenge and Opportunities - Evaluating and driving process improvement as per business prioritization</li><li>
Support business transformation programs through engagement of the Fin Tech team across location</li><li>
Drive process improvements and strengthen the control environment around key finance processes</li></ul></li><li>
Team Management:<ul><li>
Define and communicate functional goals. Ensuring alignment with broader finance and business objectives</li><li>
Provide leadership, coaching, and performance management for the AP team to drive efficiency, accountability, and professional development</li><li>
Oversee the performance of direct reports, ensuring KPIs and SLAs are well-defined, tracked, and met consistently</li><li>
Foster a culture of accuracy, compliance, and continuous improvement within the finance operations team</li></ul></li><li>
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so</li></ul><p><b>
Required Qualifications:</b></p><ul><li>
Bachelor's degree in accounting or finance</li><li>
Professional certifications such as CPA, CMA, or CA (preferred)</li><li>
15+ years of progressive experience in Accounts Payable or Finance Operations, preferably within the Pharma, PBM, or Healthcare industry</li><li>
Experience with ERP systems (e.g., Oracle, servicenow) and AP automation tools</li><li>
Solid understanding of GAAP, internal controls, SOX compliance, and healthcare financial regulations</li><li>
Advanced analytical and information gathering skills; ability to evaluate and prioritize extensive detailed data</li><li>
Ability to prioritize multiple projects and meet internal deadlines, work effectively under pressure</li><li>
Proven excellent written and verbal communication skills</li><li>
Excellent PC skills: Excel, PowerPoint, Access, SharePoint, Hyperion, Essbase, and others if any</li><li>
Open for evening shifts -: 15:30 to 01:00 (late night shift 17:45 to 03:30 during closing period).</li></ul><p></p><p><b><br>
Core Competencies:</b></p><ul><li>
Leadership and people management</li><li>
Solid analytical and problem-solving abilities</li><li>
In-depth knowledge of pharmaceutical / PBM finance operations</li><li>
Process improvement and automation expertise</li><li>
Excellent communication and stakeholder management skills</li><li>
Ability to produce deliverables of high quality.</li><li>
Understanding of revenue cycle, cash flow and different payment modes.</li></ul><p></p><p><b><br>
Preferred Qualification:</b></p><ul><li>
End to End payments cycle management</li><li>
Health care experience</li></ul><p></p><p><i><br>
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.</i></p></div>

Associate Director Accounting - Accounts Payable

<div><p>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start <b>Caring. Connecting. Growing together.</b></p><p></p><p><br>
Employees in this position are responsible for performing disbursement activities for pharmaceutical manufacturer`s discount (rebates) clients based on contracts executed by Industry Relations.</p><p></p><p><b><br>
Primary Responsibilities:</b></p><ul><li>
Quarterly or monthly disbursement based on client contracts per payment terms</li><li>
Defining, creating, and amending disbursement Jobs in RxMAX</li><li>
Trial Analysis, Pushing payments into production</li><li>
Creating task in RxATOM, Reviewing payment in RxPACMAN</li><li>
Performing quality check for Disbursement tasks</li><li>
Coordinating with onshore on amendments or renewals of Rebate contracts</li><li>
Validation of task assignments in RxATOM</li><li>
Processing of various disbursement jobs in RxMAX</li><li>
Invalid or Termed Payee analysis</li><li>
Updating RxMax Job ID List and RxATOM Builder List</li><li>
Payment process initiation from RxATOM for data to flow from Atom to RxPACMAN</li><li>
Validating and updating supporting comments for flagged items in PacMan which compares payments from Current Quarter with Prior Quarter</li><li>
Providing reasons for increase or decrease in payment amounts due to price changes or utilization changes</li><li>
Client validations for Rebate Disbursements contracts set ups</li><li>
Processing ServiceNow Tasks</li><li>
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so</li></ul><p><b>
Required Qualifications:</b></p><ul><li>
4+ years of experience F&amp;A consists of Disbursement, RCM, Contract management (Mild exposure)</li><li>
Intermediate (or higher) level of Microsoft Excel proficiency, using pivot tables, Lookups, Sum-if, etc. for reporting purposes</li></ul><p></p><p><b><br>
Preferred Qualifications:</b></p><ul><li>
Commerce degree (B. com or M. com), Accounting, Finance, or related field</li><li>
RxMAX, RxATOM, PacMan, Advanced Excel experience</li><li>
Reporting or PBM or RCM background</li><li>
Proven opportunity for a go-getter who is looking to grow within the organization</li></ul><p></p><p><b><br>
Core Competencies:</b></p><ul><li>
Attention to detail, analytically minded</li><li>
Self-driven and team player</li><li>
Good Interpersonal skills</li><li>
Fair understanding of Disbursement, PBM, Revenue Cycle Management, Payment processing</li></ul><p></p><p><i><br>
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.</i></p><p></p><p><i><br>
#njp</i></p></div>

Senior Analyst - Accounts Receivable

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