Sr. Rebate Analyst, Managed Care (Commercial Contracting) - Foster City, CA

Location: United States - California - Foster City

At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference.

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Gilead Sciences Inc. is seeking a Senior Rebates Analyst to lead the day-to-day administration and processing of Managed Care Commercial and Medicare Part D contract payments in support of the contract development activities of the Managed Markets Strategy & Operations group. This group manages and supports Gilead’s strategies with national and regional Managed Markets accounts to provide appropriate patient access to Gilead’s products.

This position has primary responsibility for maintaining strong relationships with payers and ensuring that all contract payments and associated reporting are completed on time and in accordance with established policies and procedures. The analyst will serve as a rebate data subject matter expert, ensuring proper data validation, verification of contract compliance, rebate processing, and payment analysis to protect Gilead from revenue leakage.

As a Sr. Rebates Analyst at Gilead, you will...

Duties and Responsibilities

• Create, manage, and analyze day-to-day operational reports and metrics to monitor adherence to contractual service levels, identify and communicate program trends, and support continuous improvement.
• Enter contracts into Gilead’s operational systems based on the terms and conditions in the agreements, ensuring that contractual obligations are accurately captured and updated.
• Work with external customers and internal stakeholders to resolve disputes promptly and, when practical, to Gilead’s advantage.
• Use statistical methods to gather and analyze data, create reports, and recommend potential adjustments based on variance analysis.
• Serve as a subject matter expert and technical resource for rebate systems and tools.
• Review and validate customer submissions within established timeframes to ensure data accuracy and timely processing and payment.
• Track all submissions and payments through Gilead systems (SharePoint, Model N, Validata, and OIMS) to proactively allow adequate lead time for rebate payments.
• Work with the management team to prioritize the needs of each business segment and define the specific data requirements for each business process and analysis project.
• Proactively research and analyze payment variances and trends, identify outliers, and investigate root causes of potential upstream errors or market activity.
• Support the development and maintenance of policies and standard operating procedures to ensure compliance.
• Participate in internal and external audits, as needed, to demonstrate compliance with policies, laws, and regulations.
• Interact effectively with key internal and external stakeholders, including customers, contract and account managers, Strategy and Analytics, FP&A, Accounts Payable, Legal, and third-party consultants.
• Manage general customer service inquiries and oversee the routing of questions to the appropriate resources.
• Manage and lead special projects as needed while remaining flexible and adaptable to changing business requirements and processes.
• Collaborate with the team to accomplish departmental goals.

Basic Qualifications

Bachelor's Degree and Five Years' Experience

OR

Masters' Degree and Three Years' Experience

Preferred Qualifications

Proven ability to prioritize and manage rebate payment processing across channels and customers, including Commercial plans, Medicare Part D, Medicaid, and Health Exchanges, with limited supervision; meet deadlines; and exercise sound judgment in a fast-paced environment.

Invoice-processing and customer-service skills, with an emphasis on time management, prompt follow-through, and a proactive approach.

Working knowledge of claim-processing principles, documentation requirements, and processing systems.

Basic knowledge of Model N and/or Validata preferred but not required.

Knowledge of health plans, pharmacy benefit managers (PBMs), and the pharmacy business is a plus.

Data-management skills and the ability to analyze and communicate relevant information to internal and external stakeholders.

Demonstrated decision-making skills, ability to work collaboratively within a team, and ability to solve problems and troubleshoot issues independently with minimal guidance.

Ability to develop effective solutions to complex problems with limited tools and guidance.

Proficiency in Microsoft Excel and PowerPoint.

Basic knowledge of Tableau or Alteryx is a plus.

Demonstrated ability to understand and interpret contract language.

Strong verbal, written, and interpersonal skills, with the ability to interact effectively with all levels of internal and external stakeholders.

Proven analytical experience and critical-thinking skills.

The salary range for this position is: $126,820.00 - $164,120.00. Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location. These considerations mean actual compensation will vary. This position may also be eligible for a discretionary annual bonus, discretionary stock-based long-term incentives (eligibility may vary based on role), paid time off, and a benefits package. Benefits include company-sponsored medical, dental, vision, and life insurance plans*.

For additional benefits information, visit

https://www.gilead.com/careers/compensation-benefits-and-wellbeing

• Eligible employees may participate in benefit plans, subject to the terms and conditions of the applicable plans.

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In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans' Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact [email protected] for assistance.

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