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4 дня назад

Director, Contract Operations & Revenue Integrity

186 489 - 278 875$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
director
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Director, Contract Operations & Revenue Integrity (Pharmaceutical Revenue Operations): Overseeing payer contract execution, rebate claim validation, payment processing, dispute resolution, and external audits with an accent on gross-to-net accuracy, revenue leakage prevention, and regulatory compliance. Focus on validating complex utilization data, recovering disputed funds, standardizing payer audit protocols, and maintaining SOX and government pricing controls.

Location: Remote within the United States

Salary: $186,489–$278,875 annually, plus incentive opportunity.

Company

hirify.global is a pharmaceutical company developing and commercializing healthcare products and services.

What you will do

  • Lead validation of commercial, managed care, PBM, Medicare, and Medicaid rebate claims.
  • Authorize utilization data validation against contractual terms and formulary positioning.
  • Oversee accurate, timely payment processing and maintain financial systems integrity.
  • Identify overpayments, duplicate claims, and processing errors to reduce revenue leakage.
  • Lead payer dispute resolution, reconciliations, settlement negotiations, and recovery tracking.
  • Direct external payer audits and partner with Legal and Market Access on contractual remedies.

Requirements

  • Bachelor’s degree in Finance, Accounting, Business, or Healthcare Administration required.
  • 8+ years of experience in pharmaceutical contract operations, gross-to-net analytics, or revenue compliance.
  • 4+ years of leadership experience managing validation analysts, auditors, or financial operations teams.
  • Experience with payer contracts, rebate claims, financial validation, compliance, and auditing.
  • Ability to work remotely while performing the role in the United States.

Nice to have

  • MBA, CPA, CIA, or MS in Finance.

Culture & Benefits

  • Comprehensive medical, dental, vision, and prescription drug coverage.
  • Company-provided life, accidental death and dismemberment, and short- and long-term disability insurance.
  • Tuition reimbursement and student loan assistance.
  • Generous 401(k) match, flexible time off, paid holidays, and paid leave programs.
  • Emphasis on accountability, strategic problem solving, impactful communication, respectful collaboration, and professional development.

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