Overview
Support the execution of U.S. pharmaceutical membership operations by managing customer eligibility, GPO alignments, membership validations, customer setup, contract alignment, and membership maintenance activities. Serve as a link between Market Access, Contracting, Pricing, Chargebacks, MDM, Government Pricing, wholesalers, GPOs, and customers.
What you'll do
- Support the end-to-end membership process, including customer onboarding, eligibility validation, membership maintenance, GPO alignments, and customer relationship updates.
- Review and triage membership requests from GPOs, wholesalers, Key Account Managers, Contracting teams, and other stakeholders.
- Validate customer information, determine eligibility based on contract terms, class of trade, GPO participation, and business-specific requirements, and execute work against established SLAs.
- Perform customer validation using HIN, DEA, HIBCC, HRSA, OneKey, HCM, GCPS, and other approved reference sources.
- Review Declaration Forms, validate customer hierarchies and attributes, and maintain membership records, contract affiliations, and GPO relationships.
- Support customer adds, drops, strategy realignments, and membership updates resulting from acquisitions, organizational changes, roster updates, and contract transitions.
- Create and maintain customer records in HCM, GCPS, SAP, and related systems; support customer setup, LEH creation, attribute maintenance, and contract alignment.
- Coordinate with MDM teams on customer records, master data corrections, and hierarchy management.
- Monitor system interfaces, investigate setup and data integrity issues, and support successful data synchronization.
- Develop, validate, and distribute eligibility reports; review dispute reports and customer listings.
- Analyze membership trends, customer changes, roster updates, and operational metrics.
- Investigate eligibility disputes, support rebuttals, research denials, prepare rationale, and maintain decision documentation.
- Collaborate with internal teams and external customers to resolve membership-related inquiries and issues.
- Support quarterly PHS and 340B eligibility updates, OPA extracts, hospital coalition pricing reviews, and specialty pharmacy, Kaiser, IBU, OBU, and Tezspire processes.
- Execute SOX controls, internal policies, pricing governance requirements, audit standards, and pharmaceutical contracting expectations.
- Maintain audit-ready documentation, support audits and control testing, and identify opportunities to automate processes, improve data quality, reduce cycle times, and enhance customer setup efficiency.
- Participate in UAT, system enhancements, reporting improvements, and process optimization initiatives.
What you'll need
- Master’s degree in business administration, Finance, Commerce, Economics, Life Sciences, Healthcare Administration, or related discipline.
- 3–6 years of experience in pharmaceutical commercial operations, membership operations, contracts & pricing, customer master data, managed markets, market access, revenue management, or related business functions.
- Experience supporting customer validation, contract administration, data management, reporting, or operational processes.
- Strong Excel, analytical, organizational, and documentation skills.
- Ability to manage multiple priorities and work effectively in a deadline-driven environment.
Nice to have
- Pharmaceutical or biotechnology industry experience.
- Knowledge of U.S. pharmaceutical customer eligibility, membership operations, GPO contracting, market access, and reimbursement processes.
- Experience with HCM, GCPS, SAP, Tableau, OneKey, HIBCC, HRSA, Model N, or similar commercial operations platforms.
- Understanding of customer master data management, legal entity hierarchies, parent-child relationships, class of trade management, and contract eligibility processes.
- Experience supporting customer onboarding, data governance, compliance controls, and audit activities.
- Strong stakeholder management, communication, and problem-solving skills.
- Experience collaborating with U.S.-based stakeholders in a global operating model.
Details
- Location: Hyderabad, Telangana, India.
Read the full description and apply on the company’s own careers page.