[Hiring] Senior Manager, Contract Operations & Revenue Integrity @Otsuka Pharmaceutical Co., Ltd.

Role Description

The Senior Manager, Contract Operations & Revenue Integrity is responsible for protecting and optimizing the gross-to-net (GTN) revenue for the company’s drug portfolio. Operating at the intersection of contract strategy, government pricing, financial forecasting, and legal compliance, this role mitigates financial risks related to complex insurance rebates, chargebacks, duplicate discounts (e.g., 340B programs), and statutory government liabilities. The individual serves as a critical strategic partner to brand teams and managed markets account executives.

Key Responsibilities

• Revenue Optimization & GTN Management
  • Monitor and analyze the gross-to-net (GTN) pipeline to identify revenue leakage points within commercial payer and government channels.
  • Partner with GTN forecasting to build accurate models for forecasting payer discount liabilities and pricing strategies.
  • Identify anomalies or unexpected financial variance in commercial and government rebates.
• Contract Compliance & Fraud Prevention
  • Validate contract fulfillment terms against historical pharmacy claims data to identify overpayments or duplicate discounts.
  • Execute audit protocols for Pharmacy Benefit Manager (PBM) and payer rebate invoices.
  • Coordinate and support all aspects of such audit, including selection and coordination with third party auditors.
  • Responsible for the dispute process, including engaging with the customer, legal coordination, and escalation where required.
  • Oversee systems that flag and mitigate duplicate 340B drug discount violations paired with Medicaid rebates.
• Government Pricing & Regulatory Oversight
  • Monitor calculation accuracy for federal pricing metrics including Average Manufacturer Price (AMP), Best Price (BP), and Average Sales Price (ASP).
  • Ensure absolute alignment with the Inflation Reduction Act (IRA), Medicaid Drug Rebate Program, and federal pricing structures.
  • Act as an internal control expert to protect the organization against federal compliance penalties.
• Cross-Functional Strategic Collaboration
  • Partner closely with Account Management, Pricing Strategy, Legal, Finance, and Brand Management teams.
  • Ensure GTN financial impact of all disputes is appropriately captured.
  • Support pre-deal analyses by assessing potential GTN and revenue integrity impacts.
  • Build executive-ready risk mitigation models outlining shifting regulatory or marketplace trends.

Qualifications

• Bachelor’s degree in Finance, Economics, Business Administration, or life sciences required.
• An MBA or advanced financial certification is highly preferred.
• 5+ years of experience in the pharmaceutical or biotech industry, with a direct focus on Market Access, Pricing & Contracting, Gross-to-Net (GTN) accounting, or commercial financial analytics.

Requirements

• Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
• Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.
• Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
• Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
• Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.
• Empowered Development - Play an active role in professional development as a business imperative.

Benefits

• Comprehensive medical, dental, vision, prescription drug coverage.
• Company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance.
• Tuition reimbursement and student loan assistance.
• A generous 401(k) match.
• Flexible time off, paid holidays, and paid leave programs.
• Other company provided benefits.