Analyze, Advise, Deliver-Your Consulting Career Starts Here
Work shouldn't just be something we do; it should have a purpose. At Envision, we believe in creating life-changing outcomes through the work we do with our clients, giving back to our communities, while creating a company culture where our people thrive. We believe success starts with a workplace where everyone feels valued, supported, and empowered to grow.
Being part of a collaborative team means there's no limit to what you can achieve. With us, you can be a part of a growing company you want to work for.
Our Vision: To unleash the power of combined intelligence to accelerate patient access to life-changing treatments.
Our Mission: Delivering smarter and faster solutions to create, communicate, and commercialize value for our clients.
Our Values: Excellence, People, Growth
The opportunity
At Riparian, we offer innovative software, expert consulting, and outsourcing solutions to the life sciences industry. Our comprehensive solutions help manufacturers navigate the complexities of revenue management, government pricing, revenue leakage, contracting strategy, and more. With a client-focused approach, we drive transformative outcomes, ensuring regulatory success and operational efficiency.
As a Senior Consultant, you'll be responsible for providing strategic guidance and support to healthcare organizations in managing their relationships with insurance providers and optimizing reimbursement for services. You will analyze and negotiate contracts, evaluate payment models, and develop strategies to improve cost-effectiveness and quality of care. You will also provide expertise on regulatory compliance, network development, and financial analysis.
How will you make an impact at Envision Pharma Group?
Role responsibilities
- li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Manage executed managed care contracts from system entry through to rebate validations and payment using multiple systems in li">a timely li"> and compliant manner.
- li"> li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Ensure li">accurate li"> and li">timely li"> processing of assigned accounts including system entry, rebates, validation, reporting, correspondence, and all other aspects of commercial contract administration.
- li"> li"> li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Perform detailed analysis and validation of rebate claim data li">in order to li"> accurately li">adjudicate li">the managed li"> care rebates according to the terms specified in the contracts.
- li"> li"> li"> li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Perform li">formulary li"> review on a quarterly basis to confirm li">formulary li"> position of products on contract.
- li"> li"> li"> li"> li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Set up and li">maintain li"> contracts li">pertaining to li"> assigned accounts in rebate adjudication system and ensure that they li">properly reflect li"> the contract terms and requirements.
- li"> li"> li"> li"> li"> li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Reviews key financial, membership and li">utilization li"> report to li">monitor li"> trends and research any significant changes in li">utilization li">.
- li"> li"> li"> li"> li"> li"> li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Collaborates with team members across multiple departments to li">facilitate li"> the exchange of information, address needs, and clarify contract requirements with internal and external customers.
- li"> li"> li"> li"> li"> li"> li"> li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Serve as liaison between management and customers li">in order to li"> resolve any disputed rebate claim data.
Do you have what we are looking for?
Skills & expertise
- li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Bachelor's degree in Healthcare li">, Accounting/ Finance, Business Administration or Technology related field li">required li">.
- li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Minimum 5 years of managed care consulting, healthcare finance, or payer contracting li">required li">.
- li" data-ccp-parastyle-defn='{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}'>Minimum 2 years of managed care contract negotiating with improved financial performance li">required li">.
Salary range: $93,800 - $122,000
The provided salary range reflects the potential base salary for this role in the United States, considering factors such as your professional and academic experience, training, and role responsibilities. In addition to a competitive base salary, we offer an attractive total compensation benefits package designed to reward and support our people.
#TogetherWeDiscover
Do you have the experience we are looking for? If so, explore your place at Envision today!