Stephanie Dirocco
- Role
- Senior Rebate & Contract Analyst, Managed Care at Bristol Myers Squibb
- Location
- Princeton, NJ, US
- LinkedIn followers
- 500 followers
About Stephanie Dirocco
A proactive and dynamic self-starter who is competent at managing responsibilities in a…
Experience
Senior Rebate & Contract Analyst, Managed Care
May 2020 — Present
Review executed paper contract, develop summary of contract terms and set up contract to accurately reflect the intent of the contract • Maintain Managed Care rebate contracts including contract terms, membership and formulary status • Review and validate submitted Managed Care rebate claims data and make decisions on claims eligibility based on plan formulary status and compliance. • Calculate rebates on eligible claims, review for accuracy through the thorough analysis and resolution of discrepancies, and make decision on final payment due to customer per the contract terms • Collaborate with VAP Contract Operations team to ensure that the intent of the contract is carried out in the rebate calculations and payments • Identify and make decisions to resolve variances in claims data trends or expected rebate rates. • Evaluate invoices for year-to-date rebate payment trends and provide explanations for variances vs. prior periods. • Make decisions to escalate certain unexplained variances which may indicate potential compliance or performance issues to VAP leadership for further action. • Resolve outstanding issues to ensure payments are made within the contractual timeframe. • Monitor drug formulary compliance • Serve as primary contact with external customers and VAP Contract Operations team to address questions or to resolve issues. In the event of disputes, gather supporting facts and make recommendation for resolution for approval by VAP management. • Apply process oriented and critical thinking to enhance organizational effectiveness of accurate and timely contract administration and rebate processing. Revise SOPs as required to reflect process improvements. • Maintain compliance with SOX and audit controls governing contract and rebate operations. • Assist in fulfilling requirements related to internal/external audits of systems and processes, legal requests and government agency inquiries
Skills
- Project Coordination
- Imovie
- Event Planning
- Online Marketing
- Editing
- Microsoft Office
- Avid
- Garageband
- Avid Media Composer
- Video Editing
- Event Management
- Behavioral Interviewing
- Video Production
- Youtube
- Digital Media
- Tumblr
- Producing
- New Media
- Marketing
- Creative Writing
- Social Networking
- Social Media
- Entertainment
- Music
- Sox
- Os X
- Final Cut Pro
- Compliance
- Video
- Mac
- Press Releases
- Studio Lighting
- Television
- Excellent Communication Skills
- Social Media Marketing
- Wordpress
- Blogging
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