Analyst – Commercial Contract Administrator, Analytics, Automation & AI Innovation
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Job Description
Commercial contract administrator processing pharmaceutical rebates and detecting revenue leakage. Using SQL, Excel, Power BI, and AI automation to improve Lilly’s payment operations.
Responsibilities:
- Build technical knowledge of Contract Administration procedures, systems, contracting language, and product knowledge
- Understand customers including PBMs, HMOs, and Commercial/Part D payers and their requirements
- Develop understanding of healthcare industry trends affecting contracts and rebates
- Develop working knowledge of AI/ML tools used in Revenue Defender
- Build relationships with internal partners across Contract Development, Legal, Government Pricing, Field Account Managers, Gross-to-Net, IT, and Purchase-to-Pay/Treasury
- Develop customer-peer relationships, proactively resolve issues, and identify mutually beneficial opportunities
- Review preliminary contracts for Contract Administration issues and collaborate on final contract language
- Manage contracts in the rebate system, including formulary status, rebate percentages, price groups, exhibits, and unique rebate strategies
- Process rebate-system data to determine payment amounts and produce reports and Customer Payment Packets
- Reconcile payment requests against actual payments, analyze variances, and investigate root causes
- Route full payments for FRAP approval/signature and follow up to meet deadlines
- Support Revenue Defender by identifying ineligible rebate submissions, compliance exceptions, and revenue leakage through pharmacy- and NDC-level analysis
- Document findings and partner on recoupment and corrective action
- Identify anomalies and patterns across large transactional data sets
- Identify and implement process standardization, automation, and AI-enabled analytics improvements
- Use AI-enabled analytics and automation for data validation, trend analysis, payment reconciliation, variance detection, and account profiling
- Generate and review trend reports to support planning, forecasting, and decision-making
- Maintain Payment Packets for internal and external auditors
- Participate in initiatives presenting AI-enabled ways of working
- Support additional Contract Administration areas, including copay, Commercial and Part D rebate payments, and Revenue Defender, as business needs evolve
Requirements:
- Bachelor's degree
- 1 year of work experience in pharma rebates, PBM, healthcare finance, or data analytics; recent graduates with internship experience and/or coursework in a quantitative field may be considered
- Authorized to work in the United States on a full-time basis
- No work authorization or visa sponsorship provided
- Preferred degree in Business, Finance, Economics, Data Analytics, Management Information Systems, Information Technology, or another analytical discipline
- Work experience or coursework demonstrating analytical capabilities
- Teamwork and customer service skills
- Experience with data flow, internal controls and processes, and system connectivity
- Attention to detail
- Familiarity with AI-enabled analytics and automation tools
- Knowledge of pharmacy claim data and related systems
- Working knowledge of SQL for querying and analyzing rebate and claims data in a data warehouse environment
- Advanced Excel skills, including pivot tables, Power Query, and formula-based reconciliation of large data sets
- Experience with Power BI or a similar business intelligence/visualization tool
- Exposure to automation or scripting tools such as Power Automate or Python
- Experience with a rebate management platform such as ICyte
- Familiarity with pharmacy claims data structures such as NDC and NCPDP
- Ability to identify data anomalies or patterns across large transactional data sets
Benefits:
- Company bonus depending partly on company and individual performance
- Company-sponsored 401(k)
- Pension
- Vacation benefits
- Medical, dental, vision, and prescription drug benefits
- Flexible benefits, including healthcare and dependent day care flexible spending accounts
- Life insurance and death benefits
- Time off and leave of absence benefits
- Well-being benefits, including employee assistance program, fitness benefits, and employee clubs and activities
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