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Reconciliation, AR, Contract Sales, GPO Membership Validation, Analyst

Location:
Hawthorne, NJ, 07506
Salary:
50,000
Posted:
September 14, 2013

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Resume:

J o Ann Griffiths

***** ***** ****** ***** ************, FL 32246

*************@*******.***

904-***-****

Summary of Qualifications:

Dedicated, results oriented, Individual with extensive knowledge and in pharmaceutical chargeback credit cycle

management. Recognized by peers, managers and subordinates as a reliable and resourceful individual; with the ability

to coordinate and complete multiple projects simultaneously. Proven leadership qualities show the ability to work

independently or as an integral component of a team; capable of identifying problems, devising and implementing viable

solutions. Personally ensures positive and ethical working relationships, with customer contentment and profitability as a

primary focus.

Occupational History:

PSS World Medical- Jacksonville, FL 2008-Present

Chargeback Credit & Contract Analyst

• Responsible for administering and analyzing GPO and Local Vendor Contracts to include eligibility, item, cost, and

p ricing updates for assigned pharmaceutical and medical supplies suppliers- Negotiates collections and credit

settlements while working with the legal team.

• Provides sales support and data analysis to include monthly/daily reports, and notifications to field personnel,

b ranch management, and manufacturers utilizing EDI and various CPU programs on a daily basis.

• Researches and reconciles rebate discrepancies, manages resubmission and payback processes to resolve

outstanding claims.

• Concurrent with Gross Profit and Margins as a primary focus for assisting in eligibility and administering contract

eligibility; implementing accuracy, communication to sales reps to reduce rejected reimbursement claims.

• Supports continuous process improvement by utilizing Lean and Wig concepts as a designated Lean Champion.

• Directly responsible for all internally funded contracts including promotional contracts with Marketing, Supplier

M anagement and Customer Experience in accordance to the stock market.

• Specializes in pharmaceutical product contract development and eligibility containing class of trade information

and working directly with the GPO’s and supplier partners.

• Manages multiple tasks, projects while acknowledging and interpreting regulatory processes to keep within the

D EA/HIN/GPO/340B/COT (Class Of Trade) and all pharmaceutical guidelines and all PSS ethics.

• Responsible for directing Pharmaceutical team with appropriate t raining in regards to new PSS standards to

adhere to any government, federal and state guidelines needing to be followed.

• Concurrent with Med-Surg and Pharm customer cross referencing, item cross referencing (including RX items and

secondary sourced items), as well as all aspects of Large Customer Management.

• Analyzed all aspects of chargeback’s, contracts, membership, large customer management and system development.

• Proven results in leadership skills continue to show even with challenged employees- still have positive results and

continued improvement in their rolls. All employees are highly valued and still employed, and incredibly successful

w ith PSS.

• Currently serves as p rimary or secondary business liaison on all pharmaceutical, medical supply, eligibility and

specialty contracts and relationships.

• Continues to provide customer satisfaction to internal and external customers while maintaining our Code of Ethics

as a personal guarantee within self-moral satisfaction.

• Analyses and interoperates item category data in order to distinguish differences between original MFG items and

SSG items in JDE, which interprets the determination and sales of RX items in the appropriate manner.

• Handled all requests from Field Support, IDN Management, and Sales Operations teams to ensure customers were

accessing appropriate GPO’s to obtain best pricing while consciously incorporating any profitability in account.

• Directed all Sales Field and GPO personnel to acquire and provide appropriate legal documents needed to gain

access to the desired contracts, while maintaining focus on the customers’ needs and profitability for the

corporation.

• Researched all contract and rebate discrepancies related to Membership eligibility WAC, cost, and price and

acquisition costs.

• Interacted with auditors to facilitate internal and external audits in compliance with PSS procedures.

• Conceptualizes and orchestrates the implementation of various suppliers relationships within contracts and

chargebacks; directly responsible for the success of profitability while continuing to maintain strong professional

relationships and continuing improvements within contracts and rebate goals.

• Responsible for testing, implementing and employee training for the conversion of legacy system JD Edwards to

SAP/Vistex for our Contracts, Chargebacks, Membership and Eligibility teams. Provided all t raining and

i mplementation JDE workbench for

• National/LVC/ and Eligibility contracts teams, to ensure success of merging all three teams while avoiding any

additional denials.

• Processed all chargeback’s/rebates from assigned manufactures on a monthly basis, while managing and resolving

d iscrepancies’ to prevent future denials, Processed all new, addendums and expirations to all assigned suppliers

w ithin portfolio on a weekly, monthly, and yearly basis.

• Directly responsible for top 4 largest grossing suppliers, with proven results in a year, cutting all denied claims in

half through fixing contract errors and correcting customer eligibility discrepancies’.

• Responsible for providing reports (not limited to) but to include CCTR, Audit Reports, Contract Expiration Reports,

and Sales

• History reports to determine and advise best margin to sales reps on a contract/customer/credit basis .

Becton Dickinson- Franklin Lakes, NJ 07/1991- 06/2008

Senior Chargeback Analyst

• Assisted in the development and execution of recommendations in key metrics and strategies in areas which impact price

reporting to support long and short term business goals. Recognizes and interprets business issues/opportunities and

recommend solutions for market growth.

• Verified amounts and cross referenced chargeback reports submitted to all business customers.

• Adjusted, collected and maintained accounts as a primary focus for profitability.

• Worked with the contracts department, MDO and other departments to correct rejections and resubmissions.

• Analyzed reports in Business Warehouse and Access database to correct denied claims per account.

• Worked with Sales Team and Operations Management to get denied claims corrected in a timely manner.

• Handled distributor accounts and administered contracts and Chargebacks.

• Responded to questions/inquiries; which included policies, pricing, payment calculations, contract performance, compliance, etc.

• Supported the reconciliation of Distributor claims by investigating errors and quickly analyze the root cause behind the errors

and resolve it.

• Responsible for the creation of Credit, Collections, and (or) chargeback documents for both Accruals and the Settlement of

claims.

• Experienced working in an FDA regulated environment with high emphasis on Validation & Compliance of systems and

p rocesses.

• Provides leadership assistance focused on collection of credits, while interacting with Customers, Senior Management, Sales,

and Customer Care in distribution and sales corporation.

• Experienced with Electronic Data Interchange (EDI: EDI-845 Contract notification, EDI-867 Sales tracing, EDI-869 Order

S tatus Inquiry, EDI- 812 Credit/Debit Adjustment, EDI- 844 Product Transfer Account Adjustment, EDI-890 - Contract &

Rebate Management, etc.

Educational Preparation and Training:

Grand Canyon University

2011-2012

B usiness Administration

Hawthorne High School 1987

General Studies

Computer Systems and Processor Knowledge:

• Business Intelligence- Answers

• Microsoft Office 2003, 2007, 2010 (Advanced Training- Access, Excel, Share Point, PowerPoint)

• JD Edwards

• Oracle

• Citrix

• Clientele

• SAP/Vistex

• Business Warehouse

• EDI- Electronic Data Interchange

References Available Upon Request



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