Rosemarie Santiago
Sevierville,TN
Summary
Pharmaceutical Industry professional, Contract Rebate Analyst, Commercial/Medicaid Claim processing, manipulation of large datasets, negotiation/conflict resolution. Consistently demonstrating success resulting in a win-win for customer and organization. Strong planner and problem solver, I readily adapt to any changes. I work independently with little supervision as well as on a team, which allows me to consistently exceed expectation. Quickly learn and master new technology. I am able to juggle multiple priorities to meet deadlines without compromising quality.
Overview
12
12
years of professional experience
Work History
Human Resources Coordinator
NorthShore University Health System
Training Coordinator, Human Resources
NorthShore University Health System
Admissions Counselor/Administrative Assistant
Robert Morris University
Customer Service Representative
Harris Bank
Quality Assurance Business Systems Analyst
Allstate Insurance Company
Contract Rebate Analyst II
Novartis/Sandoz Contractor with Artech Information Systems
1 2022 - Current
- Responsible for rebate administration including timely calculations, accrual adjustments and payments, setup and extension of rebates
- Manage resources and analyzing data, including financial data and reports
- Resolve system detected errors with complete documentation and attach necessary supporting documents in a timely manner
- Provide valuable insight into the performance of the company’s rebate program
- Responsible solving data problems related to contract management systems and tools
- Updating and maintaining pricing strategies to provide information on how they impact the company’s bottom line.
Contract Rebate Analyst
Akorn Pharmaceuticals
01.2019 - 01.2022
- Administer contractual rebates and fees; as well as all other Commercial Direct/Indirect Or Government program requirements to ensure customer is compliant with Akorn Pharmaceuticals contractual terms, conditions and obligations
- Process high volume of rebate payments, typically within tight and defined timeframes
- Analyze, document, validate and process claims, avoiding late payments and identifying and properly disputing claim and invoice errors
- Cultivates, develops and maintains productive and valuable working relationships with partners in contract strategy, Sales/Market Access, IT support, finance, Legal and other key stakeholders
- Provide subject expertise and operational support to validate & approve contract updates for various types of contracts
- Provide insight with in-depth analytics and reporting to internal and external parties
- Provide evidence of compliance for internal and external audit
- Generate payment documentation for internal processing and customer/provider reconciliation
- Perform Trend analysis of units, sales & price points
- Ensure proper documentation is maintained on transactions & contracts
- Conduct proper review for Contracts Compliance, Legal and Audit Requirements
- Responsible for identifying and assisting with system updates regarding contracts, and assisting with review, documentation and formalization of Commercial Policies and Standard Operating Procedures
- Assists Finance and Controlling by providing input, feedback and intelligence to help ensure quarterly Rebate accruals are accurate
- Partner with Commercial Contracts to understand current contracting activities
- Support Customer Service Teams and ensure all Pricing and Contracts work as expected
- Writes or drafts correspondence, reports, documents and/or other written materials to internal and external customers
- Provide key liaison between 3rd Party Service Provider and ensure all indirect contracts are administered and delivered to customer as expected
- Reports, analyzes, and reconciles sales data working with manufacturer partners and sister companies
- Compiles and submits rebate payments for members
- Responds accurately and timely to member requests for supplemental information or additional detail regarding rebates
- Works closely with Membership department and Pricing Team to resolve issues affecting the contracts
- Works with performance-based compliance tools, reports and updates to provide the organization with information on compliance monitoring and contract performance
- Responsible for working independently on contracts data and proactively solving problems with data and other reporting needs
- Responsible for accurately entering contract data into the centralized contract file maintenance system, iContracts/Revitas/Model N
- Establishes and maintains contract documentation files and summary for internal distribution
- General knowledge of contracts, with the ability to fully learn and understand our contracts, services and pharmaceutical needs, as it relates to our business to be a good internal resource for staff members
- Receives, identifies and resolves discrepancies associated with assigned contract with administrative fee issues
- Monitors contracts to ensure that aspects of contract market share and Akorn’s responsibilities are being met
- Conducts daily maintenance and troubleshooting to maintain accuracy in production systems
- Performs related duties as assigned.
Medicaid Analyst
Akorn Pharmaceuticals
01.2016 - 01.2019
- Administers the receipt, validation, dispute and payment of the rebate claims for both brand and generic NDCS from States
- Processes each claim in accordance with CMS guidelines Akron’s contract terms and conditions with the state
- Research and resolve dispute resolution timely
- Performs special analyses on claim data as requested
- Download and organize Medicaid Summary invoice, summary data file and Claim Level Invoice
- Upload data into Model N systems
- Conduct initial quality check on summary data on all claim submissions to ensure rebate eligibility and data consistency
- Perform Claim Level Detail validation
- Review suspect claim records and determines if record should be disputed for payment
- Resolve disputes and propose recommended amounts to be paid for historical outstanding utilization that is routinely submitted with Medicaid claims
- Make recommendation on state disputes, apply proper amounts to be paid & ensure CMS codes are applied correctly; notify states of results/findings
- Reconcile open balance show on a log to communicate what has been paid and show what is outstanding
- Complete Medicaid analyzes and documentation on assigned state/programs
- Communicate to managers for key findings
- Provide backup for Medicaid team members in any necessary functions and work with team to establish best practices within Akorn’s Medicaid work environment
- Work with Sr
- Manager & GP team to resolve RPUs & update QTR Package Price(s) in ModelN.
Administrative Assistant
Akorn Pharmaceuticals
01.2015 - 01.2016
- Manage the day-to-day operations of the office
- Provide support to three VP’S
- Organize and maintain files and records
- Planning and scheduling meetings and appointments
- Managing projects as needed
- Creating Excel Spreadsheets, PowerPoint presentations, creating reports for meetings
- Making travel arrangements
- Providing quality customer service.
Counter Manager/Free Lance
Lancôme
01.2012 - 01.2015
- Manage, train and coach 4 beauty advisors
- Meet and exceed last year's sales goals
- Responsible for organizing the events at the counter
- Build relationships with customers to generate repeat business and enforce customer retention
- Answer phones and make calls to drive business and sell beauty products
- Consultations and lesson.
Education
Bachelor of Business Administration (BBA) - Management
Robert Morris University
Waukegan, ILAssociate of Applied Science (AAS) - Business Administration
Robert Morris University
Waukegan, ILSkills
Pulse
PeopleSoft
SharePoint
Meeting Manager
ADP
ModelN/Flex
iContracts
Revitas
SAP
JDE
MS Word
MS Outlook
MS PowerPoint
MS Excel
Learning Management Systems (LMS)
Systems Knowledge
- ADP
- Model N/Flex
- IContracts
- Revitas
- SAP
- JDE
- MS Word
- MS Outlook
- MS PowerPoint
- MS Excel
- Proficient in the Learning Management Systems (LMS)
Bilingual
- English
- Spanish
Awards
- Received two Loyalty Leader Award in Human Resources Department in 2011
- Received two Teamwork Award in July 2010 in Learning & Development
- Received Star Performance award in 2008 and 2007
- Earned Employee of the Quarter in 2006
Timeline
Contract Rebate Analyst
Akorn Pharmaceuticals
01.2019 - 01.2022
Medicaid Analyst
Akorn Pharmaceuticals
01.2016 - 01.2019
Administrative Assistant
Akorn Pharmaceuticals
01.2015 - 01.2016
Counter Manager/Free Lance
Lancôme
01.2012 - 01.2015
Human Resources Coordinator
NorthShore University Health System
Training Coordinator, Human Resources
NorthShore University Health System
Admissions Counselor/Administrative Assistant
Robert Morris University
Customer Service Representative
Harris Bank
Quality Assurance Business Systems Analyst
Allstate Insurance Company
Contract Rebate Analyst II
Novartis/Sandoz Contractor with Artech Information Systems
1 2022 - Current
Bachelor of Business Administration (BBA) - Management
Robert Morris University
Associate of Applied Science (AAS) - Business Administration
Robert Morris University
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