Janet Berthou (Nickley) Email & Phone Number

Philadelphia, Pa, Us

Durham, North Carolina, United States

Managed compliance frameworks for $25B in annual sales, federal pricing calculations, and $11.7B in annual chargebacks, rebates, and discounts across a complex portfolio. Driving margin appreciation, minimizing risk, and ensuring adherence to regulatory changes.• Led the standardization of control procedures and integration of technology into audit processes, introducing monitoring dashboards that improved visibility, identified $349M in transaction errors, and enhanced process performance. Streamlined business processes by refining data testing procedures for infrastructure changes, ensuring financial accuracy and compliance.• Pioneered the establishment of a governance function for contracts and pricing systems, enhancing transparency, risk management, and stakeholder collaboration. Developed and implemented governance awareness programs, empowering stakeholders across therapeutic areas to align with organizational goals and make informed decisions.• Created robust governance models and frameworks for operating policies, improving data-driven decision-making and compliance. Streamlined state price reporting processes, facilitating cross-functional collaboration, and ensuring timely access to critical information, which reduced the likelihood of violations.• Directed state price transparency compliance initiatives by developing management processes and monitoring regulations, minimizing compliance risks and ensuring adherence to laws. Maintained a robust control environment by updating procedures and training, leading to improved control effectiveness and successful audit outcomes.• Led audit and stakeholder communications amid extensive integration, negotiating priorities and providing education to ensure transparency, trust, and successful outcomes.

Directed reimbursement functions, managing $1.2B in annual revenue reductions through effective chargeback and managed care rebate strategies, ensuring operational efficiency and robust account management.• Led the integration of Contracts & Pricing into Takeda, focusing on reimbursement, trade operations, and compliance. Directed organizational design, job description alignment, and change management, ensuring seamless integration and sustained operational efficiency.• Managed infrastructure changes and enhanced data integrity, adapting to evolving regulatory and strategic requirements. Developed and implemented policies to establish robust data governance, ensuring compliance and operational resilience.• Performed risk assessments and developed operational controls, mitigating compliance risks and preventing revenue loss, while enhancing functional analytics and reporting capabilities.

Wayne, Pennsylvania

Accountable for functions supporting Managed Care contract creation, compliance, and trade channel management, overseeing operations that represented approximately $200M in annual revenue reductions.• Developed and secured approval for the Validata (Prescription Data Validation) Project, achieving a 200% ROI within six months, showcasing strategic investment and operational efficiency.• Implemented and managed systems for rebate processing, claim validation, and data management, resulting in enhanced operational efficiency and compliance.• Partnered with Legal, Finance, Distribution and external vendors to manage trade channel strategies, improving forecasts and financial reporting, stabilizing revenue and improving manufacturing planning.

Created the Managed Care Operations team, enhancing functional analytics.Managed product supply shortages and operational transitions.Implemented CARS/IS for commercial contracts management.Developed business cases for system investments, gaining senior management support.

Licensed and implemented CARS Medicaid claims processing system.Managed federal reporting, contracts management, and customer service transitions.Developed and executed business case for CARS/IS implementation.Collaborated with Managed Markets, Finance, and Legal to develop contract documents, ensuring operational and legal compliance.

Expanded Medicaid formulary coverage by removing prior authorization requirement.

Master, Business Administration

Bachelor, Laws