Supervisor, Government Pricing - State Contracting
The Supervisor, Government Pricing - State Contracting manages a wide variety of tasks that support Medicaid supplemental rebate and State Pharmaceutical Assistance Program (SPAP) contracting. Key responsibilities will include bid submissions, bid modeling, state price reporting, formulary verification, contract administration, and Medicaid program maintenance in the Model N Regulatory System. The Supervisor, Government Pricing - State Contracting will support financial initiatives through contracting strategies for key products. Additionally, the incumbent will play a key role in developing price strategies for state Medicaid programs, working closely with the government sales force to execute approved strategies. The Supervisor, Government Pricing - State Contracting will provide routine and ad hoc financial analysis. Must analyze and respond to legislative activities (i.e. Health Care Reform) as required. The Supervisor, Government Pricing - State Contracting will be expected to work independently with minimal supervision, and be able to foster and develop solid internal and external cross-functional relationships (i.e. legal, IM&T, Pricing personnel, etc.). Adherence to OEC policies and procedures, including periodic training modules and certifications will be required.
Key Responsibilities Include:
- Prepare and facilitate approximately 30 state and 3 national Pharmacy Benefit Managers (PBMs) bid submissions through-out the year for state Medicaid supplemental rebate programs.
- Manage the bid process, by preparing and/or reviewing an in-depth detailed product specific net sales and margin analyses that assess the financial impact of pricing strategies.
- Manage and submit various state price reporting activities as required for each state.
- Complete state Medicaid formulary reviews to ensure proper positioning and pricing of key products. Maintain internal database/repository for all offers made and program summaries accordingly to ensure accurate price points for each product and contract.
- Prepare and distribute periodic business reports to external and internal customers, including net price points, Pareto (80/20 rule) analysis, gross to net sales and margin.
- Oversee contract administration activities, including managing Model N Regulatory System contract maintenance for over 80 programs; term extensions, price updates and new/terminated NDC updates and filing the proper documentation with each government entity as required.
- Manage all Desk Top Procedures (DTPs) related to specific areas of responsibility.
- Manage and oversee department ePass activity and/or projects.
- Provide actual to forecast Medicaid supplemental rates for required schedules for PLAN/LBE/LRP.
- Understand software application systems for accurate and efficient rebate processing to include general knowledge of formula builder.
- Interface with Legal to ensure contracts are within acceptable legal parameters.
- Promote ethics and compliance initiatives.
- Develop and administer annual state Medicaid supplemental pricing guidelines. Ensure review and sign-off from Senior Management. Manage financial inputs and analysis and communicate to Senior Management for approvals for any outside of guideline offers throughout the year.
- Develop and foster solid internal and external relationships that facilitate job activities. Position will be required to support the Director, National Accounts, and Managed Care Account Managers.
- B.A./B.S. required
- Five or more years' experience in financial/analytical roles in positions of increasing responsibility is required, preferably in government pricing.
- Ideally the candidate should already possess knowledge of government pharmaceutical pricing and contracting, including working knowledge of regulations and standards affecting Pharmaceutical Products (i.e. Medicaid Law, Veterans Healthcare Act, Medicaid and Medicare Fraud & Abuse statutes, Anti-Trust Laws, and the AbbVie Corporate Compliance Program), or the ability to quickly learn such regulations and standards.
- Have to be extremely proficient with all Microsoft Office Suite programs, and proficiency with COGNOS, Model N, SAP, and other related government systems and interfaces is highly desirable.
- The Supervisor, Government Pricing - State Contracting should be knowledgeable in the area of government pharmaceutical pricing programs and the associated calculations, as well as other pricing and contracting functions, including rebate and chargeback operations.
- Position will require a high degree of problem solving and analytical skill sets to accomplish tasks.
- The Supervisor, Government Pricing - State Contracting is an experienced individual contributor and is expected to assume full responsibility and accountability for required responsibilities, and be able to handle with only minimal supervision and technical guidance.
- Must be able to act independently and demonstrate sound business judgment within the scope of defined guidelines.
- This position will report to the Manager, Federal/State Government Contracting.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled