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Cosette Pharmaceuticals, Inc. · 23 hours ago

Senior Analyst, Government Pricing and Medicaid

Bridgewater, NJ

Full-time

Hybrid

Mid, Senior Level

$85K/yr - $115K/yr

5+ years exp

Cosette Pharmaceuticals is a US based, diversified pharmaceutical company with a focus on internal R&D and high-quality manufacturing. The Senior Analyst, Government Pricing and Medicaid will perform government price calculations and analysis for federal and state programs, ensuring compliance and accuracy in pricing submissions.

BiotechnologyHealth CareMedicalPharmaceutical

Responsibilities

Responsible for performing end-to-end calculations and initial analysis of government price calculations for AMP, BP, URA, Non-FAMP, FSS, FCP, IFF, ASP and PHS prices

Ensuring timely and accurate calculation of government prices based on monthly, quarterly, and annual schedules, and reporting them to relevant government agencies

Performs re-calculation of statutory pricing requirements, as needed, and provides analysis on financial impact to 340B, Medicaid and/or VA

Processes quarterly Medicaid invoices in Vistex to include retrieving e-invoices or scanning mail invoices, loading invoices in Vistex, identifying and resolving disputes with Medicaid state representatives, submitting invoices for payment, and creating payment packages with another team member

Maintains working knowledge of the Medicaid Drug Rebate Agreement, the Federal Supply Schedule agreement, 340B Pricing, and regulatory/legislative changes that impact pricing, contracts, and all Federal and State statutory calculations

Reviews and analyzes customer pricing, class of trade and transactional data for correct classification and inclusion/exclusion in the government pricing calculations

Performs analysis on fluctuations in reported pricing and provides detailed explanations for significant increase or decrease

Collaborates with various departments to resolve all source system data issues identified in the data reconciliation and validation process prior to calculations being processed

Provides support to Sr Director, Government Pricing and GTN including updates/changes to department policies/procedures to allow for continuous business process improvement

Maintains appropriate written and electronic documentation consistent with approved policy and various state and federal requirements

Assists with various projects as assigned

Work on special projects as they arise