Alternative Resources Company, an Openwork Company ยท 18 hours ago
Manager, Government Pricing & Medicaid
New Jersey, United States
Full-time
Hybrid
Mid Level
$100K/yr - $125K/yr
3+ years expAlternative Resources Company, an Openwork Company, is seeking a Manager for Government Pricing & Medicaid. The role involves performing government price calculations and analysis for federal and state programs, processing Medicaid invoices, and resolving data discrepancies with government agencies.
ConsultingInformation TechnologyService Industry
Hiring Manager
Kelsey Callanan Taravella
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
Ensure timely and accurate calculation of government prices based on monthly, quarterly, and annual schedules, and report them to relevant government agencies
Perform re-calculation of statutory pricing requirements, as needed, and provide analysis on financial impact to 340B, Medicaid and/or VA
Process 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
Maintain 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
Review and analyze customer pricing, class of trade and transactional data for correct classification and inclusion/exclusion in the government pricing calculations
Perform analysis on fluctuations in reported pricing and provide detailed explanations for significant increases or decreases
Collaborate with various departments to resolve all source system data issues identified in the data reconciliation and validation process prior to calculations being processed
Provide support to Sr Director, Government Pricing and GTN including updates/changes to department policies/procedures to allow for continuous business process improvement
Maintain appropriate written and electronic documentation consistent with approved policy and various state and federal requirements
Qualification
Required
Bachelor's degree in business, Finance, or Accounting from an accredited college or university is required
Minimum of 3-5 years of experience in Government Pricing and Medicaid is required
Organized and very attentive to detail with a high degree of accuracy to ensure compliance with timelines, internal policies, laws and regulations
Proven analytical and problem-solving skills
Strong Excel and Word skills are required
Effective written and oral communication skills
A self-starter with ability to work independently to manage multiple tasks, priorities and timelines
Ability to successfully interact with upper management and external government contacts
Preferred
Vistex and SAP ERP experience is strongly preferred
Company
Alternative Resources Company, an Openwork Company
Alternative Resources Company, an Openwork Company, combines over 50 years of people-first staffing heritage with more than three decades of Life Sciences recruiting expertise.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase