Government Pricing Senior Analyst

Foster McKay; New Jersey; On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

401(k) match

Paid time off

Job summary

A pharmaceutical company is seeking a Senior Analyst for Government Pricing and Medicaid. This role involves performing calculations, ensuring compliance with pricing laws, and collaborating across departments. The ideal candidate needs a Bachelor's degree in a related field and at least 5 years of relevant experience. Excellent organization and analytical skills are essential. Benefits include medical, 401(k), and more. Position is hybrid with 3 days onsite in New Jersey.

Qualifications

• Minimum 5 years of experience in Government Pricing and Medicaid required.
• Strong attention to detail to ensure compliance with timelines, policies, laws.
• Ability to interact with upper management and external government contacts.

Responsibilities

• Perform government price calculations and analysis for federal/state programs.
• Ensure timely calculation of government prices and reporting to agencies.
• Collaborate with departments to resolve data issues prior to processing.

Skills

Analytical skills

Problem-solving skills

Excel skills

Organizational skills

Communication skills

Education

Bachelor’s in Business, Finance, or Accounting

Tools

Vistex

SAP ERP

Job description

Senior Analyst, Government Pricing and Medicaid

Base pay range

$85,000.00/yr - $115,000.00/yr

Summary

Perform government price calculations, analysis and submission of all mandated products and pricing data for all federal and state government programs. Process current/prior quarter Medicaid invoices and submit payment package with another team member. Responsible for resolution of data discrepancies and providing relevant supporting documentation to government agencies, as needed including CMS, HRSA and the VA.

Essential Duties and 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.
• 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 increase or decrease.
• 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.
• Assist with various projects as assigned.
• Work on special projects as they arise.

Qualification Requirements

• Bachelor’s degree in business, Finance, or Accounting from an accredited college or university is required.
• Minimum of 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, Vistex and SAP ERP experience is strongly preferred.
• 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.

Benefits

Hired applicants may be eligible for benefits, including but not limited to, medical, dental, vision, life insurance, short-term disability, long-term disability, 401(k) match, flexible spending accounts, health saving account, employee assistance program, tuition reimbursement program, parental leave, wellness program, paid time off, volunteer time, and holidays.

Location: HYBRID-Somerset County, NJ (3 Days Onsite Per Week: Tues/Wed/Thurs)

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Accounting/Auditing

Industries

Pharmaceutical Manufacturing and Government Relations Services