Wilmington, DE - Sr. Pricing Analyst – ERP

Job Description:

• Responsible for the accurate calculation and analysis of the company’s product pricing related to the various data components used to determine the Medicaid Unit Rebate price by NDC, including Average Manufacture Price and Best Price
• The Pricing Analyst additionally has responsibility for the calculation of the Average Sales Price, Non-Federal Average Manufacturer Price, the Federal Ceiling Price and Public Health Service prices
• This individual will need to fully understand the company’s commercial and government contracts and ensure that all offerings potentially impacting any government-pricing component are identified and captured
• The incumbent will also need to be knowledgeable of the company’s business relationships with other entities, such as Abraxis Bioscience, MedImmune, and other future business partners, in order to accurately calculate government pricing for these respective NDCs
• The Pricing Analyst will work closely with MM Operations and MM Finance staff to ensure knowledge of changes to contracts and rebates that could impact Medicaid calculations
• The position requires the ability to analyze and explain major changes in quarterly calculations, which requires strong analytic and communication skills
• Included in this role is responsibility for assuring compliance with all pricing and reporting requirements legislated by the Centers for Medicare & Medicaid Services (CMS), the Department of Veterans Affairs, and the Public Health Service
• The individual will be required to transmit quarterly pricing calculations to CMS and State agencies meeting strict deadlines
• Pricing information calculated must be accurate at all times since it is certified by the company’s senior leadership prior to submission to the various government agencies
• The incumbent will also be required to accurately interpret state supplemental contracts and up-date the associated pricing resulting from these contracts into the government pricing system
• The Government Pricing Analyst provides the leadership needed to ensure the company is not incurring undesirable risks associated with the determination and submission of government prices
• He/she will have a variety of ad-hoc duties related to the research, analysis and reporting of government pricing
• Throughout the year, numerous internal and external auditors audit the work of the Government Pricing Analyst
• Therefore, accuracy, thoroughness, sound business logic, and an ability to maintain detailed documentation of work papers are all key requirements for this position
• The Federal Government has become the single largest payer for prescription drugs, and continues to be the company’s fastest growing market segment, with rebates and discounts totaling 47% across all brands teams
• In 2007, these rebates were approximately $.7B.
• Strong communication (oral & written) and analytical skills with excellent attention to detail
• Ability to manage multiple priorities and strong organization skills
• Tasks include the calculation, analysis, and submission of federally mandated Government Pricing requirements
• Ability to quickly learn systems (I-Many) and processes
• Prepare, analyze, and submit monthly (applicable to only AMP reporting) and quarterly product pricing information and other pertinent data to CMS and the Department of Veterans’ Affairs
• This would include the calculation and reporting the Best Price, Average Manufacturer Price, Average Sale Price, Non-Federal Average Manufacturer Price and Public Health Service pricing for applicable products, typically 200+ NDCs
• Utilize the Government Pricing system (GPS) to calculate and analyze government pricing calculations
• Understand GPS in order run models, adjust system policies, and drill down to pricing components for analysis
• Utilize CMS DDR software to transmit Medicaid pricing data to CMS
• Solicit and understand the contract structure and strategy of the MM Operations business segments and their impact on Medicaid Average Manufacturer Price, Best Price, and Average Sale Price calculations, as well as the Non-Federal Average Manufacturer Price and Public Health Service pricing
• Monitor the activity of contracts, including varied price concessions such as chargebacks, rebates, portfolio offers, bid grid discounts, fees etc., to evaluate the impact on AMP, Best Price, ASP, NFAMP, and PHS calculations in accordance with the policies of CMS, the VA, and the Public Health Service
• Understand the company’s class of trade and market segment structure
• Prepare periodic and ad hoc pricing reports with interpretive commentary for management review
• Meet with Brand Teams and MM Finance on a routine basis to explain changes in government pricing by thoroughly understanding pricing components and their inter-relationships
• Support modeling / testing new software due to government pricing systems upgrades and / or changes in pricing methodology
• Accurately interpret state supplemental contracts and update the associated pricing resulting from these contracts
• Complete semi-annual review / update of GP Policies, SOPs, and Job Aids
• Provide accurate analyses in support of numerous internal and external audit inquiries

REQUIREMENTS:

• Degree / College Major: Accounting, Finance
• MBA, CPA, Public Accounting or audit experience
• Number of Years Work Experience Required:  MIN. OF 7
• In-depth knowledge of Excel, PowerPoint, and Word
• Excellent analytical and modeling capabilities
• Excellent communication, interpersonal, and organizational skills and persuasive in support of conclusions
• Ability to work effectively with cross-functional teams
• Demonstrated ability to manage multiple tasks/projects simultaneously
• Experience in Managed Care’s complex interrelationships between manufacturer, wholesaler, PBM, HMO, retail, government, and long-term care organizations and the effect this supply chain has on the company’s government pricing calculations
• Knowledge of Managed Care Industry, the Medicaid Drug Rebate program, and the Federal Supply Schedule program
• Analytical thinker capable of identifying both the depth and breadth of data required answering questions accurately
• Planner and forecaster savvy with recognizing trends, establishing a way forward, and able to pay attention but not get lost in details
• Self-motivator, who relentlessly seeks to improve accuracy and efficiency of analytical work and business processes

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