Government Pricing and Chargeback, Manager
3 weeks ago
Medicaid and Government Pricing
- Key contributor within the Commercial Operations Team, with demonstrable knowledge and experience in government pricing calculations and reporting, including Medicaid and Medicare programs.
· Maintain the accuracy of calculations within applicable systems. Participate in testing calculation setups and functionality through collaboration with IT.
- Calculate and file appropriate prices for the federal drug programs. Prices include BP, AMP, ASP, PHS/340B, NFAMP, FCP/FSS, IFF, and URA.
- Ability to handle complex Government Pricing concepts such as bundles, discount reallocation, pro-ration, and smoothing.
- Responsible for maintaining valid customer Class of Trades assignments per regulations.
- Expected to continually build detailed subject matter expertise and thought leadership in government program regulations and share this knowledge with direct reports and peer groups.
- Prepare backup and documentation for calculations and lead monthly and quarterly meetings on Government Pricing Calculations. Ensure proper sign-off and documentation for the calculations.
- Responsible for the Medicaid Drug Rebates Process, which includes, but is not limited to, Medicaid/SPAPs/Supplemental Rebate processing within the time allotted by CMS; reviewing rebate claims for approval and analysis for disputes and dispute resolution; coordinating the timely issuance of checks and outbound packages to the states,
- Interface with various state and Federal Government agencies
- Ensure compliance with Internal Policies for proper controls and SOX Compliance. In addition, develop and update Business Process Procedures and recommend improvements/changes to company policies and procedures
- Perform financial forecasting on how the company's Medicaid rebate liability will be impacted based on pricing decisions (price increase and changes to commercial discounts), as requested.
- Collaborate with cross-functional teams to ensure that accruals are correctly booked, manage financial models to forecast, produce trend analysis, and assist in reporting accurate GTN results.
- Model "what if" scenarios and present findings to stakeholders based on Ingenus’s potential pricing strategy, current pricing, and current and/or upcoming government programs and legislation.
Chargeback
- Responsible for supervision and oversight of Chargeback Processing, which may include:
- Ensures accurate and timely chargeback data are entered into contract systems consistent with agreement terms, corporate controls, and Sarbanes-Oxley regulations.
- Ensure all inbound chargeback request transmissions and resubmissions (e.g., EDI 844 and other electronic and hardcopy formats) from wholesalers are received and loaded into the chargeback system on a timely basis for processing and validation
- Ensure outbound chargeback reconciliation reports (including EDI 849 and other electronic and hardcopy formats) are provided to wholesalers on a timely basis
- Train and provide guidance and support to Chargeback Analysts
· Responsible for the validation, implementation, and maintenance of membership and pricing associated with government group customer contracts, which include, but are not limited to, Public Health/Disproportionate Share Hospitals, VA/DoD, and Federal Supply Schedule within the Contract Management System
- Responsible for ensuring the Chargeback Management System is working correctly and is configured to the needs of the organization
- Development and Reporting of Metrics against benchmarks to ensure proper excellent service is being provided to Customers
- Assistance as needed in dispute resolution with Customers, which may include Customer Audits
- Ensure compliance with Internal Policies for proper controls and SOX Compliance. In addition, develop and update Business Process Procedures and recommend improvements/changes to company policies and procedures.
Qualifications and Education Requirements
· Bachelor's degree required
· A minimum of seven (7) years of experience in the Pharmaceutical Industry working with state and federal pricing, reporting, and rebate programs is required.
· Experience working in mandated deadline environment, effective in managing multiple stakeholder assignments, ability to prioritize
· Demonstrable knowledge of the current policies and guidelines that affect government programs, pricing, and payment adjustments (e.g., Final Rule, Proposed Rule, Inflationary Reduction Act).
- Knowledge and experience with Medicaid Drug Rebate Program, regulations, guidelines, and current updates
- Knowledge of Medicaid systems to ensure appropriate data collection and rebate processing/payments
- Understanding of wholesaler sales, membership, and Bid contracts preferred
- Working knowledge of Third-party data sources for DEA#, HIN#, and PHS and FSS websites preferred
- Track record of self-development. Contributions to the function's overall success and depth of knowledge.
Preferred Skills
- Proficiency in MS Office tools
- Possess strong problem-solving, communication, and analytical skills
- Familiarity with enterprise-wide integrated application systems
- System knowledge of SAP is a plus
- Knowledge of the pharmaceutical industry is required.
- Detail-oriented with a high degree of accuracy.
- Strong analytical, verbal, and written communication skills are required.
-
Chargeback Management Analyst
1 week ago
Parsippany, New Jersey, United States Aston Carter Full timeJob Title: Chargebacks Analyst IIJob OverviewThe Chargeback Analyst II plays a crucial role in the meticulous examination and verification of debit memos submitted for chargebacks via Model N Flex, ensuring utmost precision. This position involves addressing chargeback discrepancies, engaging with wholesalers daily, and overseeing chargeback accounts that...
-
Chargeback Analyst
4 weeks ago
Parsippany, United States Rangam Consultants Full timeTitle: Chargeback Analyst II Shift: Monday – Friday 8:00am – 5:00pm - Hybrid or remote - Hybrid Tuesday and Wednesday onsite and Monday, Thursday and Friday. Temp to Perm: Contingent with the possibility to extend Core Essential Skill sets: Proficient in Flex Chargeback processing. Experience utilizing X-ray for processing in Flex. SAP BI Reporting...
-
Chargeback Analyst
4 weeks ago
Parsippany, United States Radiant Systems Inc Full timeTitle: Chargeback Analyst II (Hybrid)Location: : Parsippany, NJ 07054Duration: 09+ MonthsDescription:Shift: Monday – Friday 8:00am – 5:00pm - Hybrid or remote - Hybrid Tuesday and Wednesday onsite and Monday, Thursday and Friday.Contingent with the possibility to extendCore Essential Skill sets:• Proficient in Flex Chargeback processing.• Experience...
-
Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States Careers Integrated Resources Inc Full timeJob Title: Chargeback Analyst II Location: Remote Duration: 9+ Months (Possibility to extend) Position Overview: The Chargeback Analyst II is tasked with the prompt examination and verification of debit memos submitted for chargebacks through Model N Flex, ensuring complete precision. The role involves rectifying chargeback discrepancies, engaging with...
-
Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States Careers Integrated Resources Inc Full timeJob Title: Chargeback Analyst II Location: Remote Duration: 9+ Months (Possibility to extend) Position Overview: The Chargeback Analyst II is tasked with the prompt examination and verification of debit memos submitted for chargebacks through Model N Flex, ensuring complete precision. The individual will also address chargeback discrepancies, engage...
-
Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States Careers Integrated Resources Inc Full timeJob Title: Chargeback Analyst II Location: Remote Duration: 9+ Months (Possibility to extend) Position Overview: The Chargeback Analyst II is tasked with the prompt examination and validation of debit memos submitted for chargebacks through Model N Flex, ensuring complete precision. The role involves rectifying chargeback discrepancies, engaging with...
-
Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States Careers Integrated Resources Inc Full timeJob Title: Chargeback Analyst II Location: Remote Duration: 9+ Months (Possibility to extend) Position Overview: The Chargeback Analyst II is tasked with the prompt examination and validation of debit memos submitted for chargebacks via Model N Flex, ensuring complete precision. The role involves rectifying chargeback discrepancies, engaging with...
-
Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States Careers Integrated Resources Inc Full timeJob Title: Chargeback Analyst II Location: Remote Duration: 9+ Months (Possibility to extend) Position Overview: The Chargeback Analyst II is tasked with the prompt examination and validation of debit memos submitted for chargebacks utilizing Model N Flex, ensuring utmost precision. The role involves rectifying chargeback discrepancies, engaging with...
-
Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States NESCO Inc Full timePosition Title: Chargeback Analyst IIWork Schedule: Monday - Friday, 8:00 AM - 5:00 PM (Hybrid: Onsite Tuesday and Wednesday; Remote Monday, Thursday, and Friday)Key Competencies:Expertise in Flex Chargeback processingExperience utilizing X-ray for processing in FlexSAP BI Reporting experience (preferred)Exceptional attention to detailStrong professional...
-
Chargeback Analyst II
1 month ago
Parsippany, United States NESCO Inc Full timeTitle: Chargeback Analyst II Shift: Monday - Friday, 8:00 AM - 5:00 PM (Hybrid: Onsite Tuesday and Wednesday; Remote Monday, Thursday, and Friday) Core Essential Skills: Proficient in Flex Chargeback processing Experience using X-ray for processing in Flex SAP BI Reporting (preferred) High attention to detail Strong professional communication...
-
Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States NESCO Inc Full timePosition Title: Chargeback Analyst II Work Schedule: Monday to Friday, 8:00 AM to 5:00 PM (Hybrid: Onsite Tuesday and Wednesday; Remote Monday, Thursday, and Friday) Key Competencies: Expertise in Flex Chargeback processing Proficient in utilizing X-ray for processing within Flex Familiarity with SAP BI Reporting (preferred) Exceptional attention to...
-
Chargeback Analyst II
1 month ago
Parsippany, United States Unicon Pharma Inc Full timeJob DescriptionJob DescriptionDescription:Title: Chargeback Analyst IIShift: Monday Friday 8:00am 5:00pm - Hybrid or remote - Hybrid Tuesday and Wednesday onsite and Monday, Thursday and Friday.Temp to Perm: Contingent with the possibility to extendCore Essential Skill sets: Proficient in Flex Chargeback processing. Experience utilizing X-ray for processing...
-
Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States Unicon Pharma Inc Full timeJob OverviewPosition: Chargeback Specialist IIWork Schedule: Monday to Friday, 8:00 AM to 5:00 PM - Hybrid or remote work arrangement available.Employment Type: Temporary to Permanent - contingent with the potential for extension.Key Competencies:Expertise in Flex Chargeback processing.Experience with X-ray processing in Flex.Proficiency in SAP BI Reporting...
-
Chargeback Operations Specialist
2 weeks ago
Parsippany, New Jersey, United States Rangam Consultants Full timePosition Title: Chargeback Analyst IIWork Schedule: Monday – Friday 8:00am – 5:00pm - Hybrid or remote - Hybrid Tuesday and Wednesday onsite and Monday, Thursday and Friday.Employment Type: Contingent with the possibility to extendKey Competencies:Proficient in Flex Chargeback processing.Experience utilizing X-ray for processing in Flex.SAP BI Reporting...
-
Chargeback Operations Analyst II
2 weeks ago
Parsippany, New Jersey, United States NESCO Inc Full timeJob Title: Chargeback Analyst II Work Schedule: Monday to Friday, 8:00 AM to 5:00 PM (Hybrid: Onsite Tuesday and Wednesday; Remote Monday, Thursday, and Friday) Key Competencies: Expertise in Flex Chargeback processing Proficient in utilizing X-ray for processing in Flex Familiarity with SAP BI Reporting (preferred) Exceptional attention to detail...
-
Financial Chargeback Specialist II
2 weeks ago
Parsippany, New Jersey, United States NESCO Inc Full timePosition Title: Chargeback Analyst II Work Schedule: Monday to Friday, 8:00 AM to 5:00 PM (Hybrid: Onsite Tuesday and Wednesday; Remote Monday, Thursday, and Friday) Key Competencies: Expertise in Flex Chargeback processing Proficient in utilizing X-ray for processing in Flex Familiarity with SAP BI Reporting (preferred) Exceptional attention to detail...
-
Chargeback Analyst
4 weeks ago
Parsippany-Troy Hills, United States Radiant Systems Inc Full timeTitle: Chargeback Analyst II (Hybrid)Location: : Parsippany, NJ 07054Duration: 09+ MonthsDescription:Shift: Monday – Friday 8:00am – 5:00pm - Hybrid or remote - Hybrid Tuesday and Wednesday onsite and Monday, Thursday and Friday.Contingent with the possibility to extendCore Essential Skill sets:• Proficient in Flex Chargeback processing.• Experience...
-
Chargeback Analyst II
1 month ago
Parsippany, United States TechData Service Company LLC Full timeJob DescriptionJob DescriptionShift: Monday – Friday 8:00am – 5:00pm - Hybrid or remote - Hybrid Tuesday and Wednesday onsite and Monday, Thursday and Friday.Temp to Perm: Contingent with the possibility to extendCore Essential Skill sets:• Proficient in Flex Chargeback processing.• Experience utilizing X-ray for processing in Flex.• SAP BI...
-
Chargeback Specialist II
1 week ago
Parsippany, New Jersey, United States TechData Service Company LLC Full timeJob OverviewThe Chargeback Specialist II plays a crucial role in ensuring the precise review and validation of debit memos submitted for chargebacks through Model N Flex. This position is vital for maintaining accuracy in chargeback processing, which impacts significant annual revenue.Shift: Monday – Friday, 8:00 AM – 5:00 PM - Hybrid or remote work...
-
Chargeback Analyst
1 week ago
parsippany, United States Compunnel Inc. Full timeJob Responsibilities:Review and validate debit memos for chargebacks using Model N Flex.Resolve chargeback errors and communicate with wholesalers daily.Analyze chargeback accounts and indirect sales data.Provide trend analysis and report findings to management.Manage wholesaler relationships and coordinate conference calls.Handle audits and reconcile...