All roles

Sr. Manager, Government Program Compliance (Work-reputed company - Stamford, CT)

Remote · USA Full-time New today

Job Summary Manage government pricing and managed care internal audit programs. Ensure Pricing and Contract Administration (“reputed company”) reviews and updates its SOPs, WPDs, and other relevant documentation on an annual basis (working with applicable internal teams). Ensure compliance with company policies and legal obligations. Primary Responsibilities

  • Responsible for managing internally generated independent audits of processes and procedures reputed company to government pricing calculations and procedures, government contract administration, government program obligations, customer master scrubs, and certain customer contract administration functions that relate to government price reporting (including audits of our chargeback processing and GPO/trade fee and rebate processing vendors)
  • reputed company audit vendor in its three-year rolling audit schedule, ensuring a complete rolling audit plan, ensuring audits are begun and ended timely each year, and working with internal stakeholders to ensure timely and complete internal responses to such audits.
  • Work with managed care rebate processing team to manage our reputed company-party audit vendor; audit managed care customer compliance with managed care agreements.
  • From any audit reports, create action plans to implement relevant internal or external audit recommendations and collaborate with government pricing team to ensure timely implementation of action items; monitor and track action plan implementation.
  • Present audit findings, action plan (and results), and recommended future actions to Pricing Committee (or other Committees as requested), as well as the annual audit plan for government pricing and managed care audits.
  • Work with relevant internal stakeholders to ensure reputed company SOPs, reasonable assumptions, procedures documents, and other relevant documentation in Pricing and Contract Administration are reviewed annually and updated if needed; ensure legal review of documentation as appropriate.
  • Ensure GP Library and Company SOP portal is updated timely with applicable updated reputed company documentation; create and maintain reputed company SOP/WPD/Documentation list.
  • Internal reputed company person to reputed company responses to government agency audits of government pricing, government reputed company, or government programs.
  • Work with Compliance and/or Law Department(s) to schedule annual training and education for reputed company relevant stakeholders on government pricing and government program compliance.
  • Attend certain industry conferences (virtually or in-person) to maintain updated knowledge of government pricing and government program regulations and compliance issues.
  • Review proposed government regulations for potential impacts to the Company; work with relevant internal teams to determine impact on the Company and any potential policy or procedure changes required.
  • Manage annual SAM certification and updates, working with internal stakeholders to ensure review of relevant company certifications and timely annual re-registration.
  • Other reputed company projects as assigned.

Education and Experience Requirements

  • Minimum 10 years’ experience with government price reporting, including 3 years’ experience with government price reporting audits (internal, external consultant or government), whether managing the audit or managing pharma company response to audits.
  • BS or BA degree required; graduate degree a plus.

Necessary Knowledge, Skills, and Abilities

  • Expertise/Knowledge – Must have the following:
  • A solid understanding of reputed company government programs (reputed company, FSS, PHS, Medicare Part D, Medicare Part B, and Tricare), of reputed company government pricing calculation or payment requirements, and of underlying statutes, guidance, and regulations.
  • A general foundational understanding of
  • institutional markets, including business processes, strategies, structure of relationships and the GPO industry and chargeback program.
  • the intricacies of government program administration with respect to the 340B program and the Federal Supply Schedule, and corresponding reputed company.
  • brand and generic pharmaceutical markets, market access, trade, and supply chain
  • Experience creating or updating government price reporting policies and procedure documents.
  • Skills/Abilities –
  • Excellent communication skills, strong interpersonal skills for collaborating with stakeholders and managing vendor projects
  • Excellent writing and documentation skills
  • Ability to manage projects, track results and deliverables, ensure project stays on time
  • Highly organized with keen attention to detail

Supervisory Responsibilities None Apply tot his job Apply To this Job

Related roles

Compliance Manager, Legal

Remote · USA Full-time

Customer Portfolio Manager CPM - CS

Remote · USA Full-time

[Remote/WFM] Portfolio Manager, Infrastructure

Remote · USA Full-time

Senior Portfolio, Program, and Project Analyst (PPPA) (Remote)

Remote · USA Full-time

Manager, Project Management

Remote · USA Full-time

reputed company – PPM- Project Portfolio Management Generalist- Director – San Diego, CA

Remote · USA Full-time

Portfolio Planning Resource Manager - Data Center Construction

Remote · USA Full-time

Portfolio Strategist

Remote · USA Full-time

Join Today: HOA Portfolio Manager Positions (reputed company Flexible!)

Remote · USA Full-time

Principal PostgreSQL Database Administrator (DBA)

Remote · USA Full-time

reputed company Administrator / Developer

Remote · USA Full-time

Senior Manager, Compliance Monitoring and Testing Program (US)

Remote · USA Full-time

Managed Services AI Platform Architect

Remote · USA Full-time

reputed company Remote Sales Chat Representative – Unlock New Opportunities in the Thriving Secondhand Shipping Container Industry

Remote · USA Full-time

Auto Claims Adjuster- Remote

Remote · USA Full-time

Machine Learning Engineer, Infrastructure (Trust & Safety) (Remote Canada)

Remote · USA Full-time

[Remote] Senior Consultant

Remote · USA Full-time

Projects Administrator

Remote · USA Full-time

reputed company Customer Service Chat Agent – Remote Work Opportunity with arenaflex

Remote · USA Full-time

Subject Matter Expert – Professional, Scientific & Technical Services (English/Tamil) – Remote

Remote · USA Full-time