Director
Pharmaceutical Manufacturing

N/A

Associate Director, Medicaid Rebate Operations

Novartis
East Hanover

2 years ago

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The Associate Director, Medicaid Rebates Operations will lead the Medicaid team to ensure compliance with the Medicaid Drug Rebate Program, handling all Medicaid obligations for Novartis and its affiliates.

  • Oversee a diverse team responsible for Medicaid rebates operations for Novartis Pharma while also meeting the obligations as a Shared Service for its affiliates. Act as central point of contact for all Medicaid state/consortium correspondence.
  • Ensure Model N system integrity for all Medicaid calculations and formulas used in proper adjudication.
  • Ensure the prompt and accurate payment of a high volume of Medicaid claims within 38-day timeframes.
  • Review Medicaid supplemental bid submissions and contracts to ensure alignment with business strategy.
  • Maintain close relationships with the Government Reporting team to manage the impact of changes in legislation and supplemental contracting.
  • Minimize revenue leakage by providing and suggesting innovative solutions and tools.
  • Facilitate prompt dispute resolution with states and intermediaries.
  • Manage cash flow demands on a monthly basis. Provide cash flow estimates to the Finance organization.
  • Provide detailed analytics to internal and external parties on a timely basis.
  • Partner with the Digital Finance Department’s liaison to coordinate the use and maintenance/enhancements of the department systems to streamline operations and advance analytics.
  • Partner with technical resources to update for Federal legislation changes and required technology improvements.
  • Partner with Project Management on IT on payment disruptions and system upgrades.
  • Ensure smooth onboarding of new associates and manage performance of associates ensuring robust actionable development plans.

Essential Requirements

  • Bachelor’s Degree or equivalent 4-Year University degree.
  • 5+ years’ experience in financial analysis, customer payments, contracts and/or related expertise. Pharmaceutical/biotech industry experience required.
  • Strong knowledge of payment procedures and systems including advanced knowledge of contract and rebate systems such as Model N, Validata and/or SAP.
  • Strong understanding of MDRP, Government Pricing & Supplemental Contracting.
  • Strong understanding of data and digital tools to advance data literacy and analytical capabilities.
  • Excellent written and oral communication skills, as well as interpersonal and relationship management skills.
  • Demonstrated ability in leading large, cross-cultural virtual teams. Ability to work in a matrixed organization and influence others.
  • Insight Generation – Takes data analysis from a range of sources and develops meaningful insight that is directly used in decision support.
  • Demonstrated project management experience and problem-solving as a member of a cross-functional team.

Desirable Requirements

  • Degree subject area in Finance, Accounting, Business or related preferred; MBA a plus
Salary
$
158400
-
$
237600
Responsibility
Scope
-
Workplace
-
Functions
Level
N-3
Travel
0%
Date Added
03-29-2024

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