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Associate Director, Medicaid Rebate Operations
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