Manager, Government Rebate Operations
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POST DATE 10/11/2019
END DATE 1/25/2020
JOB DESCRIPTIONCompany Overview
Alkermes plc (Nasdaq: ALKS) is a fully integrated, global biopharmaceutical company developing innovative medicines for the treatment of central nervous system (CNS) diseases and immuno-oncology. The company has a diversified commercial product portfolio and a substantial clinical pipeline of product candidates for diseases that include schizophrenia, depression, addiction, multiple sclerosis and cancer. Headquartered in Dublin, Ireland, Alkermes plc has an R&D center in Waltham, Massachusetts; a research and manufacturing facility in Athlone, Ireland; and a manufacturing facility in Wilmington, Ohio.
The Manager, Government Rebate Operations will oversee the day-to-day operations of the Medicaid team along with other key operations within the Finance department. This role will report directly to the Director, Government Pricing & Commercial Contract Operations. Principle responsibilities include, but are not limited to, Medicaid claim adjudication oversight and ownership, close interaction with Commercial Operations, FP&A, Accounting and IT, people management and system development.
Oversight of the Government Rebate Operations team and deliverables, including but not limited to the following that are specific to the Medicaid Drug Rebate Program (MDRP):
* Cash Flow
* Payments & Approvals
* Ensure PDL status is verified on a quarterly basis
* Claim level detail (CLD) analysis and validation
* Oversight of 3rd party data validation tools to identify duplicative and otherwise erroneous claims
* Communicate with state Medicaid directors regarding payments and disputes
* Lead for accrual process and presentations to management while working closely with FP&A
* Supplemental Medicaid agreement review and implementation
* Support setup of Medicaid contracts, membership and supplemental Medicaid agreements within the Model N (f/k/a Revitas) Medicaid module
* Interpretation & implementation of CMS guidance, as applicable
Other areas of focus include:
Review, maintain and improve existing Standard Operating Procedures (SOPs) and Work Instructions (WIs)
Lead special projects and analyses as required
Attend conferences and industry meetings as necessary; annually
Oversee monthly sales reconciliation process
Ensure IFF and Coverage Gap payments are accrued for and paid within the mandated timeline
Manage vendor budget vs. spend, as applicable
Participate in routine internal and external SOX audit process
Education and Experience:
Bachelor s degree preferred (Master s degree a plus)
4+ years of pharmaceutical manufacturer Medicaid experience required
2+ years of RMS experience (e.g. Model N, Revitas or similar platform)
Proficiency in MS Excel, PowerPoint, Visio and Word
Strong organizational, analytical and communication skills
Effective time management capabilities
Understanding of the current healthcare landscape
Understanding of corporate finance is a plus
Alkermes, Inc. is an equal employment opportunity employer and does not discriminate against any applicant because of race, color, religion, sex, sexual orientation, gender expression and identity, national origin, ancestry, age, mental and physical disability, genetic information, any veteran status, military status or application for military service, or membership in any other category protected under applicable law.