Director, Managed Care Rebate Operations (MCRO)
Director, Managed Care Rebate Operations (MCRO)
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Job Description
Working with Us
Challenging. Meaningful. Life-changing. Those arent words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here uniquely interesting work happens every day in every department. From optimizing a production line to the latest breakthroughs in cell therapy this is work that transforms the lives of patients and the careers of those who do it. Youll get the chance to grow and thrive through opportunities uncommon in scale and scope alongside high-achieving teams. Take your career farther than you thought possible.
Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits services and programs that provide our employees with the resources to pursue their goals both at work and in their personal lives. Read more: role is accountable for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments data stewardship and compliance in connection with matrix teams financial reporting (GTN projections and budgets) as well as all aspects with evaluating implications of and reporting Managed Care data required for U.S. and Puerto Rico government pricing calculations.
Responsibilities:
Lead and develop a team responsible for systems and processes that collect process monitor and use Managed Care data for financial business or government pricing calculation purposes including but not limited to: rebate payments GTN projections budgets AMP ASP BP estimate BP true-up BP modeling of contingent/portfolio agreements legal requests SOX compliance deal analytics contract performance analytics and ad hoc data analytics
Partner with other BMS functions to assist them in understanding all potential implications of various rebate deal structures
Develop and maintain processes to estimate implications of contingent and portfolio rebate deal structures to inform business financial and government pricing calculation
Review and approve the monthly and quarterly Managed Care processes that support government pricing calculations including collaboration with legal colleagues to monitor the latest government contracting and reporting requirements and ensure Managed Care government pricing calculation implications are identified and considered
Serve as lead and provide guidance to the team to operationalize the BMS 340B strategy for Managed Care Rebate Operations and understand broader 340B landscape
Lead team and work collaboratively with other internal and external partners on PBM conflict/dispute resolution
Provide oversight for various aspects of external vendor contract negotiations service level performance system enhancements system controls and issue resolution
Ensure maintenance of appropriate departmental SOPs and work with internal and external auditors and team to ensure SOX compliance of rebate processing and appropriate categorization of Managed Care data for financial forecasting and government pricing calculations
Provide oversight for team and coordinate with Treasury for Manufacturer Discount Program (formerly Coverage Gap Discount Program) administration and payment responsibilities
Champion process improvement initiatives as required
Lead the team in the implementation and testing of Managed Care rebate systems (REACT$ and vendor interfaces)
Lead and assist with special projects as required (IRA Legal requests dispute resolutions etc.)
Qualifications:
Bachelors degree in an analytical financial or business-related program or the equivalent
A minimum of 10 years of experience in the pharmaceutical/healthcare industry related to Managed Care
Experience with governmental pricing bundled sales arrangements financial processes SAP and GTN systems and methodologies is required
Strong technical/functional skills and an ability to motivate develop and lead others as a player/coach
Possess strong interpersonal communication and consensus building skills
Proven history of leadership and experience with direct responsibility for supervising others
Strong analytical skills and ability to think strategically about the impact of various contracting approaches and government regulations
Firm understanding of the healthcare marketplace with a strong business acumen including a solid understanding of the way various channels and customer types make money and create value
Demonstrated ability to drive execution of key initiatives and meet all deadlines
Proven ability to prioritize and work effectively in a fast-paced dynamic environment
Demonstrate critical thinking and business acumen to data reporting and compliance
History of highly ethical and compliant behavior
Proven ability to coach and network across a broad matrix organization to form strong productive partnerships
Must have strong attention to detail and reviewing skills for information prepared both by the team and/or submitted to the team with strict attention to controls and consistency with established processes
Works comfortably within a matrix team environment providing oversight and guidance
Proficiency with SOX controls spreadsheet analysis database management and data delivery are required
Strong written and oral communication skills and the ability to communicate effectively with all levels of the organization
he starting compensation for this jobis a range from $203630 - $246800 plus incentive cash and stock opportunities (based on eligibility).
The starting pay rate takes into account characteristics of the job such as required skills and where the job is performed.
Final individual compensation will be decidedbased ondemonstratedexperience.
Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits please visit our Working With Us ()
Benefitofferingsaresubject to the terms and conditions of the applicable plans then in effectand may include the following: Medical pharmacy dental and vision care. Wellbeing supportsuch asthe BMS Living Life Better program and employee assistance programs (EAP). Financial well-being resources and a 401(K). Financial protection benefits such as short- and long-term disability life insurance supplemental health insurance business travel protection and survivor-lifeprograms include paid national holidays and optional holidays Global Shutdown Days between Christmas and New Years holiday up to 120 hours of paid vacation up to two (2) paid days to volunteer sick time off and summer hourscaregiver bereavement and military leave. Family care services such as adoption and surrogacy reimbursementfertility/infertilitybenefits support for traveling mothers and child elder and pet care resources. Other perks like tuition reimbursement and a recognition program.
#LI-Hybrid
If you come across a role that intrigues you but doesnt perfectly line up with your resume we encourage you to apply anyway. You could be one step away from work that will transform your life and career.
Uniquely Interesting Work Life-changing Careers
With a single vision as inspiring as Transforming patients lives through science every BMS employee plays an integral role in work that goes far beyond ordinary. Each of us is empowered to apply our individual talents and unique perspectives in a supportive culture promoting global participation in clinical trials while our shared values of passion innovation urgency accountability inclusion and integrity bring out the highest potential of each of our colleagues.
On-site Protocol
BMS has an occupancy structure that determines where an employee is required to conduct their work. This structure includes site-essential site-by-design field-based and remote-by-design jobs. The occupancy type that you are assigned is determined by the nature and responsibilities of your role:
Site-essential roles require 100% of shifts onsite at your assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at your assigned facility. For these roles onsite presence is considered an essential job function and is critical to collaboration innovation productivity and a positive Company culture. For field-based and remote-by-design roles the ability to physically travel to visit customers patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function.
BMS is dedicated to ensuring that people with disabilities can excel through a transparent recruitment process reasonable workplace accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable workplace accommodation/adjustment prior to accepting a job offer. If you require reasonable accommodations/adjustments in completing this application or in any part of the recruitment process direct your inquiries to . Visit to access our complete Equal Employment Opportunity statement.
BMS cares about your well-being and the well-being of our staff customers patients and communities. As a result the Company strongly recommends that all employees be fully vaccinated for Covid-19 and keep up to date with Covid-19 boosters.
BMS will consider for employment qualified applicants with arrest and conviction records pursuant to applicable laws in your area.
If you live in or expect to work from Los Angeles County if hired for this position please visit this page for important additional information: data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations.
Required Experience:
Chief
Employment Type
Full-Time
