Government Pricing & Reporting Manager

South San Francisco, California
United States

Job ID: 3232162433

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The Position

Government Price Reporting Manager

The Government Price Reporting Manager manages the coordination of 340B activities within Government Price Reporting, and liaises with the Contract Operations 340B team, and the 340B Account Management team. The role supports moderate to complex Government Price Reporting activities that include spanning processes across the pricing calculations, Medicaid rebate processing, 340B pricing and associated restatements and refunds, Medicaid and 340B duplicate claims, Government audit preparation, interpretation of new policy or regulatory requirements, updating and maintaining system and procedural documentation, and increased compliance activities related to the above. All responsibilities are performed in accordance with strict accuracy targets, timelines, laws, regulations and Government Pricing & Reporting’s (GP) methodologies.

  • Acts as a subject matter expert on government contracting, pricing, pricing calculations and reporting including the Medicaid and 340B programs
  • Manages the coordination of 340B activities within Government Price Reporting, and liaises with the Contract Operations 340B team, and the 340B Account Management team
  • Calculates 340B pricing for new products and true-ups to ensure utmost compliance with HRSA regulations. Performs 340B quarterly restatements as necessary. Verifies, monitors, and audits to ensure accuracy of 340B quarterly pricing. Works collaboratively with GP Calculations team and Contracts Operations department to ensure 340B entities are properly refunded
  • Actively monitors issue and calculation restatement logs to ensure accurate 340B pricing
  • Validates claims data for correct unit of measure, duplicate claims, and, where relevant, 340B-ineligible submissions including but not limited to the Medicaid, Managed Medicaid and TRICARE programs
  • Lead/participates in core teams to interpret new 340B regulations and guidelines. Collaborates across GPR and with Government Affairs, MCCO, and Healthcare Law Group on new regulations and guidelines. Provides subject matter expertise that would impact 340B-pricing methodology
  • Takes a lead role in interpreting developments and trends and assessing its effect on current government contracting models, pricing, discounts, rebates, compliance and the like. Prepares appropriate responses or comments as needed
  • Plays a lead role in defining and/or otherwise contributing a government claims-specific perspective into GP-wide analytics and reporting requirements
  • Develops solutions to a variety of complex problems
  • Maintains tracking system for monitoring payment status across all programs including Medicaid FFS, Managed Medicaid, SPAPs, ADAPs, and all supplemental programs to ensure compliance with federal regulations
  • Ensures audit preparedness. Main point of contact and management of HRSA on manufacturer audits
  • Participates in the development, education, communication, implementation and ongoing maintenance of relevant Government Price Reporting Standard Operating Procedures (SOPs), systems, processes, data, reporting templates and the like
  • Supports development and maintenance of effective GP systems; including suggesting business requirements, potential enhancements and, when applicable, supporting testing processes for new or updated systems
  • Supports development and implementation of Government Price Reporting-specific training; including conducting training for other staff members
  • Responsible for ongoing and consistent adherence to all applicable laws, regulations, corporate and business unit standards  Develops and cultivates professional relationships internally and externally
  • Collaborates with Finance and others to reconcile transactional details following prescribed guidelines and timelines; ensuring that any data integrity issues are resolved
  • Prepares and delivers monthly/quarterly data submissions to various internal and external parties, such as government agencies, to meet all compliance and reporting requirements
  • Prepares, obtains approval for and ultimately publishes various departmental reports, customer business review reports, various compliance and other ad hoc reports
  • Complies with all laws, regulations and policies that govern the conduct of GNE activities

The successful candidate will demonstrate the following competencies critical to this role:

  • Strategic agility – Links responsibilities with the mission of the organization; focuses on activities that add the most value
  • Teamwork and collaboration – Creates an atmosphere of openness and trust; collaborates; offers support and encouragement
  • Technical and business expertise – Applies emerging knowledge and trends; builds strong relationships; contributes to expertise within and beyond assigned area
  • Decision making – Thinks through problems clearly and logically; is decisive

Who You Are

  • Bachelors Degree (general business, finance, or public policy disciplines are preferred)
  • 4 or more years of government price reporting, contract administration or other related government payer/program administration experience in pharmaceutical/biotechnology (direct 340B experience preferred)
  • Demonstrable knowledge of the different state and federal government agencies that purchase pharmaceutical/biotechnology or related industry products
  • Demonstrable knowledge of the current policies and guidelines that affect government programs, pricing and payment adjustments (e.g., Medicare and Medicaid)
  • Strong knowledge/experience with analytics and associated tools. Experience in performing quantitative analysis of government payer programs’ data to identify and provide data-driven insights; including forecasting, trending and data mining
  • Demonstrable knowledge of systems and reporting mechanisms that support contract administration particular to the pharmaceutical/biotechnology or related industry
  • Must demonstrate a high level of proficiency with Microsoft Access, Excel, and Word
  • Proven skills/track record in writing departmental methodologies and SOPs and training others in their use
  • Previous experience in other functions within the pharmaceutical, biotechnology or related industry is a plus, e.g., product marketing, managed care marketing, field account management, market planning, market or sales analytics, customer finance, legal, customer service and operations, etc.
  • Proven track record of meeting or exceeding objectives and goals
  • Business travel, by air or car, is required for regular internal and external business meetings

Who We Are

A member of the Roche Group, Genentech has been at the forefront of the biotechnology industry for more than 40 years, using human genetic information to develop novel medicines for serious and life-threatening diseases. Genentech has multiple therapies on the market for cancer & other serious illnesses. Please take this opportunity to learn about Genentech where we believe that our employees are our most important asset & are dedicated to remaining a great place to work.

The next step is yours. To apply today, click on the "Apply online" button.

Genentech is an equal opportunity employer & prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital & veteran status. For more information about equal employment opportunity, visit our Genentech Careers page.

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