The Manager, Medicaid Contracting & Financial Analysis is responsible for the timely execution and monitoring of contracts and modifications related to the Medicaid segment (Including Supplemental and State Program agreements). Also responsible for the forecasting of Sales and Revenue Deductions associated with the Medicaid segment entities.
Initiate all contracts for Medicaid segment (Supplemental and State Programs). Must ensure all contracts are accurately executed in Revitas for proper chargeback and rebate adjudication.
Review new/proposed rules/legislation and work with Legal, Government Pricing, Medicaid, and Government Affairs formulating company s interpretation/ response and financial impact.
Create, update, and submit forecast for sales and revenue deductions for Medicaid segment throughout the year. Including Budgets, LE s and LO s. Monitor Medicaid sales to alert BPA of risks and opportunities to forecasts.
Lead the Medicaid team on projects (system upgrades), financial analysis, pricing analysis and contracting incentives.
Interact with various departments and customers including federal agencies, states, account mgmt., upper mgmt., legal counsel, consultants, government pricing, contract administration, Sandoz, and Alcon to report on critical information and provide insight relating to the Medicaid segment.
Evaluate contract proposals, pricing, financial modelling, ROI analysis.
Maintain an effective and accurate customer focus with respect to contracting with US Managed Markets and business units.
Manage the preparation of the financial review package of contracting proposals used for senior management approval
Understand the functionality of Revitas Medicaid and Government Pricing Systems, and TM1.
Liaison directly with the states for all contract negotiations and modifications.
Ensure timely execution of all components of contract administration.
Gather documentation to support periodic internal and external audits. Present evidence during audit and assure compliance.
Responsible for SOX documentation and complying with SOX & and audit requests.
Perform miscellaneous ad hoc analysis as needed.
The Novartis Group of Companies are Equal Opportunity Employers and take pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion or any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status.
Bachelor s degree required (Finance or Accounting major preferred). MBA preferred.
7+ years total business experience in Finance or accounting, government related roles.
Pharmaceutical industry experience Working knowledge of government regulations pertaining to federal and state programs.
Ability to think strategically and support innovation and agility around proactive risks identification and mitigation
Excellent analytical skills to create/review forecasts models
Excellent verbal and written communications skills to successfully interact within all levels of the corporation.
Keen attention to detail in order to ensure accuracy across all job responsibilities
Excellent knowledge of PC based software programs with highly proficient Excel skills and understanding of systems.
Strong analytical and problem solving skills with emphasis on utilizing business processes and technology to solve business problems.
Technical expertise in Excel and data management tools. TM1 experience preferred.
Leadership/Behavioral Competencies Ability to lead the team and other groups
Excellent interpersonal, consulting, and relationship management skills.
Strong team player with focus on collaboration and knowledge-sharing across multiple departments
Ability to maintain professional demeanor even when confronted with stressful and/or potentially adversarial situations
Ability to adapt to changing priorities and handle multiple projects simultaneously.
Ability to effectively and discreetly maintain and manage confidential information
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