The Sr. Manager, Pricing & Government Reporting will lead the Government price reporting processes including monthly/quarterly calculations of pricing to Veteran Administration (VA), Public Health Services (PHS), and Centers for Medicare and Medicaid Services (CMS). Responsible for reconciling, preparing, and analyzing federal and state disclosures of product prices in order to meet federal reporting requirements. Additional responsibilities include: supporting commercial operations core business processes; implementing strategies and recommendations for improving processes, efficiency and practices; help to identify and prioritize service improvement opportunities and advise operational impact and help plan for implementation; assist in the development, update and review of Standard Operating Procedures (SOPs) related to the disclosure of marketing and healthcare expenditures to comply with federal and state legislative requirements.
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Main Responsibilites:
- Manage price reporting for multiple federal government programs and implement methodologies for calculating and reporting pricing for CMS AMP/ASP reporting, Medicaid/340B pricing, Federal Supply Schedule and any other government agencies.
- Review and approve Quarterly/Monthly reporting of government price types including reconciliations to systems of record. Ensure compliance with all program requirements and data integrity for all supporting systems. Collaborate with the Finance team to ensure rebate accruals are sufficient and gross-to-net impacts are fully considered.
- Responsible for maintaining and updating all government pricing related internal control procedures, Policies, SOPs and Job Aids on a regular basis to ensure compliance and audit readiness.
- Oversee and fulfill all Federal and state specific pricing transparency requirements. Coordinate the activities of both internal and external resources to manage the required data collection and submit all reports needed for compliance.
- Assist with review and understanding the financial impacts of new/proposed government programs
- Responsible for cross-functional coordination with Contract Administration and Customer Support/HCS teams regarding contracts changes, rebates, & fees to determine appropriate classification of customers and transactions. This includes reviewing/approving the customer class of trade for direct/indirect accounts in accordance with Federal regulations
- Working with IT, translate complex reporting and compliance environment into efficient systems that meet needs of business and government requirements. Leverage understanding to contribute to the development and deployment of innovative approaches and capabilities that are critical to the functional and business strategy.
- Support governance and compliance support for Audit, Legal or Finance as requested
- Provide management oversight on the records supporting the disclosure of data to federal and state agencies. Ensures compliance to federal record retention requirements.
- Collaborate with Healthcare Systems, Pricing, and Finance on design and implementation of pricing strategy, tactics, policies and procedures as they relate to government programs.
- Annual objective setting
- Mid-year and end of year reviews
- Coaching and counseling as appropriate
- Employee development
- Recruitment, selection and development of talent
- Managing, directing & measuring work on an ongoing basis. Provides timely constructive feedback to ensure quality of work meets or exceeds company standards
- Assuring work is completed in a customer focused manner
Qualifications:
Bachelor degree in business/marketing or science discipline; MBA a plus
7+ years' relevant commercial operations experience
Strong knowledge of the regulatory requirements for MDRP, Medicare/IRA, Veteran's Healthcare Act, and other Federal regulations mandating price and/or transparency disclosures.
Experience with implementation and utilization of pricing systems. Model N preferred.
Demonstrated ability to function independently, critical thinking, prioritization and coordination of job responsibilities
Experience diagnosing and resolving complex issues
Knowledge of relevant legal, compliance and regulatory requirements
Proficiency with Microsoft Office; SAP experience preferred
Different qualifications or responsibilities may apply based on local legal and/or educational requirements. Refer to local job documentation where applicable.
Our Benefits
CSL employees that work at least 30 hours per week are eligible for benefits effective day 1. We are committed to the wellbeing of our employees and their loved ones. CSL offers resources and benefits, from health care to financial protection, so you can focus on doing work that matters. Our benefits are designed to support the needs of our employees at every stage of their life. Whether you are considering starting a family, need help paying for emergency back up care or summer camp, looking for mental health resources, planning for your financial future, or supporting your favorite charity with a matching contribution, CSL has many benefits to help achieve your goals.
Please take the time to review our benefits site to see what's available to you as a CSL employee.
About CSL Behring
CSL Behring is a global leader in developing and delivering high-quality medicines that treat people with rare and serious diseases. Our treatments offer promise for people in more than 100 countries living with conditions in the immunology, hematology, cardiovascular and metabolic, respiratory, and transplant therapeutic areas. Learn more about CSL Behring.
We want CSL to reflect the world around us
At CSL, Inclusion and Belonging is at the core of our mission and who we are. It fuels our innovation day in and day out. By celebrating our differences and creating a culture of curiosity and empathy, we are able to better understand and connect with our patients and donors, foster strong relationships with our stakeholders, and sustain a diverse workforce that will move our company and industry into the future. Learn more Inclusion and Belonging | CSL.
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