Senior Manager, 340B Program Integrity
Bristol Myers Squibb
full-time
Posted on:
Location Type: Hybrid
Location: Princeton • District of Columbia • New Jersey • United States
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Salary
💰 $139,200 - $168,683 per year
Job Level
About the role
- Review and validate Medicaid claims flagged for potential duplicate discounts
- Analyze chargeback data to identify potential diversion activities
- Lead GFI and audit processes including identification and prioritization of CEs, compiling supporting data, securing necessary internal reviews and approvals, and engaging CEs in collaboration with Legal and external vendors
- Select and manage vendors for GFI support and audits in partnership with the Senior Director, Business Optimization & Analytics Lead
- Ensure all program integrity activities align with HRSA rules and regulations and internal compliance policies and procedures
- Collaborate with the Senior Director, 340B Business Optimization & Analytics Lead to provide feedback on analytics and tools used to support duplicate discount and diversion activity identification
- Document and report GFI and audit metrics, outcomes, and trends to the 340B COE leadership team and executives
- Identify and recommend process improvements to strengthen program integrity efforts
Requirements
- Bachelor’s degree required; advanced degree or certification in compliance, health administration, or business preferred
- 4–6 years of experience in compliance, audit management, or government pricing, ideally within a pharmaceutical or healthcare environment
- Skilled in managing complex, cross-functional projects within a matrixed organization
- Proven ability to analyze complex data sets and identify trends and insights
- Excellent organizational and communication skills with strong attention to detail and documentation accuracy
- Experience selecting and managing vendors
- Strong knowledge of 340B program requirements, including manufacturer GFI and audit rules and procedures
- Prior experience managing 340B program integrity activities including GFIs and audits within a pharmaceutical manufacturer
Benefits
- Health Coverage: Medical, pharmacy, dental, and vision care.
- Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
- Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.
- Work-life benefits include: Paid Time Off US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees) Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisaudit managementcompliancevendor managementprocess improvementproject managementdocumentation accuracytrend identification340B program requirementsgovernment pricing
Soft Skills
organizational skillscommunication skillsattention to detailcollaborationleadership
Certifications
advanced degree in complianceadvanced degree in health administrationadvanced degree in business