Associate Manager - Government Contracts - Medicaid

Facility:  Legal, Compliance and Audit
Location: 

Plainsboro, NJ, US

About the Department                                                                                                                                                 

At Novo Nordisk, our Strategy, Finance, and Operations team works to provide strategic direction to the company, ensuring that everything we do is viable and built to last. Overseeing and safeguarding Novo Nordisk’s short and long-term planning, the Strategy, Finance and Operations team works closely with the business across the organization to develop strategies and business plans, monitor industry trends, and provide operating recommendations. We regulate accounting, uphold workplace safety, manage our supply chain and sampling, support technology, provide commercial insights & analytics, maintain our facilities and assure the integrity and completeness of all business transactions. At Novo Nordisk, you will have the opportunity to build a life-changing career in a global business environment. We encourage our employees to make the most of their talent. And we reward hard work and dedication with the opportunity for continuous learning and personal development. Are you ready to realize your potential?

 

The Position

This individual has the responsibility of managing the Medicaid Drug Rebate Program (MDRP) and processing and reconciling the Medicaid claims utilizing the Model N System. Responsible for preparing Medicaid analysis as required. The individual may also assist in the development and implementation of processes and programs to ensure Novo Nordisk Inc (NNI) compliance with the Medicaid Drug Rebate Program (MDRP). The individual will develop action plans, as needed, to continually manage the dispute resolution process, assist in updating Statements of Work & work with Government Pricing on URA discrepancies and assist with the mid & year end SARBOX audit reviews as needed. The individual will also closely work with the teams Manager to develop monthly and quarterly reporting (e.g., Dashboard reporting: cash flow & accrual forecasting) as required and may be required to co-manage team projects. The Associate Manager may serve as a backup to the Manager.

 

Relationships

This position reports to a manager in the Government Contracts & Operations group. Interacts with field and home office management regularly. External relationships include Centers for Medicaid and Medicare Services (CMS), State Medicaid agencies, and field sales personnel regarding reporting and analysis needs.

 

Essential Functions

  • Data Analysis and Government Reporting

    • Analyzes and ensures accuracy of state rebate formatted data for each level of processing. Identifies and analyzes performance trends and provides recommendations to management.

    • Responsible for data validation processes using Excel, Access and SQL, Model N

    • Prepares and provides standard contract reports (i.e., sales, rebate pricing, reconciliation, tax reports) to field sales and home office management. These reports include sales and trending reports used by upper management for the purposes of strategic decision-making. Also prepares and distributes dashboard reporting on KPIs including interest management and dispute resolution statistics. These reports also include federally mandated government sales reports that are submitted quarterly or annually

    • Reviews and analyzes contract terms and conditions. Ensures data in the Medicaid system reflects the contract terms for accurate processing

  • Medicaid Rebate

    • Acts as company liaison, negotiating with state Medicaid agencies regarding dispute resolution with a third-party Consultant. Quantifies and accounts for dispute exposure. Prepares processes for the team to manage disputes as required

    • Attends Financial Planning & Analysis (FP&A) forecasting meetings and provides guidance to FP&A Department on potential future Medicaid events that could impact rebate forecasting

    • Develops and distributes quarterly analysis of Medicaid Rebate Liability

    • Ensures compliance with SARBOX requirements and may lead the mid & year end audit process

    • Maintains and is an expert in operation of Model N Medicaid Rebate Processing systems

    • Responsible for the timely and accurate processing and payment of Federal and State Medicaid Rebate Invoices. Reviews state utilization data for reasonableness. Prepares/reviews quarterly Medicaid, ADAP, SPAP (State Programs), and Supplemental Invoices and ensures compliance with prescribed filing dates

    • Stays up to date and applies knowledge of the Medicaid Rebate legislation including Federal, Supplemental, and individual state programs

    • Works with Strategic pricing to review operationalizing of Supplemental contracts

  • Medicaid Systems Maintenance/ Contract Administration

    • Responsible for timely check requests and reporting to sales and rebate customers

  • Medicaid Systems Maintenance

    • Assist internal and external customers with basic questions or problems arising with contracts

    • Formats incoming claims data (received on tape, diskette, etc.) from contract customers; ensures rebate claims data is in proper format

    • Identifies missing claims data and works with customers in gathering and obtaining this data

  • Training and Development

    • As assigned, will co-develop training plans for new associates joining the Medicaid team

  • Utilizes and Enhances Rebate and Processing Technologies

    • Performs Medicaid system testing to ensure proper function

    • Recommends system and process improvements to ensure best in class Medicaid systems and processes

 

Physical Requirements

0-10% overnight travel required. Novo Nordisk requires all employees, both Field and Office-based, to be fully vaccinated with a COVID-19 vaccine prior to the first date of employment. As required by applicable law, Novo Nordisk will consider requests for reasonable accommodation for those unable to be vaccinated. You will be required to upload an image of your COVID-19 vaccine card at the time of hire and/or on your first day of employment

 

Qualifications

  • A Bachelor’s degree required; relevant experience may be substituted for degree considered

  • A minimum of six (6) years related experience (financial analysis, Managed Care, Medicaid, and government price reporting) required with 2 years in Medicaid preferred

  • Analytical & strategic thinker capable of identifying both the depth and breadth of data required to accurately answer questions

  • Intermediate Microsoft Excel skills required

  • Intermediate proficiency in Access, Showcase Query, Macros & VBA is desirable

  • Effective communicator, persuasive in support of conclusions

  • Knowledge of State Government Contracting and Federal Government Pricing Calculations is desirable

  • Knowledge of the Medicaid Drug Rebate Program (MDRP) is desirable

  • Builds and maintains relationships with internal stakeholders to build an understanding of business objectives.

  • Planner and forecaster savvy with recognizing trends, establishing forward progress, and focusing on the big picture as well as key details

  • Self-motivator who seeks to improve accuracy and efficiency of analytical work and business processes

 

We commit to an inclusive recruitment process and equality of opportunity for all our job applicants. 

 

At Novo Nordisk we recognize that it is no longer good enough to aspire to be the best company in the world. We need to aspire to be the best company for the world and we know that this is only possible with talented employees with diverse perspectives, backgrounds and cultures. We are therefore committed to creating an inclusive culture that celebrates the diversity of our employees, the patients we serve and communities we operate in. Together, we’re life changing.

 

Novo Nordisk is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, protected veteran status or any other characteristic protected by local, state or federal laws, rules or regulations.

 

If you are interested in applying to Novo Nordisk and need special assistance or an accommodation to apply, please call us at 1-855-411-5290. This contact is for accommodation requests only and cannot be used to inquire about the status of applications.