Description:
Job Summary
Responsible for calculating/reviewing, analyzing, documenting, maintaining, and reporting price calculation submissions for federal and state government pricing programs for the following agencies: The Center for Medicare and Medicaid Services (CMS), Department of Veterans Affairs (VA), Department of Defense Tricare (DOD), and Health Resources & Services Administration (HRSA).
Primary Responsibilities
- Calculation and/or validation (with oversight) of the following price types; Medicaid Drug Rebate Program (MDRP) calculations, such as monthly and quarterly Average Manufacturer Prices (AMPs), Medicaid Best Price (BP), Public Health Service 340B Program (PHS Price), and as needed Department of Veterans Affairs Non-Federal Average Manufacturer Price (Non-FAMP) and Federal Ceiling Prices (FCP).
- Work with Sr. Manager to ensure that all pricing submissions are accurately calculated, analyzed, and validated to ensure that the required government pricing variables for monthly, quarterly, and annual pricing submissions are appropriately reported to various federal and state government agencies.
- Perform detailed monthly and/or quarterly analysis of pricing and calculation components to determine root cause of variances.
- Ensure all government pricing data is properly archived and maintained in order to comply with all Federal guidelines and audit requirements.
- Support administration of subsidiary government pricing computations through review of deduction, return, and sales data.
- Assist in the adjudication and payment of Department of Defense Tricare rebates and the development of accruals.
- Ensure all government pricing documentation is available and accurate.
- Support testing of new software due to government pricing systems upgrades and/or changes in pricing methodology.
- Support updating and maintaining SOPs where appropriate.
- Support other team members in government pricing work review.