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Summary:
This role is accountable for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in connection with matrix team's financial reporting (GTN, projections and budgets) as well as all aspects with evaluating implications of and reporting Managed Care data required for U.S. and Puerto Rico government pricing calculations.
Responsibilities:
Lead and develop a team responsible for systems and processes that collect, process, monitor and use Managed Care data for financial, business or government pricing calculation purposes including but not limited to: rebate payments, GTN, projections, budgets, AMP, ASP, BP estimate, BP true-up, BP modeling of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics
Serve as a trusted MCRO leadership representative and decision maker internally and externally
Partner with other BMS functions to assist them in understanding potential implications of various rebate deal structures to key government pricing calculations
Develop and maintain processes to estimate implications of contingent and portfolio rebate deal structures to inform business, financial and government pricing calculation
Lead the monthly and quarterly Managed Care processes that support government pricing calculations
Collaborate with internal government and legal experts to monitor the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and considered
Lead aspects of external vendor contract negotiations, service level performance, system enhancements, system controls, and issue resolution
Lead REACT$ (Rebate Evaluation and Contract Tracking System) business team to develop, design and communicate business requirements to IT and vendor interfaces, develop and execute user acceptance testing, identify risks and opportunities
Collaborate with data processing vendors and internal matrix team to ensure integrity and timeliness of data required to analyze and measure contract performance and process rebate payments
Collaborate with stakeholders to ensure applications and processes can support evolving contracting strategies
Develop and update appropriate departmental SOPs and work with internal and external auditors to ensure SOX compliance of rebate processing and appropriate categorization of Managed Care data for financial forecasting and government pricing calculations
Perform monthly reconciliation of rebate payments with SAP
Lead team with Coverage Gap Discount Program administration and payment responsibilities
Lead or support process improvement initiatives
Perform ad hoc and standard data analyses
Demonstrate critical thinking and business acumen to data reporting and compliance
Lead the team in the implementation and testing of Managed Care rebate systems (REACT$ and vendor interfaces)
Lead and assist with special projects as required (IRA, Legal requests, dispute resolutions, etc.)
Qualifications:
Bachelor's degree in an analytical, financial or business-related program or the equivalent
A minimum of 7 years of experience in the pharmaceutical/healthcare industry related to Managed Care
A minimum of 2 years of experience in government calculations (AMP, ASP, BP)
Strong technical/functional skills and an ability to motivate, develop, and lead others as a player/coach
Possess strong interpersonal, communication and consensus building skills
Proven history of leadership and experience with direct responsibility for supervising others
Strong analytical skills and ability to think strategically about the impact of various contracting approaches and government regulations
Firm understanding of the healthcare marketplace with a strong business acumen, including a solid understanding of the way various channels and customer types make money and create value
Proven ability to work across boundaries to partner and build consensus with various stakeholders in order to get results
Exceptional aptitude for learning quickly and ability to communicate technical concepts to a wide range of stakeholders
Demonstrated a bility to drive execution of key initiatives and meet all deadlines
Proven ability to prioritize and work effectively in a fast-paced, dynamic environment
History of highly ethical and compliant behavior
Demonstrated ability to coach and network across a broad matrix organization to form strong, productive partnerships
Subject matter expert in impact of Managed Care data on government pricing calculations and methodology
Must have strong attention to detail and reviewing skills for information prepared both by the team and/or submitted to the team with strict attention to controls and consistency with established processes
Strong written and oral communication skills and the ability to communicate effectively with all levels of the organization
Works comfortably within a matrix team environment providing oversight and guidance
Proficiency with SOX controls, spreadsheet analysis, database management, and data delivery is required
Experience with governmental pricing, financial processes, SAP and GTN systems and methodologies is required
#LI-Hybrid
If you come across a role that intrigues you but doesn't perfectly line up with your resume, we encourage you to apply anyway. You could be one step away from work that will transform your life and career.
Uniquely Interesting Work, Life-changing Careers
With a single vision as inspiring as Transforming patients' lives through science , every BMS employee plays an integral role in work that goes far beyond ordinary. Each of us is empowered to apply our individual talents and unique perspectives in a supportive culture, promoting global participation in clinical trials, while our shared values of passion, innovation, urgency, accountability, inclusion and integrity bring out the highest potential of each of our colleagues.
On-site Protocol
BMS has an occupancy structure that determines where an employee is required to conduct their work. This structure includes site-essential, site-by-design, field-based and remote-by-design jobs. The occupancy type that you are assigned is determined by the nature and responsibilities of your role:
Site-essential roles require 100% of shifts onsite at your assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at your assigned facility. For these roles, onsite presence is considered an essential job function and is critical to collaboration, innovation, productivity, and a positive Company culture. For field-based and remote-by-design roles the ability to physically travel to visit customers, patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function.
BMS is dedicated to ensuring that people with disabilities can excel through a transparent recruitment process, reasonable workplace accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable workplace accommodation/adjustment prior to accepting a job offer. If you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to adastaffingsupport@bms.com . Visit careers.bms.com/ (https://careers.bms.com/eeo-accessibility) eeo-accessibility to access our complete Equal Employment Opportunity statement.
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BMS will consider for employment qualified applicants with arrest and conviction records, pursuant to applicable laws in your area.
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Company: Bristol-Myers Squibb
Req Number: R1592244
Updated: 2025-06-09 04:48:14.669 UTC
Location: Madison-NJ
Bristol Myers Squibb is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, pregnancy, citizenship, marital status, gender expression, genetic information, political affiliation, or any other characteristic protected by law.