Sr. Manager, 340B Compliance - Boston, United States - Vertex Pharmaceuticals, Inc

Vertex Pharmaceuticals, Inc Boston, United States

3 weeks ago

Description

Job Description

The Sr.

Manager, 340B Compliance & Analytics is a critical role, reporting to the Director, Rebate and Chargeback Operations as part of the Pricing, Analytics & Contract Management (PACM) team within the US Market Access organization.

This is an exciting opportunity for a subject matter expert that applies an enterprise-level mindset and technical expertise at the intersection of data, process optimization, automation, and innovation.

This role will interact with senior Commercial leadership and the successful individual must be extremely knowledgeable on 340B program, proven ability in utilizing technology to realize operational efficiencies, and have a high degree of attention to detail and accuracy to mitigate revenue leakage.

Primary responsibilities include identifying and communicating trends and insights to key stakeholders, develop existing tools/new technologies for advanced data analytics capabilities as we expand into new disease areas, enhancing 340B disputes and resolution processes.

This role is expected to operate with compliance and integrity and contribute to Vertex's corporate goals.

Key Responsibilities:

Stay current with 340B program regulations and guidelines, trends, and public policy rulings at the Federal, State, and local level in collaboration with Government Pricing, Policy, and Legal teams. Support analysis on potential impact assessments and 340B program general education of internal stakeholders.
Responsible for managing 340B Customer Master eligibility status and pricing within appropriate systems in partnership with Government Pricing team and other cross-functional partners and communicating eligibility and pricing to wholesaler through appropriate channels.
Responsible for identifying potential duplicate discounts and working with Rebate and Chargeback Operations team to communicate dispute to appropriate entities, monitor resolutions, report impact, and communicate trends to cross-functional partners including Trade, Government Pricing & Transparency, Gross to Net teams, etc.
Develop complex excel models for various analyses, provide formal presentations to Sr. Leadership, and participate in contract reviews as requested.
Compliantly update organizations Covered Entity leakage dispute and audit processes, as necessary, including process development design and documentation, tracking, monitoring, and reporting.
Drive, with Data & Technology Enablement (DTE) and Center of Excellence teams, enhancements of existing tools, utilization of available data and resources, and assessments of new technologies to improve reporting and analytics capabilities in a compliant manner as we expand into new disease areas.
Participate in system implementation efforts, as necessary, which includes but not limited to, development and testing of functional requirements, documentation of formal testing, communicating issues and/or defects, and supplying insights in ongoing meetings.
Lead and/or partner with various cross-functional stakeholders on projects, which includes evaluating operational feasibility and compliance, assessing, and communicating impact on processes and documentation, and participating in implementation efforts as needed.

Minimum Qualifications:

Bachelor's degree in a quantitative or technological discipline required (e.g., Engineering, Computer Science, Accounting, Statistics, Economics, Finance)
5+ years US pharmaceutical industry experience with increasing responsibilities in 340B public policy, Government Pricing calculations, financial analysis, chargeback validation, processing, and payments to FSS, Wholesalers, GPOs and IDNs.
5+ years' experience with managed care contract admin technology (i.e. Model N, EDI, Helix).
Knowledge of AI/ML tools, query languages/tools (SQL, Alteryx) and data visualization tools.
Proven ability to work in a fast-paced complex, customer-focused environment.
Proven ability to build collaboration and drive problem-solving within and across teams.
Proven ability to influence stakeholders through effective written and verbal communication.
Excellent strategic thinker with analytical and solutions-driven mindset.
Intellectual curiosity, active listener, and willingness to challenge the status quo and experiment when appropriate, focusing on continuous learning and improvement.
Strong business acumen, passion for innovation, ability to navigate ambiguity, and manages well through complexity. Excellent organizational skills and attention to detail.
Effective communicator, someone who can inspire and energize people with ideas and ability to influence decision-makers through incisive analysis and persuasive communication.
High level of proficiency in Microsoft applications, including Excel, PowerPoint and Word.

Preferred Qualifications:

MBA, MPH or a Master's in a quantitative discipline.
8+ years in biotech/pharmaceuticals in a quantitative role in Managed Markets / Commercial / Finance / Investment Banking, or 3+ years in biopharma consulting (management, strategic or economic consulting) post-MBA/PhD, with meaningful biotech/pharmaceuticals with direct reports and quantitative decision support experience.
Project management experience and familiarity with project management techniques.
US product launch experience, cell and gene therapy a plus.
Experience in working with senior leadership to support financial forecasting and analytics, and/or commercial launch planning.

#LI-LN1

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Pay Range:
$149,360 - $224,040

Disclosure Statement:

The range provided is based on what we believe is a reasonable estimate for the base salary pay range for this job at the time of posting.

This role is eligible for an annual bonus and annual equity awards. Some roles may also be eligible for overtime pay, in accordance with federal and state requirements.

Actual base salary pay will be based on a number of factors, including skills, competencies, experience, and other job-related factors permitted by law.

At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.

From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more.

Company Information

Vertex is a global biotechnology company that invests in scientific innovation.

Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law.

Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.

Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager, or contact Talent Acquisition at

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