Senior Analyst, Government Pricing & Medicaid

Position Summary

Performs government price calculations, analysis and submission of all mandated products and pricing data for all federal and state government programs. Processes current/prior quarter Medicaid invoices and submit payment package. Responsible for resolution of data discrepancies and providing relevant supporting documentation to government agencies, as needed including CMS (Centers for Medicare and Medicaid Services), HRSA (Health Resources and Services Administration) and the VA (Veterans Administration). Maintains State Price Transparency requirements and generates reports, as required by each state.

Essential Duties & Responsibilities

• An experienced professional with an understanding of government pricing programs.
• Responsible for performing end-to-end calculations and initial analysis of government price calculations for AMP, BP, URA, Non-FAMP, FSS, FCP, IFF, ASP and PHS prices.
• Ensuring timely and accurate calculation of government prices based on monthly, quarterly, and annual schedules, and reporting them to relevant government agencies.
• Performs re-calculation of statutory pricing requirements, as needed, and provides analysis on financial impact to 340B, Medicaid and/or VA.
• Processes quarterly Medicaid invoices in Model N to include retrieving e-invoices or scanning mail invoices, loading invoices in Model N, identifying and resolving disputes with Medicaid state representative, submitting invoices for payment, and creating payment packages.
• Maintains working knowledge of the Medicaid Drug Rebate Agreement, the Federal Supply Schedule agreement, 340B Pricing, and regulatory/legislative changes that impact pricing, contracts, and all Federal and State statutory calculations.
• Reviews and analyzes customer pricing, class of trade and transactional data for correct classification and inclusion/exclusion in the government pricing calculations.
• Performs analysis on fluctuations in reported pricing and provides detailed explanations for significant increase or decrease.
• Collaborates with various departments to resolve all source system data issues identified in the data reconciliation and validation process prior to calculations being processed.
• Provides support and back up for the Manager, Government Reporting & Rebates including updates/changes to department policies/procedures to allow for continuous business process improvement.
• Able to interpret various State Price Transparency reporting requirements and generate report for submission.
• Maintains appropriate written and electronic documentation consistent with approved policy and various state and federal requirements.
• Normally receives little instruction on day-to-day work, general instructions on new assignments.
• Assists with various projects as assigned.
• Work on special projects as they arise.

Education and Experience

• Must be at least 18 years of age.
• Bachelor’s degree in Business, Finance, or Accounting from an accredited college or university is required.
• Experience in Government Pricing and Contracting preferred with a minimum of 3 years of experience in the Pharmaceutical Industry.
• Organized and very attentive to detail with a high degree of accuracy to ensure compliance with timelines, internal policies, laws and regulations.
• Proven analytical and problem-solving skills.
• Strong Excel and Word skills are required, Model N and Oracle ERP strongly preferred.
• Effective written and oral communication skills.
• A self-starter with ability to work independently to manage multiple tasks, priorities and timelines.
• Ability to successfully interact with upper management and external government contacts.

Physical Requirements and Work Environment

• This is largely a sedentary role.
• 100% Remote position.
• Typically requires travel less than 5% of the time.

Innovation, Impact, and Purpose.

Find Your Future Here.

We manufacture the critical IV solutions providers count on to deliver consistent, reliable care. Each product we make helps ensure patients receive the therapies they need without disruption.

When you work here, you become part of something bigger—a team dedicated to reliability and innovation. No matter the role, your work directly strengthens the healthcare supply chain and impacts patients nationwide.

We offer opportunities for growth, collaboration, and meaningful contributions, all in pursuit of a mission that truly matters.

Join us and help shape the future of IV solutions.

EEO Statement:

Otsuka ICU Medical is committed to being an Equal Opportunity Employer. We ensure that all qualified applicants receive fair consideration for employment regardless of race, color, nationality or national origin, ethnicity, sex, gender, religion or belief, marital or civil partnership status, sexual orientation, pregnancy or maternity, age, disability, or protected veteran status.

If you are an individual with a disability and need reasonable accommodation to participate in the employment selection process, please contact us at [email protected]. We are committed to providing equal access and opportunities for all candidates.

Otsuka ICU Medical EEO Policy Statement

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Originally posted on Himalayas