Job Description

To protect the assets of Human Pharma business and to help Sr. AD provide strategic recommendations to Senior Management in the Managed Markets of Federal and Medicaid, consistent with business goals. For Medicaid, this is accomplished by managing the Medicaid rebate operations for BIPI which includes claim processing, dispute resolution, quarterly CMS pricing compliance and systems development. For Federal, this is accomplished by performing all necessary tasks to establish and maintain our Federal contracts for BIPI. Research and evaluate new legislation and ideas and debrief management on findings to obtain the best possible positioning for this market. Establish the Federal and Medicaid compliance training for other employees as well as self-audits. As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheims high regard for our employees.

This role is based on-site at our Ridgefield, CT location with hybrid flexibility of 2-3 days per week on-site.

Duties & Responsibilities

------------------------------

Responsible for ensuring compliance in Medicaid rebate and Federal pricing programs. Maintain policies and procedures manual for both programs. Lead the development and ongoing maintenance of the quarterly pricing submissions for BIPI with all State and Federal Programs (AMP, ASP, BP, FCP, NFAMP, and PHS, etc.). Ensure all Medicaid and non-Medicaid rebate payments are paid accurately and in timely manner. Ensure that validation guidelines are evaluated with the changing regulatory environment and are applied properly to claim payments. Aggressively strive to settle all disputed rebate claims. Continually develop and refine dispute resolution strategies on a state by state basis. Responsible for the monitoring of Sales Discounts for all Government rebate programs. Provide treasury with monthly cash forecasts. Track Medicaid payments and accruals on a monthly basis. Constantly evaluate the overall effectiveness of Model N Medicaid processing and CDL delivery. Continuously assess alternative validation sources that could potentially enhance our claims processing and dispute resolution processes. Responsible for managing all state pricing transparency reporting requirements and proactively planning for future needs. Recruit, train, coach and lead a team to deliver on the above outcomes.

Requirements

----------------

Bachelors degree from an accredited institution required MBA from an accredited institution or advanced degree certification, such as a CMA or CPA preferred. Requires eight (8) to ten (10) years experience working within a financial environment (preferably within the pharmaceutical industry). Minimum five (5) years in Federal and Medicaid markets in order to properly lead the management of this complex space and provide effective guidance to complex problems in a dynamic fast paced environment preferred. Experience in the ensuring process compliance. * Demonstrated leadership skills.