Manager, Medicaid & Government Pricing at Eisai

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai’s human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer’s disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference.  If this is your profile, we want to hear from you.

As a Nutley, NJ hybrid position, the candidate will be expected to be on site 2 days a week per company policy.

This position has the primary responsibility of managing the Medicaid Drug Rebate Program (MDRP) and reconciling the Medicaid claims. This position will also assist the Government Pricing Team with any Pricing calculations and GP Projects.
 

Essential Functions

• Administration and management of all Medicaid programs that includes URA calcs and updates to line extensions. Ensures data in the Medicaid system reflects the contract terms for accurate processing.
• Process high volume state Medicaid claims within tight timeframes to avoid late payments. Identifying and properly disputing invoicing errors if any. Responsible for maintaining accurate records of outstanding disputes.
• Act as company liaison, negotiating with the States Medicaid agencies regarding dispute resolutions.
• Analyze performance of Medicaid programs and gather trends on the state invoices
• Assist with audit requests for the Medicaid Drug Rebate Program (rebates & calculations)
• Stay up to date and applies knowledge of the Medicaid Rebate & Government Pricing policy changes to process improvements and systems.
• Responsible for quarterly analytical reports and models, utilizing the ModelN data, to accurately assist GTN forecasts and accruals.
• Co-develop training plans for any new analyst/consultant that joins the Medicaid area.
• Performs Medicaid and Govt Pricing system testing to ensure proper function when any upgrades are completed.
• Assist with calculating of AMP, BP and URAs as required.
• Prepare and submit “Pricing” reports to states.
• Participate in Medicaid contract review sessions with field and market access representatives.
• Foster and maintain relationships with internal and external stakeholders.

Requirements

• A Bachelor’s degree required; relevant experience may be substituted for degree considered
• A minimum of six (6) years of related experience (financial analysis, Medicaid, and government pricing reporting)
• Knowledge of the Medicaid Drug Rebate Program (MDRP)
• Knowledge of Government Pricing Calculations is desirable.
• Experience using ModelN Medicaid system is desirable.
• Analytical & strategic thinker capable of identifying both the depth and breadth of data required to accurately answer questions.
• Effective communicator, persuasive in support of conclusions
• Builds and maintains relationships with internal stakeholders to build an understanding of business objectives
• Self-motivator who seeks to improve accuracy and efficiency

Eisai is an equal opportunity employer and as such, is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability or veteran status.  Similarly, considering the need for reasonable accommodations, Eisai prohibits discrimination against persons because of disability, including disabled veterans.

Eisai Inc. participates in E-Verify. E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. Please click on the following link for more information:

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