Job Details

Senior Analyst, Medicaid Rebate Operations

Finance

icon-location-marker Princeton - NJ - US
Posted 9 days ago Full_time R1583713

Working with Us
Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You’ll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams rich in diversity. Take your career farther than you thought possible.

Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us.

Summary:

You will play a key role within the Medicaid Rebate Operations team, which manages the intake, processing, and payment of multiple labeler codes for Medicaid and other state programs. Primarily responsible for analyzing and processing rebates associated with Medicaid and other state programs processed within the Model N Revenue Management application. Contribute to team workload prioritization requirements such as monitoring invoice intake and loading requirements. Will act as subject matter expert related to Model N claims & payment processing and reporting functionality and has a high level of interaction with the BMS Model N IT Support teams and Government Contract Operations team.

Responsibilities

  • Analyzing invoices and claim details for accuracy, identifying and documenting rebate payment and utilization variance explanations which may involve communicating with outside parties

  • Processing payments in accordance with established timeframes and in compliance with federal and state government regulations and internal SOX guidelines

  • Working with contracted third-party dispute resolution coordinator or directly with States or their third-party administrators to identify, investigate and resolve disputes or open account balances

  • Supporting internal and external audits

  • Assisting with workload prioritization including monitoring invoice intake and loading requirements

  • Acting as a Subject Matter Expert regarding Model N claims & payment processing and reporting functionality including

    • Providing internal staff training

    • Serving as team lead in working with Model N IT support teams to resolve issues or suggest improvements

    • Reviewing and updating SOPs, Job Instructions, and operational metrics

  • Leading or contributing to departmental ad hoc projects including those related to system enhancements & upgrades, disaster recovery testing, legal inquiries, and acquisitions & divestitures

Qualifications:

  • Bachelor's degree or equivalent and/or relevant analytical or operational experience in finance, business, or a related discipline. 

  • Minimum 4 - 6 years’ experience in a finance, accounting, business analysis or operations role and familiarity with financial processes, (e.g., accounts payable, accounts receivable, contract management.).  Experience in Medicaid rebate processing a plus.

  • Basic understanding of the healthcare industry, BMS Company or related industry customers, business processes, product information, disease areas, etc. 

  • Familiarity with the U.S. government pricing and reimbursement landscape.

  • Advanced computer literacy and strong technical aptitude with Model N; exposure to SAP a plus. 

  • Demonstrated analytical skills and ability to work with large data sets and multiple time-bound priorities. 

  • Strong attention to detail and organizational, written, and verbal communication skills

  • Strong leadership and delegation skills with ability to also work collaboratively within a team environment and across functions.

  • Strong PC skills with particular expertise in MS Excel and Word.

  • Demonstrated knowledge of operational design with ability to apply innovation, prioritization, and decision-making skills to business processes to enhance operational efficiency and productivity

Ideal Candidates Would Also Have: 

  • Knowledge of the pharmaceutical industry pricing and reimbursement landscape with Medicaid related knowledge preferred

  • Effective project management skills through development of project plans, resource allocation, successful plan implementation

  • An understanding of business needs and priorities, ensuring adherence to all relevant SOX, OIG, and compliance requirements

  • Experience with SAP Procure-to-Pay functions

Other qualifications: 

  • Self-starter, highly motivated

  • Quick study who welcomes new challenges

  • Demonstrated ability to make decisions independently

  • Proven ability to interact independently with various levels of management, as well as external parties

  • Capable of organizing projects and tasks in a timely manner. 

  • Demonstrated ability to remain flexible and open to working across team assignments to allow for workload fluctuations

#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 an inclusive culture, promoting diversity 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 a diverse 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/eeo-accessibility to access our complete Equal Employment Opportunity statement.

BMS cares about your well-being and the well-being of our staff, customers, patients, and communities. As a result, the Company strongly recommends that all employees be fully vaccinated for Covid-19 and keep up to date with Covid-19 boosters.

BMS will consider for employment qualified applicants with arrest and conviction records, pursuant to applicable laws in your area.

Any data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations.