Senior Manager, 340B Program Integrity at Bristol Myers Squibb

Washington, District of Columbia, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Jun, 26

Salary

168683.0

Posted On

29 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

340B Program Integrity, Claims Validation, Duplicate Discounts, Diversion Identification, Good Faith Inquiries (GFIs), Audits, Vendor Management, HRSA Compliance, Compliance Policies, Data Analysis, Process Improvement, Cross-functional Project Management, Matrixed Organization, Attention to Detail, Documentation Accuracy, Government Pricing

Industry

Pharmaceutical Manufacturing

Description

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. 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: The Senior Manager, 340B Program Integrity leads enterprise 340B program integrity efforts including validating claims flagged for potential duplicate discounts, identifying diversion activities, and managing Good Faith Inquiries (GFIs) and audits in coordination with vendor partners. This position is responsible for ensuring program integrity efforts are executed in a compliant and timely manner and align with the enterprise 340B strategy. Responsibilities: Review and validate Medicaid claims flagged for potential duplicate discounts Analyze chargeback data to identify potential diversion activities Lead GFI and audit processes including identification and prioritization of CEs, compiling supporting data, securing necessary internal reviews and approvals, and engaging CEs in collaboration with Legal and external vendors Select and manage vendors for GFI support and audits in partnership with the Senior Director, Business Optimization & Analytics Lead Ensure all program integrity activities align with HRSA rules and regulations and internal compliance policies and procedures Collaborate with the Senior Director,340B Business Optimization & Analytics Lead to provide feedback on analytics and tools used to support duplicate discount and diversion activity identification Document and report GFI and audit metrics, outcomes, and trends to the 340B COE leadership team and executives Identify and recommend process improvements to strengthen program integrity efforts Qualifications: Bachelor’s degree required; advanced degree or certification in compliance, health administration, or business preferred 4–6 years of experience in compliance, audit management, or government pricing, ideally within a pharmaceutical or healthcare environment Skilled in managing complex, cross-functional projects within a matrixed organization Proven ability to analyze complex data sets and identify trends and insights Excellent organizational and communication skills with strong attention to detail and documentation accuracy Experience selecting and managing vendors Strong knowledge of 340B program requirements, including manufacturer GFI and audit rules and procedures Prior experience managing 340B program integrity activities including GFIs and audits within a pharmaceutical manufacturer #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. Compensation Overview: Princeton - NJ - US: $139,200 - $168,683 Washington DC - US: $139,200 - $168,683 The starting compensation range(s) for this role are listed above for a full-time employee (FTE) basis. Additional incentive cash and stock opportunities (based on eligibility) may be available. The starting pay rate takes into account characteristics of the job, such as required skills, where the job is performed, the employee’s work schedule, job-related knowledge, and experience. Final, individual compensation will be decided based on demonstrated experience. Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits, please visit https://careers.bms.com/life-at-bms/. Benefit offerings are subject to the terms and conditions of the applicable plans in effect at the time and may require enrollment. Our benefits include: Health Coverage: Medical, pharmacy, dental, and vision care. Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP). Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support. Work-life benefits include: Paid Time Off US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees) Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day. All global employees full and part-time who are actively employed at and paid directly by BMS at the end of the calendar year are eligible to take advantage of the Global Shutdown. *Eligibility Disclosure: The summer hours program is for United States (U.S.) office-based employees due to the unique nature of their work. Summer hours are generally not available for field sales and manufacturing operations and may also be limited for the capability centers. Employees in remote-by-design or lab-based roles may be eligible for summer hours, depending on the nature of their work, and should discuss eligibility with their manager. Employees covered under a collective bargaining agreement should consult that document to determine if they are eligible. Contractors, leased workers and other service providers are not eligible to participate in the program. 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 a supportive culture, promoting global participation 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 an 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. Supporting People with Disabilities 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. Candidate Rights BMS will consider for employment qualified applicants with arrest and conviction records, pursuant to applicable laws in your area. If you live in or expect to work from Los Angeles County if hired for this position, please visit this page for important additional information: https://careers.bms.com/california-residents/ Data Protection We will never request payments, financial information, or social security numbers during our application or recruitment process. Learn more about protecting yourself at https://careers.bms.com/fraud-protection. Any data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations. If you believe that the job posting is missing information required by local law or incorrect in any way, please contact BMS at TAEnablement@bms.com. Please provide the Job Title and Requisition number so we can review. Communications related to your application should not be sent to this email and you will not receive a response. Inquiries related to the status of your application should be directed to Chat with Ripley. R1599846 : Senior Manager, 340B Program Integrity Data Privacy Link We’re creating innovative medicines for patients fighting serious diseases. We’re also nurturing our own diverse team with inspiring work and challenging career options. No matter the role, each one of us makes a contribution. And that makes all the difference.

Responsibilities

This role leads enterprise 340B program integrity efforts, focusing on validating claims for duplicate discounts, identifying diversion activities, and managing Good Faith Inquiries and audits in coordination with vendors. The manager ensures these integrity efforts are executed compliantly and align with the overall 340B strategy.