Compliance Director (Banking) jobs in Somerset, NJ

Bausch Health is a global company that develops, manufactures, and markets a differentiated product portfolio across multiple high-growth therapeutic areas including Gastroenterology, Generics, Neurology, Ortho Dermatologics, Medical Aesthetics and Dentistry. We are delivering on our commitments as we build an innovative company dedicated to advancing global health. Each day, Bausch Health products are used by over 150 million people around the world.

Our approximately 7,000 employees are united around our mission of improving people’s lives with our health care products.

This position is responsible for leading compliance in regulated government/federal programs and price calculations (Medicaid AMPs, BPs, Medicare Part B ASPs, PHS 340B pricing & Non-FAMPs). Strong finance/analytical background and experience with software used to model and calculate government prices. Manage third party vendor responsible for generating Gov’t Pricing calculations within Model N Flex system. Insure compliance is maintained consistent with Manufacturer government pricing policies within the Model N Flex system. Review calculation results for all price types and manage filing submissions by required due dates and certification requirements. Oversight of Medicaid claims, Tricare and Coverage Gap processing operations with Third Party vendor and coordination of quarterly cash flow monitoring with Treasury.

Key Activities/Responsibilities

• Manage all Government Pricing compliance obligations - policy updates as required to business or regulatory changes, Bona Fide & Non-Bona Fide Service Fee monitoring for treatment in calculations. Stay up to date on regulatory changes or proposed changes to determine whether changes will impact the business. Work with internal and external counsel to establish and document policy position for the company.
• Manage calculation activities with Third Party Vendor, own review and submission of monthly/quarterly AMPs, Best Prices, quarterly ASPs and quarterly and annual Non-FAMP/FSS/FCP pricing.
• Annual FSS forecasting analysis in September for GTN budget planning. Management of administrative requirements associated with Federal Supply Schedule (FSS) contract to include submission of Modification paperwork for new products, Temporary Price Reductions, NDC changes, terminated NDC deletions and new contract solicitation. Work with Third Party vendor to complete paperwork and submit and track execution.
• Manage calculation and validation of quarterly PHS pricing. Insure quarterly updates are loaded with Trading Partners.
• Respond to Brand/Generic/Contract Development team inquiries on Government programs (i.e., Best Price, DoD bids, current FSS pricing information, chargeback utilization) for financial forecasting of proposed contract strategies.
• Provide quarterly URAs to GTN team and validate against CMS calculated URAs in MDP prior to Operations team activating quarter within Medicaid system. Insure approval workflow of Medicaid, Tricare and Coverage Gap claims follows approval matrix and completes within payment due date cycle.
• Work with internal and external auditors to address any control inquiries and provide responses to audit requests related to government programs.
• Facilitate payment of annual Pharma fee invoice. Review preliminary invoice for accuracy and provide to GTN Lead and Treasury. Process final invoice to secure approvals by due date.
• Oversight of all government program related activities (i.e., TX state Medicaid formulary additions, PHS 340B non-compliance disclosure letters, etc.).

Supervise Direct Reports

Yes – 1 Supervisor Government Contracts; Third party vendor support team

Key Relationships

Third Party vendor support team, GTN Finance Leads, Business Team Leads (Marketing & Finance), Market Access.

Qualifications/Training

• Bachelors Degree required
• 8-10 years of relevant experience with government price reporting and federal contracting within the pharmaceutical industry.
• In-depth knowledge of current government program statutes and regulations including Medicaid, Medicare Part B, Federal Supply Program, Public Health Services/340B Program, Tricare Retail Pharmacy Program, Coverage Gap Discount Program and current quarterly reporting requirements for the states for the Medicaid Drug Rebate Program.
• Interested candidates must possess high ethical standards, strong verbal and written communication skills, and strong technical skills and must be flexible to handle changing priorities and tight deadlines.
• Ability to lead and interact with all levels of personnel, including senior management.
• Experience with Model N Flex Revenue Management software preferred.
• Ability to use advanced Excel spreadsheet functions and formulas.
• Able to work independently to start and persist with specific courses of action while exhibiting high motivation and sense of urgency.

Benefits package includes a Comprehensive Medical (includes Prescription Drug), Dental, Vision, Health Savings Account with company contribution, Flexible Spending Accounts, 401(k) matching, discretionary time off, paid sick time, tuition reimbursement, parental leave, short-term disability, long-term disability, life insurance, accidental death & dismemberment insurance, paid holidays, Employee Assistance Plan, commuter benefit, recognition awards, voluntary benefits (including Identity Theft, Student Loan and Breast Milk Shipping), employee referral bonuses and employee discounts.

\#LI-hybrid

This position may be available in the following location(s): [[location_obj]]

Bausch Health Companies Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment regardless of race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. We are committed to building diverse teams, representative of the patients and communities we serve, and we strive to create an inclusive workplace that cultivates collaboration.

If a candidate needs a reasonable accommodation/adjustment due to physical or mental health impairment for any part of the application process, they are encouraged to send their request to humanresources@bauschhealth.com or call 908-927-1400 and let us know the nature of the request and their contact information. Please be sure to include the job requisition number.

Job Applicants should be aware of job offer scams perpetrated through the use of the Internet and social media platforms.

To learn more please read Bausch Health's Job Offer Fraud Statement (https://protection.greathorn.com/services/v2/lookupUrl/c29afa19-107c-4ce0-9f8c-cdaacd1f6318/176/6d14a0b2d6ae791286e49cc8358d2a3ef29730f9) .

Bausch Health is an EEO/AA employer M/F/D/V.