Hybrid Senior Manager, 340B Program Integrity

Posted 2 hours ago

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About the role

  • Senior Manager leading enterprise 340B program integrity efforts at Bristol Myers Squibb. Responsibilities include audits, vendor management, and compliance with HRSA regulations.

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

Requirements

  • 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

Benefits

  • 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.

Job title

Senior Manager, 340B Program Integrity

Job type

Experience level

Senior

Salary

$139,200 - $168,683 per year

Degree requirement

Bachelor's Degree

Location requirements

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