Senior/Manager, Federal Government Price Reporting & Compliance

Job DescriptionThe Manager/Sr Manager, Federal Government Price Reporting & Compliance within the US Market Access Department is a new role within the Price Reporting and Rebate Operations team.This position will manage contractual obligations for programs administered by Centers for Medicare and Medicaid Services (CMS), Public Health Services 340B drug discount program and Federal Supply Schedule, Department of Veteran Affairs & Department of Defense programs. This position will support Government Pricing operations, including 3PL data validation used for all Government Pricing Calculations, analysis of pricing calculation drivers, support of system/reporting enhancements, as well as product launch activities.Position Summary:Administers activities related to Company compliance with the 340B PPA contract and price administration. This includes management of pricing calculations, reporting and certification requirements, trading partner management and eligibility, launch pricing, 340B refunds, and related financial analysis.Responsible for contract compliance with the Federal Supply Schedule VA and DoD contracts, including quarterly and annual price calculations (NFAMP, FCP), contract solicitations and maintenance, new product pricing submissions, RFM's, Public Law submissions, Tracking Customer monitoring, and annual SAM.gov certification.Support contracting strategy analyses for the FSS segment, including the impact of TPRs, BPAs, national contracts etc.Assists in the development of policies, procedures and calculation methodologies supporting the 340B and FSS Government Price calculations to ensure ongoing compliance with external and internal requirements and guidance including new law and regulations.Assists in the implementation of system & process improvements across all the various calculations and within the integrated Model N system. Provides guidance and oversight to the Data Technology Engineering (DTE) team for related testing.Reconciles third party and internal transactional data to Revitas system, including sales, chargebacks, credits, fees, and other applicable discounts. Collaborates with Trade and Distribution, Accounting and SD/SP Account Managers for timely resolution of any data processing errors, reconciling items and/or adjustments. Coordinates resolution of data scrubs and/or validations.Assesses data adjustments to government pricing data. Maintains detailed support for all required data modifications.Analyzes calculation results to help provide insight into key result drivers and variances to government pricing forecasting assumptions.Core Responsibilities:Collaborates with various departments to resolve source system data issues identified in data reconciliation and validation processes prior to calculations being processed and work to resolve to ensure that systemic issues are fully resolved.Coordinates and systematically documents government pricing adjustments to data as required.Validate all chargeback pricing and eligibility.Calculate and submit timely Quarterly PHS pricing to HRSA-OPAIS.Collaborate with Rebates and Chargebacks Team to communicate 340B pricing to all distribution partners on a timely basis.Calculate 340B liability and refund due to the Government due to launch pricing and/or Medicaid AMP/URA restatement.Calculate and submit timely Provisional, Temporary, Permanent, Quarterly and Annual NFAMP/FCP to VA.Validates Tricare rebates prior to payment.Lead and perform all Public Law calculations and submissions including coordination within USMA Payer Account team.Take a lead role in coordinating the FSS Solicitation submission every 5 years.Initiate and manage the annual FSS FAR compliance review with all stakeholders for SAM.gov certification.Lead and/or support identification of process improvement opportunities.Supports ad-hoc pipeline planning and G2N/contracting scenario planning calculation activities and projects.Maintains an awareness of constantly changing government regulatory landscape and assist in assessing impact to Vertex.Ensures audit preparedness.Qualifications:4-6 years of experience in Government Pricing and Contract managementKnowledge of U.S. Government pricing statutes and regulations including knowledge of Medicaid, Medicare, VA Healthcare Act and Public Health Services ActAbility to establish and maintain strong working relationships with varying levels of government representatives (VA Contracting Officers, Office of Inspector General, etc.)Analytical and problem-solving skills.Attention to detail and a high degree of accuracy are necessary to ensure compliance with timelines, internal policies, laws and regulations.Strong Excel and Word skills are required.A self-starter: ability to work independently.Effective written and oral communication skillsAbility to develop and communicate potential enhancements to operating processes and procedures.Demonstrate compliance, company values and required competencies on a consistent basis.Pay Range:$136,000 - $204,000Disclosure Statement:The range provided is based on what we believe is a reasonable estimate for the base salary pay range for this job at the time of posting. This role is eligible for an annual bonus and annual equity awards. Some roles may also be eligible for overtime pay, in accordance with federal and state requirements. Actual base salary pay will be based on a number of factors, including skills, competencies, experience, and other job-related factors permitted by law.At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations. From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more.Flex Designation:Remote-EligibleFlex Eligibility Status:In this Remote-Eligible role, you can choose to be designated as:1. Remote: work remotely five days per week and come into the office on occasion - you're always welcome on-site; or select2. Hybrid: work remotely up to two days per week; or select3. On-Site: work five days per week on-site with ad hoc flexibility.Company InformationVertex is a global biotechnology company that invests in scientific innovation. Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law. #J-18808-Ljbffr