Previous Job
Project Specialist II
Ref No.: 19-07768
Location: Swiftwater, Pennsylvania
Join a global biopharmaceutical company committed to healthcare solutions from prevention to treatment.  They turn scientific discoveries into medicine to improve human health.  Every day they dedicate their most important resource, the people, to support patients and families through their health journey.

Pricing & Reimbursement

  • Review of all data sources: ensure standardization, clear defined processes, develop data integrity protocols for each data source (including shaping for Medicaid rebate program). Validation of methodology: documentation, updates to policy changes, oversee audits (Duplicate)
  • Development of data vault for locking down calculation data, methodology, results and submissions for each calculation
  • PMO for all MA compliance and control activities
  • Develop and implement training program on GP
  • Ensure objectives/priorities of contributors to GP have appropriate focus on GP
  • Management the review of all P&P/Documentation for GP/MA compliance documents including RACI
  •  Defined MA compliance priorities and action plan
  • Define appropriate audits and conduct accordingly
Required Skills
  • Audits
  • Medicaid
  • Change Management
  • Governance
  • PMO
Education: Bachelor's Degree