Sr. Manager, Government Program Compliance

Purdue Pharma L.P. and its subsidiaries develop, manufacture and market medications to meet the evolving needs of healthcare professionals, patients, and caregivers. We were founded by physicians, and we are currently led by a physician. Beyond our efforts to provide quality medications, Purdue is committed to supporting national, regional and local collaborations to drive innovations in patient care. Privately held, Purdue is pursuing a pipeline of new medications through internal research & development and strategic industry partnerships.

For close to two decades Purdue has engaged in many initiatives to stem prescription opioid abuse. We are committed to bringing lifesaving relief to communities and individuals suffering from substance use disorder and overdose. We are currently developing or supporting the development of two essential life-saving opioid overdose reversal medications and have the capability to manufacture others for medication assisted treatment. Providing these medicines has the potential to improve and save countless lives.

We are driven by our purpose: Compassion for patients and excellence for science inspire our pursuit of new medicines.

We are building an exciting path forward, and we are committed to recruiting a dedicated team of professionals who advance our expertise through a commitment to Purdue's Values: Integrity and Courage, underpinned by Innovation, and always in Collaboration with each other.

At Purdue Pharma and our subsidiaries, you have a unique career opportunity to work differently, uncover and seize new opportunities, and take a hands-on, ownership approach to your work. We go beyond traditional roles and find creative ways to extend our skills and interests, challenging ourselves to contribute in different, meaningful ways. We strive to create an environment where you can bring your best to work each day. We welcome the opportunity to have you on our team!

Job Summary

Manage government pricing and managed care internal audit programs. Ensure Pricing and Contract Administration ("PCA") reviews and updates its SOPs, WPDs, and other relevant documentation on an annual basis (working with applicable internal teams). Ensure compliance with company policies and legal obligations.

Primary Responsibilities

• Responsible for managing internally generated independent audits of processes and procedures related to government pricing calculations and procedures, government contract administration, government program obligations, customer master scrubs, and certain customer contract administration functions that relate to government price reporting (including audits of our chargeback processing and GPO/trade fee and rebate processing vendors)
• Oversee audit vendor in its three-year rolling audit schedule, ensuring a complete rolling audit plan, ensuring audits are begun and ended timely each year, and working with internal stakeholders to ensure timely and complete internal responses to such audits.
• Work with managed care rebate processing team to manage our third-party audit vendor; audit managed care customer compliance with managed care agreements.
• From any audit reports, create action plans to implement relevant internal or external audit recommendations and collaborate with government pricing team to ensure timely implementation of action items; monitor and track action plan implementation.
• Present audit findings, action plan (and results), and recommended future actions to Pricing Committee (or other Committees as requested), as well as the annual audit plan for government pricing and managed care audits.
• Work with relevant internal stakeholders to ensure all SOPs, reasonable assumptions, procedures documents, and other relevant documentation in Pricing and Contract Administration are reviewed annually and updated if needed; ensure legal review of documentation as appropriate.
• Ensure GP Library and Company SOP portal is updated timely with applicable updated PCA documentation; create and maintain PCA SOP/WPD/Documentation list.
• Internal point person to oversee responses to government agency audits of government pricing, government contracts, or government programs.
• Work with Compliance and/or Law Department(s) to schedule annual training and education for all relevant stakeholders on government pricing and government program compliance.
• Attend certain industry conferences (virtually or in-person) to maintain updated knowledge of government pricing and government program regulations and compliance issues.
• Review proposed government regulations for potential impacts to the Company; work with relevant internal teams to determine impact on the Company and any potential policy or procedure changes required.
• Manage annual SAM certification and updates, working with internal stakeholders to ensure review of relevant company certifications and timely annual re-registration.
• Other PCA projects as assigned.

Education and Experience Requirements

• Minimum 10 years' experience with government price reporting, including 3 years' experience with government price reporting audits (internal, external consultant or government), whether managing the audit or managing pharma company response to audits.
• BS or BA degree required; graduate degree a plus.

Necessary Knowledge, Skills, and Abilities

• Expertise/Knowledge - Must have the following:
  
  
  
  • A solid understanding of all government programs (Medicaid, FSS, PHS, Medicare Part D, Medicare Part B, and Tricare), of related government pricing calculation or payment requirements, and of underlying statutes, guidance, and regulations.
  • A general foundational understanding of
    
    
    
    • institutional markets, including business processes, strategies, structure of relationships and the GPO industry and chargeback program.
    • the intricacies of government program administration with respect to the 340B program and the Federal Supply Schedule, and corresponding contracts.
    • brand and generic pharmaceutical markets, market access, trade, and supply chain
    
    
    
    
  • Experience creating or updating government price reporting policies and procedure documents.
  
  
  
  

• Skills/Abilities -
  
  
  
  • Excellent communication skills, strong interpersonal skills for collaborating with stakeholders and managing vendor projects
  • Excellent writing and documentation skills
  • Ability to manage projects, track results and deliverables, ensure project stays on time
  • Highly organized with keen attention to detail
  
  
  
  

Supervisory Responsibilities

None

We are an Equal Opportunity Employer. Qualified applicants will receive consideration without regard to: actual or perceived race, sex or gender (including pregnancy, childbirth, lactation and related medical conditions), national origin, ancestry, citizenship status, religion, color, age, creed, sexual orientation, marital status, gender identity or gender expression (including transgender status), protected medical condition as defined by applicable state or local law, genetic information, physical or mental disability, veteran status and military service, or any other characteristic protected by local, state, or federal laws and ordinance.

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Under certain state law, we may be required to provide a reasonable estimate of the salary range for the jobs covered by this description. Actual salary determinations will take into account factors such as work location, prior education or training and experience, job related knowledge, and demonstrated skills aligned with the Company's internal leveling guidelines and benchmarks. Resumes may be considered in the order they are received.