Associate Director, Audits and Compliance, Managed Markets Strategy Operations

Location
Foster City
Salary
See job description.
Posted
February 11 2021
Ref
R0017347
Discipline
Other, Science Policy
Position Type
Full Time
Organization Type
Pharma

 


Associate Director, Audits and Compliance, Managed Markets Strategy Operations
United States - California - Foster City

Gilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigational drug candidate, we seek to improve the care of patients living with life-threatening diseases around the world. Gileads therapeutic areas of focus include HIV/AIDS, liver diseases, cancer and inflammation, and serious respiratory and cardiovascular conditions.

Making an impact on a global scale
Inclusion is one of the companys five core values. Thats because we know that we are stronger and more innovative at Gilead when we are informed by a diverse set of backgrounds, experiences and points of view. Gilead Sciences is a biopharmaceutical company that discovers, develops and commercializes innovative therapeutics in areas of unmet medical need. The company's mission is to advance the care of patients suffering from life-threatening diseases worldwide.

When you join Gilead, you join our mission to change the world by enabling people to live healthier and more fulfilling lives. Come join a mission-driven bio-pharmaceutical organization that values inclusion and diversity, has a strong portfolio of products, and is constantly #CreatingPossible


Associate Director, Audits & Compliance

Managed Markets Strategy & Operations (MSO)

Job Responsibilities:

 

 

  • 340B Program Integrity:
    • Manage 340B Program Integrity, including in-depth work with external vendor(s), analysis of large data sets, ability to draw accurate and logical conclusions, discuss solutions with Covered Entities, obtain agreement from customers to repay funds if warranted, or work internally with Medicaid team to recover funds from the state.
    • Manage the 340B Self-disclosure process, including tracking, communication with customers, dispute resolution, quarterly report distribution, as well as work with Finance and Legal.
    • Monitor HRSA audits of covered entities or contract pharmacies.
    • Maintain Policies, Procedures, and Work Instructions for 340B Program Integrity
    • Identify areas of revenue leakage and propose a strategic plan to address.
  • Project Management:
    • Business Lead for the annual upgrade and periodic releases of the revenue management system (Model-N). Includes cross-functional communication and management (within MSO, and with IT, Finance, SOX, Legal), working in tandem with the IT team to evaluate upgrade/release content, solicit business needs, and design / adhere to a detailed project plan including reporting to the Steering Committee.
  • Support Compliance efforts as needed in the following areas:
    • SOX annual review with SOX PMO, internal and external auditors, and the MSO team, including controls, processes, and documentation to ensure all results, action items, and recommendations are addressed appropriately.
    • Audits, corrective or preventative action plans, monitoring, MSO documentation, system testing of process/data/systems, identifying gaps and making strategic recommendations.
  • Stay informed on industry issues through external conferences, webinars, etc.
  • Ad hoc projects as needed.

 


Knowledge:

 

 

  • Comprehensive knowledge of pharmaceutical contracting, rebate and payment processes, and various market segments (Medicaid, ADAP, and 340B in particular).
  • Understanding of 340B regulations, legislation, rules, and guidance.
  • Robust experience with data analysis, systems, and working with IT teams.
  • Excellent cross-functional capabilities to work across the department, as well as with Legal, Government Affairs, IT, and external vendors.
  • Extensive experience with customers, with the ability to conduct in-depth conversations regarding detailed financial transactions.
  • Ability to analyze large sets of data at a detailed level, and to discuss / present them at a summary level.
  • Strong follow up capabilities, internally and externally.
  • Understanding of government legislative issues and regulations, ability to discuss internally with Government Affairs and Legal.
  • Understanding of SOX principles
  • Strong cross-functional communication skills.
  • Able to recognize and interpret business issues/opportunities and recommend solutions through analysis, then implement and/or negotiate solutions with external parties
  • Project and Vendor Management experience

 


Education & Experience:

 

 

  • 10+ years of pricing, contracting, and/or systems experience in biotech, pharmaceuticals, or a related industry. Minimum of a BS/BA degree; MBA preferred.


For jobs in the United States:
As an equal opportunity employer, Gilead Sciences Inc. is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans' Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact careers@gilead.com for assistance.

For more information about equal employment opportunity protections, please view the EEO is the Law' poster.

NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT

PAY TRANSPARENCY NONDISCRIMINATION PROVISION

Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.

Gilead provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.

For Current Gilead Employees and Contractors:
Please log onto your Internal Career Site to apply for this job.


To apply, visit https://gilead.wd1.myworkdayjobs.com/en-US/gileadcareers/job/United-States---California---Foster-City/Associate-Director--Audits-and-Compliance--Managed-Markets-Strategy-Operations_R0017347-2





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