Senior Manager, 340B Program Integrity

Working with Us
Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You’ll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible.

Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us.

Summary:

The Senior Manager, 340B Program Integrity leads enterprise 340B program integrity efforts including validating claims flagged for potential duplicate discounts, identifying diversion activities, and managing Good Faith Inquiries (GFIs) and audits in coordination with vendor partners. This position is responsible for ensuring program integrity efforts are executed in a compliant and timely manner and align with the enterprise 340B strategy.

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

Qualifications:

• 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 

#LI-Hybrid

If you come across a role that intrigues you but doesn’t perfectly line up with your resume, we encourage you to apply anyway. You could be one step away from work that will transform your life and career.

Compensation Overview:

Princeton - NJ - US: $139,200 - $168,683 Washington DC - US: $139,200 - $168,683

The starting compensation range(s) for this role are listed above for a full-time employee (FTE) basis. Additional incentive cash and stock opportunities (based on eligibility) may be available. The starting pay rate takes into account characteristics of the job, such as required skills, where the job is performed, the employee’s work schedule, job-related knowledge, and experience. Final, individual compensation will be decided based on demonstrated experience. 

Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits, please visit https://careers.b