F. Hoffmann-La Roche Gruppe
Government Program Analyst
F. Hoffmann-La Roche Gruppe, San Jose, California, United States, 95199
Roche fosters diversity, equity and inclusion, representing the communities we serve. When dealing with healthcare on a global scale, diversity is an essential ingredient to success. We believe that inclusion is key to understanding people’s varied healthcare needs. Together, we embrace individuality and share a passion for exceptional care. Join Roche, where every voice matters.
The Position
The Opportunity The Government Programs (GP) team in Channel and Contract Management (CCM) manages government pricing complexities to ensure patient access through federal drug programs (e.g., Medicare, Medicaid, 340B). This includes accurate pricing reporting, government rebate payments, and strategic value provision to managed care partners. The Governmental Programs Analyst oversees state and supplemental Medicaid Rebates, ensuring compliance with accuracy targets, laws, regulations, and GP methodology. This role also involves leading cross-functional teams, assessing solutions, and communicating with stakeholders and management. Key Responsibilities: Manage the end-to-end Medicaid Rebates process and applicable administration activities for all assigned state government contracts and programs. Act as lead subject matter expert for others. Develop and implement standard department reports, scorecards, metrics, customer business reviews, compliance, and other ad hoc reporting. Identify and communicate impacts to Medicaid rebate pricing and other related programs and share specific analysis where interdependencies between calculations and claims exist. Participate in cross-functional activities related to execution of the 340B pricing program and other revenue leakage initiatives. Contribute and support special projects as assigned by project leads. Collaborate with Finance and other functions to track and reconcile customer rebates to ensure adequacy of financial reserves, data integrity issues are resolved and penalties are avoided. Who you are: Bachelor's Degree in areas related to General Business, Finance, Data Processing or Public Policy disciplines is preferred and a minimum of 2-3 years work experience in healthcare billing or related analytics. Strong knowledge of systems and reporting mechanisms that support contract administration particular to the pharmaceutical/biotechnology or related industry. High level of proficiency with Microsoft Excel and Word. Demonstrable decision making and communication skills, ability to work collaboratively in a team structure, as well as ability to problem solve and troubleshoot issues by self with minimum guidance. Able to work and collaborate with development, IT and project managers during minor to major projects. Data management and critical thinking skills with the ability to analyze information to properly communicate relevant data to both internal and external stakeholders. Strong ability to organize, manipulate large volumes of data in various formats, attention to detail and high degree of accuracy in data processing and reviews. Preferred Qualifications: Knowledge of Business Objects (BO), Salesforce and the current policies and guidelines that affect government programs, pricing and payment adjustments (e.g., Medicare, Medicaid) is a plus. Project Management Professional certification is a plus. Relocation benefits are not available for this job posting. Who we are
At Roche, more than 100,000 people across 100 countries are pushing back the frontiers of healthcare. Working together, we’ve become one of the world’s leading research-focused healthcare groups. Our success is built on innovation, curiosity and diversity. The Roche Services & Solutions as well as People Support Solutions organisations located in San Jose provide end-to-end business solutions for Finance, Procurement, IT, Communications, People & Culture (Human Resources) and beyond to our Roche colleagues across the Americas region. Today Roche employs altogether around 800 employees in Costa Rica. Roche is an Equal Opportunity Employer.
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The Opportunity The Government Programs (GP) team in Channel and Contract Management (CCM) manages government pricing complexities to ensure patient access through federal drug programs (e.g., Medicare, Medicaid, 340B). This includes accurate pricing reporting, government rebate payments, and strategic value provision to managed care partners. The Governmental Programs Analyst oversees state and supplemental Medicaid Rebates, ensuring compliance with accuracy targets, laws, regulations, and GP methodology. This role also involves leading cross-functional teams, assessing solutions, and communicating with stakeholders and management. Key Responsibilities: Manage the end-to-end Medicaid Rebates process and applicable administration activities for all assigned state government contracts and programs. Act as lead subject matter expert for others. Develop and implement standard department reports, scorecards, metrics, customer business reviews, compliance, and other ad hoc reporting. Identify and communicate impacts to Medicaid rebate pricing and other related programs and share specific analysis where interdependencies between calculations and claims exist. Participate in cross-functional activities related to execution of the 340B pricing program and other revenue leakage initiatives. Contribute and support special projects as assigned by project leads. Collaborate with Finance and other functions to track and reconcile customer rebates to ensure adequacy of financial reserves, data integrity issues are resolved and penalties are avoided. Who you are: Bachelor's Degree in areas related to General Business, Finance, Data Processing or Public Policy disciplines is preferred and a minimum of 2-3 years work experience in healthcare billing or related analytics. Strong knowledge of systems and reporting mechanisms that support contract administration particular to the pharmaceutical/biotechnology or related industry. High level of proficiency with Microsoft Excel and Word. Demonstrable decision making and communication skills, ability to work collaboratively in a team structure, as well as ability to problem solve and troubleshoot issues by self with minimum guidance. Able to work and collaborate with development, IT and project managers during minor to major projects. Data management and critical thinking skills with the ability to analyze information to properly communicate relevant data to both internal and external stakeholders. Strong ability to organize, manipulate large volumes of data in various formats, attention to detail and high degree of accuracy in data processing and reviews. Preferred Qualifications: Knowledge of Business Objects (BO), Salesforce and the current policies and guidelines that affect government programs, pricing and payment adjustments (e.g., Medicare, Medicaid) is a plus. Project Management Professional certification is a plus. Relocation benefits are not available for this job posting. Who we are
At Roche, more than 100,000 people across 100 countries are pushing back the frontiers of healthcare. Working together, we’ve become one of the world’s leading research-focused healthcare groups. Our success is built on innovation, curiosity and diversity. The Roche Services & Solutions as well as People Support Solutions organisations located in San Jose provide end-to-end business solutions for Finance, Procurement, IT, Communications, People & Culture (Human Resources) and beyond to our Roche colleagues across the Americas region. Today Roche employs altogether around 800 employees in Costa Rica. Roche is an Equal Opportunity Employer.
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