Benefits:

401(k)

401(k) matching

Competitive salary

Dental insurance

Health insurance

Paid time off

Training & development

Vision insurance

Wellness resources

StrategyGen is seeking an experienced pharmacoeconomist to join our team! This is a full-time remote position, with limited travel. StrategyGen offers competitive compensation, a generous benefits package, flexible schedules, and a collaborative work environment.

The pharmacoeconomist is responsible for performing multiple tasks and auditing activities to evaluate drug manufacturer compliance with state and federal laws and Center for Medicare & Medicaid Services (CMS) regulations, such as the Affordable Care Act (ACA) and the Inflation Reduction Act (IRA). Additionally, the pharmacoeconomist may be assigned to serve as a team lead or team member supporting a project team. Auditing activities may include on-site or desk audits, compliance and policy reviews, maximum fair price evaluations, and regulatory investigations.

Candidates for this position must be a licensed pharmacist, have extensive knowledge and experience in the pharmaceutical industry, CMS and Medicare Part D experience, including performing and/or leading pharmacy audits, and possess strong communication and interpersonal skills with the ability to work independently and collaboratively with cross-functional teams, key stakeholders, senior leaders, and clients. Candidates who are economists with extensive drug manufacturer auditing experience may also be considered. Additionally, candidates should have excellent analytical, organizational and project management skills with the ability to prioritize multiple tasks and adapt to changing priorities to ensure delivery of high-quality, on time and within budget work products and deliverables.

Responsibilities/Duties:

Collaborate with the Task Lead and other project team members to develop, prioritize, and execute assigned market conduct activities, provide regular updates and escalate risks and issues to the Project Lead.

Identify, or assist the Project or Task Lead with identifying, necessary information and methodology, including required documents and data sample sizes, preparing work plans for drug manufacturers, preparing data requests for entities and evaluating submitted data to ensure accuracy and relevance to reviews, examinations, investigations, and/or audits.

Collect and objectively analyze submitted records, files, and data to evaluate compliance with state and federal laws, regulations, and requirements.

Document findings, prepare and submit workpapers and other deliverables for supervisory review that include the procedures performed, conclusions reached and supporting documentation for findings that are not in compliance or where errors are identified.

Prepare and/or assist with preparing draft reports, exhibits and supporting documentation that contain detailed examination findings and recommendations for appropriate actions.

Support the leadership of a group of examiners in conducting document reviews, investigations and/or audits, including the planning, organizing, scheduling, assigning, and reviewing of work products and deliverables submitted by project team.

Conduct and/or participate in entrance and exit conferences with examined companies.

Perform, as assigned, the reporting and signing of audits and ensure accurate entry into TeamMate Plus and other applicable databases for tracking and monitoring.

Manage research and analysis of regulatory updates and guidance issued by CMS to ensure that testing is current and consistent with federal regulations and requirements.

Review and support the update of auditing protocols when new regulations are released to ensure that they reflect the latest information.

Serve as a Subject Matter Expert, and as a resource and mentor for other staff.

Perform other duties as assigned.

Education and Experience:

Doctor of Pharmacy (Pharm) degree from an accredited college/university, plus 5 years of professional experience. Alternatively, a Bachelors in economics and extensive experience working with drug manufacturers.

Significant experience in the health pharmaceutical sector, specifically related to health care compliance, health care regulations, health care auditing, or fraud investigation

Specific Knowledge and Skills:

Extensive knowledge of state and federal laws and regulations pertaining to the Affordable Care Act (ACA), Inflation Reduction Act (IRA), Medicare Part D, health insurance, and/or healthcare services.

Strong project management, organizational, communication and writing skills, with the ability to change priorities quickly, handle multiple tasks simultaneously and meet deadlines.

Excellent interpersonal skills, with the ability to build strong working relationships, give and follow instructions accurately and efficiently while being proactive in asking clarifying questions to ensure work effort is directed toward desired outcome.

High-level attention to detail.

Proficiency with MS Outlook, Excel, Word, Adobe, PowerPoint, general knowledge of data base programs and spreadsheet options, TeamMate Plus software experience desired.

Compensation:

Compensation is negotiable based on the desired salary and experience.

This is a remote position.