Director, Government Pricing

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee all federally mandated price calculations, which include Medicaid AMP and Best Price, Medicare ASP, and VA Non-FAMP pricing.

• Administer quarterly and annual reporting certifications.

• Examine pricing trends and identify anomalies.

• Ensure data accuracy through validation processes in collaboration with audit teams.

• Implement government pricing checks to guarantee accuracy and completeness.

• Conduct independent parallel calculations for government pricing.

• Validate modeling setups and assess the reasonableness of government pricing modifications.

• Evaluate the business implications of updates to government pricing.

• Supervise the processing and payment of government rebates and discounts, including Medicaid rebates, Medicare Part D manufacturer discount programs, and IRA inflation rebates.

• Manage FSS contracts, negotiate Department of Defense blanket purchase agreements, and Medicaid supplemental agreements.

• Ensure adherence to federal and state regulations, including price transparency reporting, Medicare Drug Price Negotiation, and bona fide service fee evaluations.

• Collaborate with internal and external legal advisors to interpret CMS guidance and develop compliant contract language.

• Work in partnership with Contract Operations, Market Access, Gross-to-Net forecasting teams, and Pricing Committees.

• Inform stakeholders about government pricing implications through educational sessions, annual meetings, and continuous communication.

• Oversee third-party vendors and assess technology platforms for contract management, rebate analysis, and financial transactions.

• Propel data visibility initiatives through Power BI dashboards and enhanced reporting.

• Handle disputes with state Medicaid agencies, particularly those related to 340B duplicate discounts.

• Lead process improvement initiatives to minimize manual workload and facilitate strategic analysis.

⛳️ Requirements

• Bachelor's degree in Accounting, Finance, or Business Administration.

• Over 10 years of progressive experience in the pharmaceutical or biotech sector.

• At least 5 years concentrated on statutory Government Pricing calculations, operations, and compliance.

• Demonstrated success in managing technical analyst teams.

• Experience managing external audits.

• Proven ability to present complex regulatory risks to senior executives.

• An MBA, CPA, or JD is highly preferred.

🏝️ Benefits

• Comprehensive medical, dental, vision, and prescription drug coverage.

• Basic life insurance provided by the company.

• Accidental death and dismemberment insurance.

• Short-term and long-term disability insurance.

• Tuition reimbursement program.

• Assistance with student loans.

• Generous 401(k) matching contributions.

• Flexible time off policy.

• Paid holidays.

• Paid leave programs.

• Additional company-provided benefits.

• Opportunity for incentives.