Director, Market Access Contract Offer & Development

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Act as the execution lead for commercial and Medicare/Medicaid contracting across the organization’s portfolio.

• Assist National and Regional Managed Markets Account Management teams with contracting and pricing strategies.

• Develop data-driven pre-deal financial simulations for intricate rebate structures, value-based contracts, price protection caps, and portfolio bundles.

• Calculate pre-Gross-to-Net impacts and evaluate access gains against margin erosion.

• Examine PBM administrative fees, data fees, and GPO service fees for safe-harbor compliance.

• Evaluate the effects of proposed discounts on Medicaid Best Price, AMP, and 340B ceiling prices.

• Present business cases to the Pricing Committee and Executive Leadership.

• Maintain expertise in the evolving PBM/GPO ecosystem, vertical integration, clearinghouse mechanics, and downstream payer dynamics.

• Oversee the negotiation and drafting of tailored contract language, master rebate agreements, and amendments.

• Collaborate with Corporate Legal on PBM-proffered templates and strategic redlines.

• Review contract language to remove ambiguities, problematic clauses, and financial exposures.

• Facilitate communication between National Account Managers, Corporate Legal, Finance, Government Pricing, and Contract Operations.

• Assist with audit and compliance activities under corporate governance, SOX, anti-kickback statutes, and fair market value guidelines.

⛳️ Requirements

• A Bachelor’s Degree in Finance, Economics, Business, Health Policy, or a related quantitative field is required.

• An MBA, JD, or advanced healthcare degree is highly preferred.

• A minimum of 8–10+ years of relevant experience is necessary.

• A proven track record of leading high-stakes contract strategy is preferred.

• Direct face-to-face negotiation experience with Top 3 PBM/GPO entities is preferred.

• An expert-level understanding of the PBM/GPO ecosystem is essential.

• Proficiency in financial modeling, rebate structures, value-based contracts, price protection caps, and portfolio bundles is required.

• Knowledge of Gross-to-Net impacts and margin/access trade-offs is necessary.

• Capability to analyze PBM administrative fees, data fees, and GPO service fees is needed.

• Familiarity with Medicaid Best Price, Average Manufacturer Price (AMP), and 340B ceiling prices is required.

• Expertise in contract drafting, negotiation, and redline management is essential.

• Knowledge of formulary compliance definitions, audit rights, termination-for-convenience, inflation caps, market share calculations, and exclusion penalties is important.

• Understanding of corporate governance, Sarbanes-Oxley (SOX), anti-kickback statutes, and fair market value guidelines is required.

🏝️ Benefits

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

• Company-provided basic life insurance.

• Accidental death and dismemberment insurance.

• Short-term and long-term disability insurance.

• Tuition reimbursement.

• Student loan assistance.

• Generous 401(k) match.

• Flexible time off.

• Paid holidays.

• Paid leave programs.

• Other company-provided benefits.

• Incentive opportunity.