Director, Pricing & Contracting
Averitas Pharma
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $230,000 - $255,000 per year
Job Level
Lead
About the role
- Develop and execute innovative contracting options that produce and maintain appropriate brand access, data access and brand profitability across Averitas product portfolio
- Manage the contract development, execution and maintenance of commercial, pharmacy and medical benefit agreements to support PBM/GPO like entities, Medicare Part D, Medicare Advantage, Medicaid, and PPA contracts
- Monitor price reporting for Average Sales Price (ASP) and CMS reimbursement methodologies in support of medical benefit agreements
- Monitor implications to Gross to Net (GTN) to support accurate forecasting and minimize fluctuation implications on revenue
- Responsible for analytic modeling to support requests for proposals (RFP)s
- Facilitate the contract negotiation process by analyzing customer contract redlines, and preparing responses for both internal discussions and external negotiations
- Perform timely and accurate calculation, authorization, payment and tracking of contractual rebates, chargebacks and fees
- Work with cross functional partners to measure ROI on post deal analytics
- Perform all necessary tasks to establish and maintain our federal and state contracts and reporting requirements: Adhere to federal submission deadlines and requirements
- Manage the Medicaid and Medicare rebate operations, including monthly and quarterly CMS pricing compliance, internal pricing analysis, systems development and dispute resolution
- Manage quarterly and annual VA pricing compliance and oversee administration of the VA Federal Supply Schedule contract including annual Public Law process
- Manage any price reporting functions under state law with support from our vendors
- Prepare and submit Requests for Modifications (RFMs) as necessary
- Oversee the development of pricing strategies for new indications and or new products
- Manage the notification process for all wholesale acquisition cost and contract pricing action changes to contracted and third-party vendors
- Support the development and maintenance of policies and standard operating procedures (SOPs) for rebate management, pricing actions, etc. to ensure compliant operations
- Aid in forecasting to support the accrual process for financial close in support of earnings projection objectives
- Ensure all federal and state rebates, e.g., Medicaid, Coverage Gap/MDP, etc. payments are made and tracked accurately and in a timely manner
- Maintain ongoing communication with the finance, legal and third-party vendor to monitor and analyze pricing and/or discounts that may affect Best Price and government price reporting calculations
Requirements
- Minimum 10 years’ experience in the healthcare industry
- Minimum 5 years’ experience in contract administration or operations, data analysis and interpretation; prior market access experience preferred
- Strong background in contract negotiations with vendors, payers, providers, specialty pharmacies, and/or distributors
- Proven experience with government pricing programs (e.g. Medicaid, Medicare, 340B, VA/DoD) and commercial (medical and pharmacy benefit) contracts
- Knowledge of US pricing and reimbursement structures required
- Detailed knowledge of health plans and PBM decision-making processes
- Demonstrated understanding of health economics
- Demonstrated ability to interact with all levels of management as well as field sales, marketing, medical affairs, regulatory and vendor partners
- Ability to maintain an independent and objective perspective while developing and maintaining a strong partnership with client organizations
- Ability to work with and deliver on deadlines while managing multiple projects and priorities with limited supervision
- Intrinsic drive and motivation to achieve success
Benefits
- Long-Term Incentive Plan (cash plan) of 25% base salary
- Annual performance bonus target of 25% base salary (subject to meeting plan requirements)
- Comprehensive health benefits (employer funded)
- Unlimited vacation time
- 401k plan (subject to change or modification from time to time)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
contract administrationdata analysiscontract negotiationpricing strategiesanalytic modelingforecastingrevenue trackingprice reportingreimbursement methodologiescompliance management
Soft skills
communicationinterpersonal skillsproject managementindependent perspectivepartnership developmenttime managementmotivationanalytical thinkingproblem-solvingcollaboration