PharmaEssentia

Associate Director, Government Pricing and Reporting

PharmaEssentia

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Job Level

Senior

About the role

  • Oversee development, implementation, and management of pricing strategies and compliance reporting related to government healthcare programs (Medicare, Medicaid, 340B)
  • Responsible for data preparation, validation, calculation, and analytics related to administration of government and commercial contracts
  • Analyze, document, review, and submit mandated product and pricing obligations (AMP, BP, USA, state reporting, PHS, NFAMP, FCP, FSS, IFF, TRICARE) within mandated timelines
  • Develop, implement, maintain and approve key controls ensuring compliance and timely government program submissions (AMP, BP, ASP, nFAMP, PHS, FCP, state reporting)
  • Collaborate with 3rd party partners responsible for state price transparency reporting and government pricing
  • Maintain government pricing methodologies, SOPs and reasonable assumptions per federal statutes and regulations
  • Work with Accounting and Commercial functions to analyze rebate and chargeback data for government pricing calculations
  • Provide meaningful analysis on government pricing issues to support business decisions and commercial strategies
  • Monitor government pricing regulations and market conditions to inform reimbursement and access strategies
  • Partner with senior leadership and cross-functional teams on commercial/pricing changes assessing compliance and financial implications
  • Support Accounting with documentation, calculations, and memos for period-end closes
  • Provide proactive and reactive analytics to improve Forecasting, Contracting, Pricing Decisions, Business Planning & divestiture deals
  • Provide input and recommendations on proposed and new Government Regulations and drive continuous process improvement

Requirements

  • Bachelor’s degree in Finance, Accounting, Economics, Law, or similar required
  • MBA preferred
  • A minimum of 8 years of experience with government price calculation and reporting for state and federal programs (Medicaid, PHS, FSS, state price transparency, etc.) required
  • Involvement in launch preparation or commercialization of a rare disease therapy
  • Experience with Inflation Reduction Act (IRA) compliance, inflation penalties, and CMS inflation rebate modeling
  • Government and state pricing transparency calculation and reporting requirements
  • Knowledge of class-of-trade strategy, chargeback validation, and specialty distribution models
  • Knowledge of U.S. Government pricing statutes and regulations including knowledge of Medicaid, Medicare, VA Healthcare Act and Public Health Services Act
  • Ability to establish and maintain strong working relationships with varying levels of government representatives (VA Contracting Officers, Office of Inspector General, etc.)
  • Robust quant analytical skills and ability to distill the root cause and propose actional solutions
  • Strong Excel and Word skills are required
  • Effective written and oral communication skills
  • Ability to work well under pressure and to work within short deadlines
  • Excellent organizational and multitasking skills, strong work ethic, and emphasis on attention to details
  • Work independently while effectively communicating and coordinating work efforts with others