Government Relations Director
Navitus Health Solutions
Associate Director, Government Pricing
Regeneron
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $132,400 - $216,000 per year
Job Level
Senior
About the role
- Calculate, validate and report accurate monthly, quarterly, and annual government pricing for Medicaid, Medicare Part B, PHS/340B, and FSS (including TriCare and IFF)
- Submit and monitor State Price Transparency regulations
- Research and communicate causes of variances when comparing current period to prior periods
- Perform necessary processes to ensure compliant submissions including G/L reconciliations, Class of Trade review, and PHS/340B eligibility review
- Review calculations with Senior Management and obtain approval signoff and execute SOPs before communicating prices to government agencies or internally
- Maintain and update SOPs and reasonable assumptions quarterly for Government Programs/Pricing
- Monitor policies, procedures and processes supporting Government Pricing submissions to ensure compliance
- Understand and estimate impact of pricing and policy changes regarding government pricing
- Perform pricing research and analysis on special projects as assigned
- Review and interpret commercial contract language as pertaining to BP, ASP and FSS Tracking Customers
- Investigate Government pricing trends and cross-channel impact and provide Government price inputs to the Gross to Net (GTN) team
- Monitor for Tracking customer violations, Bona Fide Service Fee treatments and Customer COT assignment
- Participate on cross-functional teams as subject matter expert and serve as liaison with Commercial Leadership, Pricing, Trade, Brand and Accounting/Finance
- Apply Fair Market Value methodology when determining bona fide service fees paid to Wholesaler, PBM and GPOs
Requirements
- 7+ years prior experience in Government Pricing OR a related field such as finance, accounting, Medicare/Medicaid
- Understanding of current government pricing rules, regulations, and calculations
- Ability to calculate, validate and report accurate monthly, quarterly, and annual government pricing
- Ability to identify potential problems, conduct analysis and offer potential solutions
- Highly analytical with ability to analyze, interpret, and convey data and its commercial impact
- Ability to decipher calculations to determine key causes of variances
- Strong communication skills and ability to communicate effectively to all levels of the organization
- Process oriented with proven ability to manage competing priorities and meet deadlines
- Demonstrated strong attention to detail, accountability, ownership of results, flexibility and adaptability
- Familiarity with Fair Market Value methodology and bonafide service fee treatments
- Ability to review and understand commercial contract language pertaining to Best Price (BP), Average Sales Price (ASP) and FSS Tracking Customers
Benefits
- comprehensive benefits (depending on location)
- health and wellness programs
- fitness centers
- equity awards
- annual bonuses
- paid time off for eligible employees
- reasonable accommodation for disabilities or chronic illnesses
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
government pricingMedicaidMedicare Part BPHS/340BFSSG/L reconciliationspricing researchFair Market Value methodologycommercial contract languagedata analysis
Soft skills
analytical skillscommunication skillsattention to detailaccountabilityflexibilityadaptabilityproblem-solvingprocess orientationtime managementteam collaboration
