Pricing Analyst

• Provide deep subject-matter expertise on federal prescription drug pricing programs, including: Medicaid Drug Rebate Program (MDRP): AMP, Best Price, URA calculations, supplemental rebates, state rebate operations.
• 340B Drug Pricing Program: ceiling price methodology, covered entity eligibility, duplicate discount prevention, manufacturer and HRSA compliance requirements.
• Medicare Part B drug reimbursement policies, including ASP methodology (g., eligible transactions, role of discounts and chargebacks) and biosimilar reimbursement.
• Medicare Part D pricing and reimbursement, including pharmacy reimbursement, plan payments, and rebate dynamics.
• VA/FSS and other federal pricing requirements, including non-FAMP, federal ceiling price, etc.
• Interpret federal statutes, CMS and HRSA regulations, guidance, and rulemaking related to drug pricing, access, and reimbursement.
• Provide in-depth knowledge of commercial drug contracting, formulary strategy, and/or PBM operations.
• Support the design and interpretation of studies on drug utilization patterns and outcomes in populations and subpopulations, including Medicare and Medicaid.
• Provide subject matter expertise on the development of value frameworks, formulary recommendations, and drug coverage and reimbursement policies of public and private payers.
• Collaborate with multidisciplinary teams, including economists, physicians, statisticians, policy analysts, and programmers, to produce high-quality, policy-relevant deliverables.
• Translate findings into clear reports, briefs, presentations, and publications for diverse stakeholders.

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