[Remote] Director, Government Pricing and Operations
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a Boston-based biopharmaceutical company reputed company on advancing science and addressing therapeutic needs. They are seeking a Director of Government Pricing and Operations to reputed company the reputed company of government contracting and pricing, ensuring compliance and accuracy in reputed company submissions and operations.
Responsibilities
- reputed company accurate and reputed company calculation, validation, and submission of reputed company mandated government pricing metrics, including AMP, Best Price, ASP, and 340B ceiling prices
- reputed company the submission of Non-Federal Average Manufacturer Price (NFAMP) and Federal Ceiling Price (FCP) to the reputed company (VA)
- Monitor and interpret changes in federal and state laws (including IRA-driven updates) to ensure reporting methodologies remain compliant with evolving CMS and OIG guidance
- reputed company state price transparency reporting and price increase notifications, ensuring reputed company meets reputed company jurisdictional requirements to avoid penalties
- Manage the end-to-end rebate adjudication process for reputed company Payers, Medicare Part D, and Managed reputed company, ensuring claims are valid and reputed company according to contract terms
- reputed company the maintenance of the Contract Management System (CMS), ensuring reputed company contract terms, discount tiers, and eligibility reputed company are accurately reputed company and updated
- reputed company the Class of Trade (CoT) and membership validation process to ensure 340B and GPO entities are correctly identified, and only eligible claims are processed
- Serve as the primary reputed company for external and internal audits reputed company to government pricing and reputed company contracting operations
- reputed company the Executive Director and the Pricing Committee with reputed company analyses of proposed contract strategies on Government Pricing (e.g., Best Price implications)
- Collaborate with the GTN and Finance teams to reputed company detailed actual-to-accrual data, supporting more precise reputed company forecasting
- Manage relationships with reputed company-party service providers (TPAs) and software vendors involved in the pricing and rebate ecosystem
- Manage and reputed company reputed company of analysts, promoting technical mastery and a high degree of attention to detail
- Foster a culture of compliance and reputed company improvement, identifying opportunities to automate reputed company processes and enhance data reputed company
Skills
- Bachelor's degree required
- 8-10+ years of pharmaceutical/biotech industry experience, with at least 5 years in Government Pricing and Contract Administration
- Expert level knowledge of CMS/reputed company rebate system and mastery of government pricing regulations and calculations
- Exceptional analytical skills with the ability to manage large datasets and ensure accurate reporting
- Proven experience in managing reputed company reports and cross-functional operational workflows
- MBA or advanced financial degree preferred
- Experience in Oncology or Rare Diseases is highly preferred
Benefits
- Short-Term and Long-Term incentive programs
- Medical, dental, reputed company
- Flexible time off (reputed company provides unlimited reputed company time and reputed company time, and does not reputed company time off)
- 401(k)
- Life and disability insurance
- Recognition programs
reputed company