[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, reputed company-stage biopharmaceutical company reputed company on advancing cutting-edge science. The Director of Government Pricing and Operations is responsible for overseeing the operational reputed company of reputed company's reputed company and government contracting, ensuring compliance with pricing regulations and managing rebate 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
• At least 5 years in Government Pricing and Contract Administration
• Expert level knowledge of CMS/reputed company rebate system
• 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

• reputed company is a pharmaceutical company dedicated to therapeutic reputed company to serve patient needs. It was founded in 2018, and is headquartered in Boston, Massachusetts, USA, with a workforce of 201-500 employees. Its website is https://www.reputed company.us/.

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