Job Title: Associate Director, Governmenyt Pricing
Location: Boston, MA (Hybrid 3x on-site)
A reputable, large Pharmaceutical company is seeking a Government Pricing professional for their Market Access business unit. This individual is responsible for all activities relating to the administration and processing of rebates, pricing submissions, certifications, and contractual agreements, applicable to the Medicare, Medicaid, Federal Supply Schedule, PHS/340B and Tricare Government programs.
Responsibilities:
- Financial Management & Forecasting: Responsible for achieving financial objectives, including meeting or surpassing gross profit, gross margin, and net sales targets. This involves overseeing state and federal government access, reimbursement forecasts, invoicing, and accruals. You will also contribute to monthly business planning and budgeting processes to ensure financial goals are met both in the short and long term.
- Government Program Financial Oversight: Lead the management and reporting of Medicaid and other government program financials. This includes reviewing and ensuring the accuracy of government invoices, chargebacks, and rebates, and ensuring compliance with pricing policies and regulations such as FSS, AMP, and price transparency.
- Collaboration & Strategy Development: Work closely with the Rx Leadership Team and cross-functional stakeholders to develop and implement government access and reimbursement strategies. This includes supporting the modeling, execution, and ongoing evaluation of these strategies in alignment with company objectives and government regulations.
- Contract & Rebate Management: Own and manage the government rebate budget within the Gross-to-Net (GTN) process. Additionally, contribute to the development of government price submissions, certifications, and overall GTN forecasting, ensuring alignment with market access expectations.
- Leadership & Vendor Coordination: Lead a team to drive performance and manage external relationships with vendors (e.g., Model N, Deloitte, Apexus) that support government price reporting. Ensure smooth coordination of workflows, approvals, and regulatory compliance, while maintaining clear communication with both internal teams and external parties regarding government contracting and reimbursement issues.
Requirments:
- Bachelor's degree from a four-yuear colleage or Univeristy is required
- MBA, J.D, Ph.D, or other graduate degree is preferred
- 8+ Years in Biotech/Pharma: Experience in access, analytics, finance, and government pricing.
- 5+ Years in Government Pricing: Proven success in government pricing strategies and compliance.
- U.S. Payer System Knowledge: Expertise in Medicare, Medicaid, and the U.S. healthcare system.
- Financial & Operational Skills: Strong P&L management, financial modeling, and accounting proficiency.
- Cross-Functional Collaboration: Experience working with stakeholders and strong communication skills.
