Associate Director, Pricing and Contracting

Role Summary

As the Associate Director, Pricing & Contracting at Intellia Therapeutics, Inc., you will play a pivotal role in supporting and executing the operations of our pricing, contracting, and market access strategies as we bring our CRISPR-based therapies to market. This is a career-defining opportunity to participate in the first-ever commercialization of an in-vivo, one-time CRISPR-based therapy.

Responsibilities

• Pricing and Contracting Material Development and Workflow Management:
  • Support the development of site-of-care materials related to letter of medical necessity, letter of appeals, billing and coding, ordering instructions (if specific by channel), and related office training.
  • Develop trade-related materials to support pricing and distribution network information.
  • Develop pricing and contracting materials to support payer account teams.
  • Manage all of the above through the medical, legal and promotional review process to finalize materials.
  • Develop other materials as necessary (e.g. training).
• Contract Development, Review And Tracking:
  • Support business case development with National Account Directors including analytical modeling to assess the financial impact of potential offers and develop supporting offer justification.
  • Communicate results of offer modeling to vet the potential offer within the Market Access team.
  • Review and provide guidance and recommendations on contract language (contractual language, terms, conditions, proposals) for business applicability and patient access to support negotiations.
  • Support negotiation and red-lining processes internally and externally.
  • Track and report on contract lifecycle status.
  • Perform lookback analysis to measure contract performance (current-state key drivers vs. original business case assumptions).
• Revenue Management Operations:
  • Work with our 3rd party vendor for development of all aspects of revenue management operations pre-launch.
  • Develop SOPs and policies (in partnership with external collaborators) for revenue management operations for GP methodology, Rebate and Fee Processing, FSS, Gross-to-Net.
  • Support the development of these SOPs and policies as they translate to outsourced services for calculating GP.
  • Maintain and update the related SOPs as business operations require.
  • Work with our 3rd party vendor for management of all aspects of revenue management operations pre- and post-launch including:
    • Additional system configuration (at PDUFA) for related product and related key attributes for government programs (Market Entry Date, First Sale Date, etc.).
    • Government Price Reporting:
      • Manage and analyze all aspects of government price reporting in compliance with Medicaid, Medicare, PHS/340B, Tricare and Federal (VA/DOD) requirements.
      • Initial review of data and trends pre-calculation.
      • Review and analysis of calculated government prices prior approvals.
      • Support the internal approval process for government prices prior to submission to government agencies.
      • Submit required quarterly AMP reports to Texas (through the VDP for TX HHS); and any other mandatory states.
    • Contract set-up and related payment processing:
      • Ensure contracts are set-up in 3rd party system.
      • Review submitted claims data (prior to adjudication) for compliance and verification.
      • Verify any off-invoice discounts (if applicable).
      • Work with 3rd party vendor and internal partners through the adjudication process to generate payment packages for rebates and fees (Commercial, Medicaid, Medicare, FSS, Tricare).
      • Identify and work with 3rd party vendor and any other teams to resolve discrepancies and/or claims disputes prior to finalizing prices and payment packages for approval.
      • Proactively review claims and 340B transactions for diversion and/or duplicate discounts.
  • Build pricing and contracting models and conduct scenario planning (rebates, WAC/ASP deltas, share shifts).
• State Price Transparency Reporting:
  • Develop SOPs and policies for State Price Transparency Reporting.
  • Maintain and update the related SOPs as business operations require.
  • Develop manage and track State Price Transparency requirements.
  • Create required submissions (as applicable per state) per quarterly and annual reporting needs, submit in advance of submission date.
  • Review impacts of price on State Price Transparency reporting requirements.
  • Manage state related registrations and fee payments, (including PDABs).

Qualifications

• Strong understanding of traditional and innovative contracting strategies (including outcomes- and value-based strategies as needed).
• Knowledge and experience in GP and related programs for Medicaid, Medicare, Federal Supply Schedule/Tricare and 340B/PHS (including understanding of regulations in effect and proposed regulations) and the potential impacts to our business.
• High proficiency in MS Office software (Word, Excel, Outlook, Visio, PowerPoint).
• Demonstrated experience developing analytical models to analyze contract offers and strategies.
• Excellent and confident presentation and communication skills.
• Capacity to build trusted relationships and drive strategic alignment across teams.
• Proven ability to collaborate cross-functionally and influence senior-level decision-making.
• Experience launching novel therapies with experience with medical benefit, outpatient reimbursement.
• Ability to work effectively in a fast-paced, growth-oriented environment with a commitment to addressing the unique challenges of gene editing therapies.
• Desire to learn and expand responsibilities as necessary in a fast-paced environment that is moving towards commercialization.
• Commitment to compliance, operational excellence, and continuous improvement.
• 6-8+ years in pharmaceutical or biotech industry, with a minimum of 5 years in pricing, market access, or contracting, preferably in specialty or gene therapies.

Education

• Bachelor’s degree required; advanced degree in Business, Economics, Finance, or a related field preferred.