Director, Government Pricing

Role Summary

The Director, Government Pricing will lead the team responsible for ensuring timely and accurate calculation, analysis, and reporting of all government pricing programs in compliance with applicable laws and regulations. This role involves interpreting complex government pricing regulations, overseeing system reconciliations, maintaining data matrices, and driving strategic pricing initiatives while collaborating with Contract Operations, Digital, and Legal teams. Location: Morristown, NJ.

Responsibilities

• Direct day-to-day activities, professional development, and training of team members while fostering a culture of compliance, innovation, and continuous improvement.
• Lead government pricing team responsible for executing all government pricing calculations in full compliance with all Medicaid, Medicare and VA Healthcare Act regulations.
• Ensure timely and accurate submission of the following calculations for 10 labeler codes and approximately 150 NDCs across specialty, retail, and authorized generic business units.
• Monthly and Quarterly AMP and Quarterly BP
• Quarterly ASP
• Quarterly Non-FAMP, Annual Non-FAMP and FCP
• Quarterly 340B pricing.
• Lead all government pricing activities related to product launches, acquisitions and divestitures.
• Direct comprehensive analyses to identify and evaluate key business drivers impacting pricing variances.
• Ensure the timely reconciliation between the general ledger and the government pricing system.
• Collaborate as the key expert working with Contract Operations, Digital, and Legal to address data issues.
• Lead the proactive identification and implementation of strategic enhancements to the government pricing system and operational workflows.
• Lead the interpretation of regulatory requirements, and ensure compliance with respect to pricing methodologies, product set-ups, and through the development, maintenance and adherence to documented policies and controls as dictated by regulation and/or commercial developments.
• Lead the development and maintenance of over 300 pages of extensive compliance documentation including Reasonable Assumptions, procedures, work instructions, and calculation checklists, ensuring cross-functional alignment between Government Pricing, Legal, and Outside Counsel.
• Evaluate and ensure operational readiness to implement innovative and distinctive contracting strategies. Partner with Contract Development and Contract Analytics teams.
• Work closely with various stakeholders to provide documentation, analysis and expertise in support of audit and litigation requests, as well as other cross-functional projects.
• Demonstrate company values and required competencies while performing other related duties as required.

Qualifications

• MBA or equivalent experience in business, finance, accounting, policy, or health care
• Position requires 10+ years of progressive experience in the pharmaceutical industry, 1-2 years of experience in government pricing preferred
• Knowledge of U.S. Government pricing statutes and regulations including OBRA 90, OBRA 93, Deficit Reduction Act, VA Healthcare Act, Medicare Modernization Act, the Patient Protection and Affordable Care Act and the Inflation Reduction Act
• Strong analytical skills with ability to interpret complex data and identify key insights
• Excellent written and verbal communication skills with ability to present to senior management
• Strong project management and decision-making skills
• Strong coaching and mentoring skills
• Ability to collaborate across business units and functional areas
• Strong organizational capabilities with ability to manage multiple priorities in a fast-paced environment
• Commitment to compliance, company values, and required competencies on a consistent basis
• Proficiency with analytical tools including advanced Excel functions, Model N, and SAP

Skills

• Analytical thinking and data interpretation
• Strategic pricing and contract analytics
• Cross-functional collaboration and stakeholder management
• Regulatory compliance and documentation management
• Communication of complex concepts to senior leadership

Education

• MBA or equivalent experience in business, finance, accounting, policy, or health care