Government Pricing Compliance Senior Manager

Role Summary

Senior Manager for Government Pricing within the US Market Access department. Focused on government pricing, price reporting, and contractual obligations for CMS, PHS, and VA programs. Provides direction at the intersection of policy, government pricing reporting, forecasting, contracting strategy, and compliance, with emphasis on patient access and results-driven leadership.

Responsibilities

• Key contributor within the Government Pricing Team with knowledge of government pricing calculations and reporting requirements (Medicaid, Medicare, 340B, FSS).
• Provide actionable strategic and tactical recommendations in response to U.S. government payer practices, policies, legislation, and regulations.
• Monitor government pricing regulations related to payer, IDN, policy, competitor, and market conditions to inform reimbursement decisions and shape future access strategies.
• Collaborate with Market Access Contracting, Legal and other partners on contract reviews, assessing terms, BFSF, FMV, Class of Trade, and other GP analyses.
• Lead BFSF contract assessments, ensuring four-part tests are analyzed, interpreted, and documented for compliance.
• Ensure contractual obligations under the FSS are met through monitoring with FARs and the Veterans Health Care Act.
• Establish and maintain policies and procedures supporting SOX requirements and financial reporting, staying current with CMS Medicaid rules and guidance.
• Collaborate with internal and external stakeholders across Market Access Strategy, Contract Operations, GTN, Finance, Legal, Audit, and external consultants.

Qualifications

• Bachelor’s degree in Business, Finance, Accounting, or Public Policy; MBA or related advanced degree is a plus.
• 4–6 years in pharmaceutical/biotech or state agency with Government Pricing, Finance, or related government payer experience.
• Strong knowledge of pricing and contracting strategies, government pricing methodologies, and distribution channels.
• Knowledge of current policies affecting government programs (e.g., Final Rule, Proposed Rule, Inflation Reduction Act).
• Experience with pricing policy research (qualitative and quantitative impact assessments).
• Strong analytical skills for FMV assessments; proficiency in MS Office; familiarity with Model N or Revitas/Flex is a plus.
• Experience reviewing commercial contracts with entities such as Specialty Pharmacies, Distributors, Wholesalers, PBMs, GPOs, or Copay vendors.

Skills

• Collaborative, accountable, detail-oriented, with strong written and verbal communication, time management, and organization.
• Ability to prioritize and drive compliance and value; self-development mindset; structured thinking and trend analysis.

Education

• As listed in Qualifications above.

Additional Requirements

• Remote-Eligible with option for hybrid/on-site in Boston, MA (3 days onsite, 2 days remote weekly).