Government Pricing Compliance Senior Manager

Role Summary

Senior Manager for Government Pricing in the US Market Access department. Focus on government pricing, price reporting, and contractual obligations for CMS, PHS, and VA programs. Role involves policy interpretation, GP reporting, contracting strategy, and compliance to support patient access and business objectives.

Responsibilities

• Key contributor within the Government Pricing Team with knowledge of government pricing calculations and reporting requirements (Medicaid, Medicare, 340B, FSS).
• Provide strategic and tactical recommendations related to U.S. government payer practices, policies, legislation, regulations, and market dynamics.
• Monitor government pricing regulations related to payer, IDN, policy, competitor, and market conditions; inform decisions impacting reimbursement and future access strategies.
• Collaborate with Market Access Contracting, Legal, and Commercial partners on contract reviews, BFSF, FMV, Class of Trade, and other GP analyses.
• Lead contract assessments of BFSF tests, ensuring four-part tests are analyzed, interpreted, and documented for compliance.
• Ensure compliance with Federal Supply Schedule obligations through monitoring FARs and the Veterans Health Care Act.
• Establish and maintain policies and procedures supporting SOX requirements and government regulations; stay updated on CMS Medicaid rules and guidance.
• Collaborate across internal and external stakeholders to support GP reporting and related activities.

Qualifications

• Bachelor‚Äôs degree in Business, Finance, Accounting, Public Policy or equivalent experience; MBA or graduate degree a plus.
• 4‚Äì6 years in pharmaceutical/biotechnology or state agency with Government Pricing, Finance, or related government payer experience.
• Strong knowledge of pricing, drug contracting strategy, 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 Microsoft Access, Excel, PowerPoint, Word; familiarity with Model N or Revitas/Flex is a plus.
• Experience reviewing commercial contracts with entities like Specialty Pharmacies, Distributors, Wholesalers, PBMs, GPOs, or Copay vendors.

Skills

• Collaboration and teamwork; strong accountability and prioritization.
• Attention to detail and accuracy to meet timelines and regulatory requirements.
• Strong verbal and written communication, time management, and organizational skills.
• Ability to apply experience and structured thinking to solve problems; continuous self-development.