Associate Director, Government Pricing

About the role

The Associate Director, Government Pricing (GP) position is a key member of Regeneron’s government pricing team, which includes supporting the accurate calculation and timely submission of all required government price reporting. This role involves ensuring compliance with all pricing and reporting requirements legislated by the Centers for Medicare & Medicaid Services (CMS), the Department of Veterans Affairs, and any state legislation required for price reporting. It requires a deep understanding of current legislation and staying updated on pending legislation.

Responsibilities

• Calculate, validate, and report accurate monthly, quarterly, and annual government pricing.
• Submit and monitor State Price Transparency regulations.
• Complete understanding of calculation reasonable assumptions and methodologies and ability to research and communicate cause of variances of results when comparing current period to prior periods.
• Perform all necessary processes needed to ensure compliant submissions including, but not limited to G/L reconciliations, Class of Trade (COT) review, and PHS/340b eligibility review.
• Review calculations with Senior Management and obtain approval signoff (and executes any other required Standard Operating Procedures (SOPs)) before communicating prices to the appropriate government agencies (Center for Medicare and Medicare (CMS), Veterans Affairs (VA)/Department of Defense (DOD), etc.) or internally.
• Maintain and update SOP’s and reasonable assumptions, on a quarterly basis, as related to Government Programs/Pricing.
• Monitor policies, procedures and processes supporting Government Pricing submissions and related areas to ensure ongoing compliance with external and internal requirements and guidance.
• Understand and estimate impact of pricing and policy changes regarding government pricing.
• Perform pricing research and analysis on special projects as assigned.
• Ability to review and understand commercial contract language as pertaining to Best Price (BP), Average Sales Price (ASP) and FSS Tracking Customers.
• Investigate Government pricing trends and cross channel impact. Also provide Government price inputs to the Gross to Net (GTN) team.
• Monitor for Tracking customer violations, Bona Fide Service Fee treatments & Customer COT assignment.
• Participate on cross-functional teams as a subject matter expert representing the Government Pricing and Contract Operations as required to evaluate and implement business strategies and initiatives.
• Serve as a liaison with Commercial Leadership, Pricing, Trade, Brand and Accounting/Finance teams regarding a variety of issues impacting government pricing.

Requirements

• A bachelor's degree and 7+ years of prior experience in Government Pricing OR a related field such as finance, accounting, Medicare/Medicaid (with strong analytical skills).
• Open to traveling at times.

Qualifications

• Understanding of current government pricing rules, regulations, and calculations.
• Ability to identify potential problems, conduct analysis, and use judgment to determine if a problem exists and offer potential solutions.
• Highly analytical, able to analyze, interpret, and convey data and its commercial impact.
• Strong communication skills and ability to communicate effectively to all levels of the organization.
• Process oriented.
• Prioritize and manage competing priorities, meet challenging deadlines, and work independently and across organizations.
• Strong attention to detail; accountability and ownership of results; flexibility and adaptability in a rapidly changing environment.

Skills

• Fair Market Value methodology while determining bona fide service fees paid to Wholesaler, Pharmacy Benefit Manager (PBM) and Group Purchasing Organizations (GPOs).

Benefits

Regeneron offers a competitive and comprehensive total rewards package which may include, depending on country and role: annual bonuses or other incentive plans, equity awards, pension or retirement benefits, 401(k) company match, health and wellness programs, fitness centers, insurance benefits (e.g. medical, dental, vision, life and disability), paid time off, and family support benefits. For additional information about Regeneron benefits in the U.S., please visit here. For other locations, additional information will be provided during the recruitment process. If you have any questions, please speak with your recruiter. Please be advised that at Regeneron, we believe we do our best work when we are together. For that reason, many roles are required to be performed on-site. Please speak with your recruiter and hiring manager for more information about on-site expectations for your role and location.