Director, Government Pricing

About the role

The Director, Government Pricing leads all federally mandated price calculations including Medicaid Average Manufacturer Price (AMP) and Best Price, Medicare Average Sales Price (ASP), and VA Non-FAMP pricing. This includes managing quarterly and annual reporting certifications, analytics to identify pricing trends and anomalies, and ensuring data accuracy through validation processes with audit teams.

Responsibilities

• Government Pricing Calculations & Reporting: Leads all federally mandated price calculations including Medicaid AMP and Best Price, Medicare ASP, and VA Non-FAMP pricing. Manages quarterly and annual reporting certifications, analytics to identify pricing trends and anomalies, and ensures data accuracy through validation processes with audit teams. Institutes appropriate GP checks for accuracy and completeness, including independent parallel government pricing calculations, validates modeling set‑up, tests reasonableness of GP changes, and assesses business impact of GP updates.
• Reimbursement Operations: Oversees processing and payment of all government rebates and discounts, including Medicaid rebates, Medicare Part D manufacturer discount program, and inflation rebates under the Inflation Reduction Act (IRA). Manages Federal Supply Schedule (FSS) contracts, Department of Defense blanket purchase agreements, and Medicaid supplemental agreement negotiations with state programs.
• Regulatory Compliance & Policy Management: Ensures compliance with evolving federal and state requirements, including state price transparency reporting, Medicare Drug Price Negotiation (MFP) under IRA, and bonafide service fee evaluations in partnership with commercial teams. Works closely with legal counsel (internal and external) to interpret CMS guidance and develop compliant contracting language.
• Cross-Functional Partnership: Collaborates with Contract Operations for commercial rebate alignment, Market Access teams for government account strategy, Gross-to-Net forecasting teams for pricing impact analysis, and Pricing Committees to assess how proposals affect government price calculations. Provides education to stakeholders on government pricing implications through lunch-and-learns, annual meetings, and ongoing communications.
• Systems & Data Management: Oversees third-party vendor and evaluation of technology platforms for contract management and rebate analysis and financial payments. Drives data visibility initiatives through Power BI dashboards and enhanced reporting to enable proactive monitoring rather than reactive analysis.
• Dispute Resolution & Operational Excellence: Manages complex dispute processes with state Medicaid agencies, particularly around 340B duplicate discounts. Leads process improvement initiatives to reduce manual workload and free up team capacity for strategic analysis rather than transactional payment processing.

Education & experience

• Education: Bachelor's degree in Accounting, Finance, or Business Administration; MBA, CPA, or JD highly preferred
• Years of experience: 10+ years of progressive experience in the pharmaceutical or biotech industry
• Domain expertise: Minimum of 5+ years directly focused on statutory Government Pricing calculations, operations, and compliance
• Leadership: Proven track record of managing technical analyst teams, handling external audits, and presenting complex regulatory risks to senior executives

Competencies

• Accountability for Results – Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change
• Strategic Thinking & Problem Solving – Make decisions considering the long-term impact to customers, patients, employees, and the business
• Patient & Customer Centricity – Maintain an ongoing focus on the needs of our customers and/or key stakeholders
• Impactful Communication – Communicate with logic, clarity, and respect; influence at all levels to achieve the best results
• Respectful Collaboration – Seek and value others' perspectives and strive for diverse partnerships to enhance work toward common goals
• Empowered Development – Play an active role in professional development as a business imperative

Pay

Minimum $186,489.00 – Maximum $278,875.00, plus incentive opportunity. The range shown represents a typical pay range or starting pay for individuals hired in the role in the United States. Other elements may be used to determine actual pay such as the candidate's job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum.

Benefits

• Comprehensive medical, dental, vision, and prescription drug coverage
• Company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance
• Tuition reimbursement and student loan assistance
• Generous 401(k) match
• Flexible time off, paid holidays, and paid leave programs
• Other company provided benefits

Schedule

This position will be posted for a minimum of 5 business days.