Managed Care Contracting Associate Director

About the role

The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating pre- and post-deal analytics, negotiation, and administration of all Payer, Provider, Trade & Distribution, and Hospital Group Purchasing Organization contracts. This person will partner with, among others, Account Management, Finance, Government Pricing & Rebate Operations, GTN, Legal, Marketing, Payer Marketing, Trade Strategy and Accounts to ensure appropriate identification and evaluation of contracting opportunities.

Responsibilities

• Manage the end-to-end contract (Payer, Provider, Trade & Distribution, Hospital Group Purchasing Organizations) development process, including working with cross-functional partners on pre-deal analytics, negotiations, and post-deal analytics as well as the logging, tracking, reporting and facilitation of contract opportunities through the governance, negotiation/redlining and legal review processes
• Maintain strong internal processes and documentation working across the Finance, Legal and Market Access teams
• Coordinate communication of contract development and execution status
• Facilitate the transition of executed contracts to the appropriate operational team for implementation and/or adjudication, including outlining key terms and providing detailed explanations, as necessary
• Provide insights to the business that inform GTN forecasting, contracting, and pricing decisions and strategies, and general business planning
• Collaborate with Account Managers on ad-hoc analysis, business planning, and contract performance review
• Use financial models to perform and verify calculations for business scenarios, as needed
• Advise on strategic and operational issues and requirements related to contract administration including any matters relating to rebate analysis and payments, as well as resolution of disputes on rebate claims

Requirements

Progressive business experience in finance, accounting, sales, government pricing, contracting, or other related area

Understanding of pharmaceutical pricing government programs and associated regulations and the ability to determine the impact of contracts on them

Highly analytical and detail oriented, with the ability to define problems, research proposed solutions, analyze the short- and long-term implications, propose and present the results to key stakeholders and implement solutions

Advanced Microsoft Excel, Word and PowerPoint skills

Superior organizational and project management skills as well as polished written and verbal communication skills

Excellent interpersonal skills, customer service commitment, and detail orientation with the ability to work across the organization and external subject matter experts

Ability to multitask, shift gears and pivot when necessary, and be comfortable working under constant deadlines

Deep working knowledge of the pharmaceutical and managed care industry including market dynamics and the competitive landscape of formulary coverage, market share and profitability

Qualifications

Bachelor’s Degree in a business discipline required

Typically requires 8 years minimum experience in payer contracting, contract administration and/or analytics experience in the Pharmaceutical, Life Science or related Industries or the equivalent combination of education and experience

Skills

• Knowledge of pharmaceutical pricing government programs and associated regulations
• Ability to define problems, research proposed solutions, analyze the short- and long-term implications, propose and present the results to key stakeholders and implement solutions
• Advanced Microsoft Excel, Word and PowerPoint skills
• Organizational and project management skills
• Polyglot written and verbal communication skills
• Interpersonal skills, customer service commitment, and detail orientation
• Ability to multitask, shift gears and pivot when necessary
• Deep working knowledge of the pharmaceutical and managed care industry

Benefits

At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations. From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more.

Pay

Pay Range $152,000 - $228,000

Schedule

Hybrid-Eligible Or On-Site Eligible Flex Eligibility Status In this Hybrid-Eligible role, you can choose to be designated as: Hybrid: work remotely up to two days per week; or select On-Site: work five days per week on-site with ad hoc flexibility. Note: The Flex status for this position is subject to Vertex’s Policy on Flex @ Vertex Program and may be changed at any time.