Manager, Government Pricing and Rebates

Job Overview

The Manager, Government Pricing and Rebates, is responsible for leading and managing the organization’s government pricing, rebate, and compliance activities across federal and state programs.

Responsibilities

• Lead all Government Pricing (GP) activities across Medicaid, Medicare, and other federal/state programs.
• Serve as subject matter expert on GP methodologies, including AMP, ASP, Best Price (BP), 340B Ceiling Price, Non-FAMP, and FCP calculations.
• Partner closely with third-party GP vendor to:
  • Oversee monthly and quarterly pricing calculations, validation, and submissions.
  • Review and approve government pricing outputs to ensure accuracy, completeness, and regulatory compliance.
  • Support system updates, assumptions, and data governance controls.
• Ensure compliance with all applicable federal and state regulations, including CMS and HRSA requirements.
• Manage Medicaid Drug Rebate Program (MDRP) responsibilities:
  • Review, validate, and process, state Medicaid rebate invoices.
  • Ensure timely payment and dispute resolution with state agencies.
  • Track and report rebate activity and liability accruals.
  • Maintain audit readiness by supporting internal and external audits, and documentation related to GP calculations and submissions.
• Collaborate with Marketing and Finance regarding pricing decisions and implications related to government programs.
• Identify and implement process improvements, automation opportunities, and internal controls within GP operations.
• Serve as a key stakeholder in product launches, ensuring accurate GP setup and compliance readiness.
• Support development, submission, and ongoing management of Federal Supply Schedule (FSS), VA, and DOD contracts.
• Monitor compliance with FCP and contract pricing requirements, including price reporting and recalculations.
• Partner cross-functionally (Legal, Finance, Commercial) to evaluate pricing decisions and contract implications.
• Coordinate with third-party vendors to ensure compliance with state drug price transparency laws, including:
  • Overseeing timely and accurate submission of required state-level pricing disclosures and reporting.
  • Monitoring evolving legislation and assessing business impact on pricing and reporting processes.
• Interpret and apply contractual terms related to rebates, administrative fees, distribution/service fees, and chargebacks.
• Review and approve third-party fee calculations and payment requests for accuracy and compliance.
• Work closely with Global Shared Services to track, analyze, and report all rebate and fee activity, ensuring proper accruals and financial visibility.
• Collaborate closely with Finance on payment execution, accruals, deductions, and reconciliation.

Qualifications

• Excellent cross-functional collaboration skills, with experience partnering closely with Finance, Legal, Compliance, and Commercial teams.
• Effective verbal and written communication skills.
• Strong understanding of FSS/VA/DoD contracting requirements and federal pricing compliance.
• Hands-on experience or exposure to the Medicaid Drug Rebate Program (MDRP), including rebate validation, dispute resolution, and state interactions.
• Experience working with third-party Government Pricing vendors/systems (e.g., Model N, Revitas, SAP GP modules, or similar).
• Knowledge of state drug price transparency regulations and reporting requirements.
• Familiarity with contracting concepts including rebates, administrative fees, distribution/service fees, and chargebacks.
• Proven ability to interpret and apply complex regulatory requirements (CMS, HRSA) to operational processes.
• Experience supporting internal and external audits.
• Experience with data analytics tools, ERP systems, or related technologies.
• Ability to manage multiple priorities and meet strict deadlines.
• Strong analytical skills with exceptional attention to detail and accuracy in calculations and financial data.
• Advanced proficiency in Microsoft Excel.

Education & Experience

• Bachelor’s degree in Finance, Accounting, Business, Economics, or equivalent professional experience in government pricing, rebates, and related functions.
• 5–7+ years of experience in generic pharmaceutical Government Pricing and methodologies, including AMP, ASP, Best Price (BP), 340B, Non-FAMP, and Federal Ceiling Price (FCP).

Pay

The annual base salary range for this position is $90,000.00 to $140,000.00 depending on factors such as experience level, knowledge, skills, and abilities. Final compensation decisions will consider these and other relevant business needs. In addition to base salary, this position is eligible for an annual bonus, with target percentages varying by role.

Benefits

• Health Insurance: Choice of four Horizon Blue Cross Blue Shield of New Jersey plans — PPO, EPO, HDHP, and OMNIA. Premiums and coverage vary by plan.
• Dental Insurance: Choice of three plans - DHMO, Core PPO, or Buy Up PPO plans.
• Vision Insurance: Choice of two plans - Base and Buy Up options.
• Life and AD&D Insurance: Company-paid Basic Life and AD&D with optional Supplemental coverage.
• Disability Insurance: Voluntary Short-Term Disability (employee-paid); Long-Term Disability is company-paid.
• Flexible Spending Accounts (FSAs): Available for health care and dependent care expenses.
• Health Savings Account (HSA): Offered with HDHP enrollment; employee-funded.
• Voluntary Benefits: Identity Theft Protection, Critical Illness Insurance, Accident Insurance, and Legal Insurance (all employee-paid).
• Employee Assistance Program (EAP): Confidential support services at no cost.
• 401(k) Retirement Plan: Pre-tax and Roth contribution options available, with company match; vesting applies.
• Paid Time Off: Includes vacation, PTO, and company holidays (varies by role and tenure).
• Employee Referral Program: $1,000 bonus for each qualified hire you refer.

Physical Requirements

• Office Position - While performing the duties of this job the employee is required to: Stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach, stoop kneel to install computer equipment
• Specific vision abilities required by this job include close vision requirements due to computer work Light to moderate lifting is required Moderate noise (i.e. business office with computers, phone, and printers, light traffic).
• Ability to sit at a computer terminal for an extended period of time Sedentary work Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.
• No Additional Requirements Blood/Fluid Exposure Risk Category III: Tasks involve no exposure to blood, body fluids or tissues. Category I tasks are not a condition of employment.