Sr. Director, Strategic Pricing & Contracting

Summary Of Key Responsibilities

• Develops and implements pricing strategies for the company's products considering market competition, product lifecycle, and reimbursement policies while ensuring compliance with government pricing guidelines.
• Creates a thorough assessment of all pricing decisions, contract strategies, and Gross-to-Net impacts, on existing and prospective products including financial forecast modeling and impact analysis for presentation to and decision by the Pricing Committee and Executive Leadership.
• Develop loss-of-exclusivity and lifecycle strategies, including generic mitigation, deal structuring, and pharmacy channel and discounting strategies to proactively manage generic entry and MAC pricing impacts.
• Chairs the Pricing Committee; maintains and operationalizes the Pricing Committee governance SOP.
• Ensures compliance with federal and state regulations, including, but not limited to, MDRP, CMS, 340B, and government price reporting requirements.
• Owns 340B program integrity, including Medicaid and Managed Care rebate duplicate discount dispute operations, third party vendor relationship, Medicaid dispute accrual reconciliation, and program design.
• Works with internal stakeholders on any contract negotiation strategies with health care providers, payers, GPOs, PBMs, Medicare Part D plan sponsors, government agencies, managed care organizations, and other stakeholders.
• Leads pricing and GTN workstreams for business development opportunities, integrations, and coordinates international pricing methodologies with parent organization.
• Maintains and analyzes pricing trends, competitive pricing strategies, market access opportunities and government pricing standards in making strategic decisions and recommendations.
• Proactively monitors and communicates changes in government policies, regulations, pricing guidelines, and legislation that may impact Company pricing and contracts.
• Works closely with Medical Affairs, Marketing, Commercial Operations, Field Sales, Ethics and Compliance, and Legal departments on alignment of business objectives and how they impact pricing and contracting strategies.
• Leads IRA implementation across Part B and Part D, including Medicare rebate negotiations with plans/PBMs (e.g., ESI, Optum), GLOBE/GUARD execution, internal pricing risk modeling, and strategies to align with and mitigate legislative changes impacting pricing and discounts.
• Manages third-party government pricing and analytics vendor relationships; leads vendor transitions and platform migrations.
• Monitors and analyzes data and analysis related to pricing, contracts, and reimbursement, including contract modeling and analytics to support Pricing Committee (PC) decision-making and ensure compliance.
• Manages service provider(s) for government pricing calculations, dispute resolution platforms, state transparency filing vendors, and Managed Market/Medicaid rebate processing to ensure accurate and timely government pricing calculations and reporting.
• Affords assessments risks and develops mitigation solutions for potential government pricing compliance violations and/or pricing disputes.
• Identifies and implements improvements and efficiencies with existing processes and as additional products are added.
• Safeguards compliance with State Drug Pricing Transparency regulations and reporting.

Required Qualifications And Skills

• BS / BA in business, healthcare administration, finance, or other related discipline
• 10+ years' experience in pharmaceutical pricing and contract management, with strong understanding in government pricing and regulations
• Demonstrated product launch experience with in-depth knowledge of Medicaid, Medicare, and other government healthcare programs (340B, Part B, Part D, IRA)
• Experience with lifecycle strategy (loss of exclusivity, new product launch) and portfolio pricing strategy across branded and generic assets
• Business acumen of Company P&L, gross-to-net, and overall financial implications of business functions, including, without limitation, expenses, and contracts
• Strong analytical and negotiation skills
• Excellent communication and leadership skills
• Regulatory Compliance experience
• Ability to manage assigned accounts from negotiation phase through critical execution phase; must be able to coordinate and plan account meetings with face-to-face dialogue
• Proficient computer skills: Advanced Excel and PowerPoint skills, modern analytics solutions, government pricing platforms, and efficient with technology for business insights and communications
• Travel Requirements: Approximately 10%

Pay

Base Compensation range for this role is $200-230K. Base Compensation is influenced by many factors including, but not limited to: time in the role, previous experience, skills, knowledge, performance, work requirements, internal equity, and business / economic conditions.

Schedule

Hybrid