Job Description
Position Overview: The Associate Director, Government Pricing and Reporting, will be a critical member of the Finance Team reporting to the Head of Finance. The position is responsible for overseeing the development, implementation, and management of pricing strategies and compliance reporting related to government healthcare programs (e.g., Medicare, Medicaid, 340B). This role ensures accurate pricing models, regulatory compliance, and timely reporting to optimize reimbursement and minimize risk. The ideal candidate will combine deep technical knowledge of government pricing regulations with robust analytical skills and the ability of building strong business partnership with internal and external stakeholders.
Key Responsibilities : - Responsible for data preparation, validation, calculation, and analytics related to the administration of government and commercial contracts.
- Responsible for analyzing, documenting, reviewing, and the submission of all mandated product and pricing obligations for all federal and state government programs, including, but not limited to, Medicaid (AMP, BP, USA, state reporting), Office of Pharmacy Affairs (PHS), Veteran Affairs (NFAMP, FCP, FSS, IFF, TRICARE) within the mandated timelines.
- Develop, implement, maintain and approve key controls that ensure compliance and timely completion of all government program submissions including but not limited to Average Manufacture Price (AMP), Best Price (BP), Average Sales Price (ASP) non-Federal Average Manufacturer Price (nFAMP), Public Health Service - 340B (PHS), Federal Ceiling Price (FCP) and all state reporting.
- Work collaboratively with 3rd party partners responsible for state price transparency reporting, government pricing, etc.
- Maintain government pricing methodologies, standard operating procedures and reasonable assumptions as they pertain to government programs and pricing to reflect current federal statutes and regulations.
- Work with Accounting and Commercial functions to analyze rebate and chargeback data for government pricing calculations ensuring proper classification for inclusion or exclusion in the government pricing calculations.
- Conduct and provide meaningful analysis to the organization on issues relative to government pricing to support informed business decisions as new contract strategies are presented.
- Actively monitor government pricing regulations as they relate to payer, IDN, policy, competitor, and market conditions to inform critical decisions and potential impacts to reimbursement as well as Federal pricing helping shape future access strategies.
- Partners effectively with senior leadership & cross-functional teams on commercial / business strategies and pricing changes to assess government pricing requirements and implications (Compliance and Financial).
- Partner with the Accounting team and provide necessary documentations, calculations, and memos to support period-end closes.
- Provides proactive and reactive analytics and insights to the Business that helps improve Forecasting, Contracting Decisions, Pricing Decisions and Timing, Business Planning & divestiture deals.
- Provides input and analysis on proposed and new Government Regulations as well as recommendations for optimal implementation of new regulations.
- Continuous process improvement mindset and ability to drive positive change within the organization.
- Provide subject matter expertise, insight, and resources to cross-functional projects and initiatives.
Qualifications and Experience: - Bachelor’s degree in Finance, Accounting, Economics, Law, or similar required, MBA preferred.
- A minimum of 8 years of experience with government price calculation and reporting for state and federal programs (Medicaid, PHS, FSS, state price transparency, etc.) required.
- Involvement in launch preparation or commercialization of a rare disease therapy
- Experience with Inflation Reduction Act (IRA) compliance, inflation penalties, and CMS inflation rebate modeling
- Government and state pricing transparency calculation and reporting requirements
- Knowledge of class-of-trade strategy, chargeback validation, and specialty distribution models
- Knowledge of U.S. Government pricing statutes and regulations including knowledge of Medicaid, Medicare, VA Healthcare Act and Public Health Services Act
- Ability to establish and maintain strong working relationships with varying levels of government representatives (VA Contracting Officers, Office of Inspector General, etc.)
- Robust quant analytical skills and ability to distill the root cause and propose actional solutions
- Strong Excel and Word skills are required
- Effective written and oral communication skills
- Ability to work well under pressure and to work within short deadlines
- Excellent organizational and multitasking skills, strong work ethic, and emphasis on attention to details
- Work independently while effectively communicating and coordinating work efforts with others
Benefits of working with our team:
PharmaEssentia USA strives every day to improve the lives of patients as well as our employees. As a valued member of PharmaEssentia USA, you will enjoy the following benefits:
- Comprehensive medical coverage
- Dental and vision coverage
- Generous paid time-off
- 401(k) retirement plan with competitive company match
- Medical & Dependent Care Flexible Spending Account
- Up to $150 monthly cell phone reimbursement
- Employee Assistance Program
- Free parking
At PharmaEssentia USA, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. PharmaEssentia USA believes that diversity and inclusion among our team are critical to our success as a global company, and we seek to recruit, develop and retain the most talented people from a diverse candidate pool. PharmaEssentia does not accept unsolicited agency resumes. Staffing agencies should not send resumes to our HR team or to any PharmaEssentia employees. PharmaEssentia is not responsible for any fees related to unsolicited resumes from staffing agencies.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
At PharmaEssentia, our goal is to treat as many people with cancer as possible. That means challenging the status quo with better science that leads to better lives. By joining our team, you will not only expand your own possibilities, but you will contribute to expanding options for people with cancer.
Job Tags
Full time, Contract work, Work at office, Flexible hours,