Associate Director, Market Access & Government Pricing Analytics- Job Id: 1005

Description

The Associate Director, Market Access & Government Pricing Analytics is responsible for oversight of all government pricing calculations. He/she will work closely with cross functional teams to evaluate impacts to government pricing and will participate in analyses to support market access channel strategies, including managing bottoms up model and gross-to-net forecast. This individual is expected to establish and maintain collaborative working relationships with internal/external contacts and peers to ensure effective communication and a high-level of customer service.

Key Responsibilities

• Oversight of all government pricing calculations, analyses, and submissions, including Average Selling Price (ASP), Average Manufacturer's Price (AMP), Best Price (BP), Public Health Service (PHS)/340B pricing, Non-Federal Average Manufacturer's Price (Non-FAMP), Federal Ceiling Price (FCP), and Federal Supply Schedule prices (FSS) in accordance with the Medicaid Drug Rebate Program and all Federal Program Guidelines
• Partner with key stakeholders to ensure timely and accurate filing of all government reporting to avoid significant monetary penalties assessed by various government agencies for late or inaccurate reporting
• Represent Market Access on cross-functional teams to evaluate issues impacting government pricing and prepare analyses to understand the impact of new pricing and contracting strategies on Government Pricing calculations
• Ensure compliance with laws governing government programs, including Medicaid, are within written policies, procedures, and standards of conduct
• Maintains an understanding of the marketplace and changes that may impact government price reporting and government channel strategy
• Responsible for maintenance of documentation and procedures regarding government pricing, as well as internal and external audits
• Inform brand forecasts including account and channel-level gross to net projections, Medicaid Unit forecasts, and government impact of proposed strategy changes (CPI penalties, Medicaid Mandated Rebate, BP)
• Responsible for managing bottoms up model for in-line and launch products, including forecasting brand gross-to-net deductions
• Support National Account team with analytical support for contracting deals, including pre and post deal analyses to be presented to internal Pricing Review Board
• Participate in analyses to understand impact of market events on government price reporting and development of channel strategies (i.e. assessment of pipeline products coverage, analysis of impact of payer coverage policies, and provider/channel economics)
• Proactively seeks and recommends enhancements and improvements in Market Access processes, including recommending resources, new approaches, negotiating agreeable solutions, or involving next-level management as needed.

Requirements

• 8+ years of experience in the biotech or pharmaceutical industry, relevant Market Access knowledge with focus on government reporting is desirable
• Possesses broad base and in-depth understanding of reimbursement issues, payer segments, use of specialty pharmacies, managed market customers including private and public payers, national and regional health plans, state Medicaid, Medicare Part B and D, VA/DOD, PBM's, Employers, IDNs, Medical Groups and ACOs
• Demonstrated knowledge of payer decision-making for formulary processes, coverage, and patient access to drugs, biologicals and medical devices
• Understanding of FSS and CMS statutory price calculations (NFAMP, IFF, AMP, BP, URA), State Price Reporting, 340B, Tricare and the programs and calculations to support evaluations and analytics of pricing and product scenario planning
• New hires based in the US will be required to demonstrate that they have been fully vaccinated for COVID-19 or qualify for a medical or religious exemption or accommodation to this vaccination requirement, subject to applicable law
• Salary range: $175-190K/year

Skills

• Ability to be flexible and energetic in a dynamic work environment and in a highly matrixed organization with non-co-located teams
• Ability to manage multiple priorities effectively, problem solve, negotiate, and collaborate with stakeholders to implement long terms solutions and positively influence business
• Advanced proficiency with Excel

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• 401(k)
• Paid maternity leave
• Paid paternity leave
• Commuter benefits
• Disability insurance