Associate Director, Government Pricing
Scorpion Therapeutics, Parsippany, New Jersey, United States
Role Summary
Associate Director, Government Pricing is a subject-matter expert on price calculations and relevant government legislation. This role acts as a liaison with Brand business units to project government pricing and price-protection rebates. Key duties include modeling financial impacts to support contracting decisions, developing strategies for price changes and legislative updates related to government pricing on innovative brands, and ensuring compliance with government legislation and Teva’s pricing policies by managing policy filters in Teva’s GP system. Responsibilities
Consult with business units to stay current on contract terms, pricing strategies, and proposals for promoted brands and biosimilars. Calculate and communicate financial impacts related to government price changes on Teva’s brands/biosimilars. Modeling may be required to inform audit findings, proposed pricing actions, legislative/policy changes, and customer Class of Trade changes. Forecast and communicate projected AMP, Best Price, CPI penalty, and the Federal URA for all promoted brand/biosimilar products. Provide expertise and guidance on Medicaid URA and PHS/Apexus pricing. Review CMS and VA communications on pharmaceutical pricing. Partner with counsel to communicate guidance changes to GP’s internal partners. Attend pricing and contracting training and industry meetings to stay current on regulatory requirements, Medicaid and Federal pricing regulations, and related legislation. Evaluate financial impacts of proposed Price Protection language on Managed Care contracts. Manage Price Protection modeling to support rebate invoice verification, GTN forecasting, and Brand Pricing analyses. Manage Teva’s pricing policies and reasonable assumption documents. Align with GP members, update policy filters as needed in Model N to ensure government price calculations perform correctly, and secure proper approvals in advance of changes. Qualifications
Required: Bachelor\u2019s Degree Preferred: Focus in Mathematics, Finance, or related business discipline; MBA preferred Required: Minimum 7 years of progressive experience in the pharmaceutical industry Required: Minimum 3 years of experience within government pricing Required: Demonstrated broad knowledge of the pharmaceutical industry Required: Strong understanding of regulatory requirements pertaining to contracting, third-party payers, and the government pricing environment Required: Knowledge of U.S. Government pricing statutes and regulations including OBRA 90, OBRA 93, Deficit Reduction Act, VA Healthcare Act, the Medicare Modernization Act, the Patient Protection and Affordable Care Act, and the Inflation Reduction Act Required: Strong financial analysis skills including extensive familiarity with Microsoft Excel Required: Ability to prepare and present results to senior management Required: Strong interpersonal skills with ability to collaborate across business units and functional areas Required: Excellent attention to detail, as well as organizational, planning, and written/verbal communication skills Preferred: Pharmaceutical brand pricing/contracting experience Preferred: Forecasting and predictive modeling experience, within government pricing Skills
Strong planning and organizing skills Ability to work independently and in a team Ability to prioritize competing, time-sensitive tasks Clear, proactive, and concise written and verbal communication Ability to explain complex financial concepts to diverse audiences Sound judgment and decision-making Professional demeanor and high performance standards Ability to build relationships with internal and external stakeholders Overcomes barriers to establish successful relationships Understanding of gross to net sales variables and gross margin analysis Understanding of product discounts including cash discounts, rebates, Medicaid programs, trade discounts, and federal discounts Strong analytical skills and comfort with large data sets Innovative thinker with a continuous-learning mindset Intellectual curiosity and ability to bring strategic ideas and insights Advanced Microsoft Excel skills and familiarity with data and query tools Education
Bachelor’s Degree required; focus in Mathematics, Finance, or related business discipline highly preferred; MBA preferred
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Associate Director, Government Pricing is a subject-matter expert on price calculations and relevant government legislation. This role acts as a liaison with Brand business units to project government pricing and price-protection rebates. Key duties include modeling financial impacts to support contracting decisions, developing strategies for price changes and legislative updates related to government pricing on innovative brands, and ensuring compliance with government legislation and Teva’s pricing policies by managing policy filters in Teva’s GP system. Responsibilities
Consult with business units to stay current on contract terms, pricing strategies, and proposals for promoted brands and biosimilars. Calculate and communicate financial impacts related to government price changes on Teva’s brands/biosimilars. Modeling may be required to inform audit findings, proposed pricing actions, legislative/policy changes, and customer Class of Trade changes. Forecast and communicate projected AMP, Best Price, CPI penalty, and the Federal URA for all promoted brand/biosimilar products. Provide expertise and guidance on Medicaid URA and PHS/Apexus pricing. Review CMS and VA communications on pharmaceutical pricing. Partner with counsel to communicate guidance changes to GP’s internal partners. Attend pricing and contracting training and industry meetings to stay current on regulatory requirements, Medicaid and Federal pricing regulations, and related legislation. Evaluate financial impacts of proposed Price Protection language on Managed Care contracts. Manage Price Protection modeling to support rebate invoice verification, GTN forecasting, and Brand Pricing analyses. Manage Teva’s pricing policies and reasonable assumption documents. Align with GP members, update policy filters as needed in Model N to ensure government price calculations perform correctly, and secure proper approvals in advance of changes. Qualifications
Required: Bachelor\u2019s Degree Preferred: Focus in Mathematics, Finance, or related business discipline; MBA preferred Required: Minimum 7 years of progressive experience in the pharmaceutical industry Required: Minimum 3 years of experience within government pricing Required: Demonstrated broad knowledge of the pharmaceutical industry Required: Strong understanding of regulatory requirements pertaining to contracting, third-party payers, and the government pricing environment Required: Knowledge of U.S. Government pricing statutes and regulations including OBRA 90, OBRA 93, Deficit Reduction Act, VA Healthcare Act, the Medicare Modernization Act, the Patient Protection and Affordable Care Act, and the Inflation Reduction Act Required: Strong financial analysis skills including extensive familiarity with Microsoft Excel Required: Ability to prepare and present results to senior management Required: Strong interpersonal skills with ability to collaborate across business units and functional areas Required: Excellent attention to detail, as well as organizational, planning, and written/verbal communication skills Preferred: Pharmaceutical brand pricing/contracting experience Preferred: Forecasting and predictive modeling experience, within government pricing Skills
Strong planning and organizing skills Ability to work independently and in a team Ability to prioritize competing, time-sensitive tasks Clear, proactive, and concise written and verbal communication Ability to explain complex financial concepts to diverse audiences Sound judgment and decision-making Professional demeanor and high performance standards Ability to build relationships with internal and external stakeholders Overcomes barriers to establish successful relationships Understanding of gross to net sales variables and gross margin analysis Understanding of product discounts including cash discounts, rebates, Medicaid programs, trade discounts, and federal discounts Strong analytical skills and comfort with large data sets Innovative thinker with a continuous-learning mindset Intellectual curiosity and ability to bring strategic ideas and insights Advanced Microsoft Excel skills and familiarity with data and query tools Education
Bachelor’s Degree required; focus in Mathematics, Finance, or related business discipline highly preferred; MBA preferred
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