Averitas Pharma logo
Averitas Pharma

We strive to enable people with pain to live and feel more like their true selves.

Director, Pricing & Contracting

DirectorDirectorFull TimeRemoteLeadTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

137 days ago

Salary

$230K - $255K / year

Seniority

Lead

Bachelor Degree10 yrs expEnglish

Job Description

• Develop and execute innovative contracting options that produce and maintain appropriate brand access, data access and brand profitability across Averitas product portfolio • Manage the contract development, execution and maintenance of commercial, pharmacy and medical benefit agreements to support PBM/GPO like entities, Medicare Part D, Medicare Advantage, Medicaid, and PPA contracts • Monitor price reporting for Average Sales Price (ASP) and CMS reimbursement methodologies in support of medical benefit agreements • Monitor implications to Gross to Net (GTN) to support accurate forecasting and minimize fluctuation implications on revenue • Responsible for analytic modeling to support requests for proposals (RFP)s • Facilitate the contract negotiation process by analyzing customer contract redlines, and preparing responses for both internal discussions and external negotiations • Perform timely and accurate calculation, authorization, payment and tracking of contractual rebates, chargebacks and fees • Work with cross functional partners to measure ROI on post deal analytics • Perform all necessary tasks to establish and maintain our federal and state contracts and reporting requirements: Adhere to federal submission deadlines and requirements • Manage the Medicaid and Medicare rebate operations, including monthly and quarterly CMS pricing compliance, internal pricing analysis, systems development and dispute resolution • Manage quarterly and annual VA pricing compliance and oversee administration of the VA Federal Supply Schedule contract including annual Public Law process • Manage any price reporting functions under state law with support from our vendors • Prepare and submit Requests for Modifications (RFMs) as necessary • Oversee the development of pricing strategies for new indications and or new products • Manage the notification process for all wholesale acquisition cost and contract pricing action changes to contracted and third-party vendors • Support the development and maintenance of policies and standard operating procedures (SOPs) for rebate management, pricing actions, etc. to ensure compliant operations • Aid in forecasting to support the accrual process for financial close in support of earnings projection objectives • Ensure all federal and state rebates, e.g., Medicaid, Coverage Gap/MDP, etc. payments are made and tracked accurately and in a timely manner • Maintain ongoing communication with the finance, legal and third-party vendor to monitor and analyze pricing and/or discounts that may affect Best Price and government price reporting calculations

Job Requirements

  • Minimum 10 years’ experience in the healthcare industry
  • Minimum 5 years’ experience in contract administration or operations, data analysis and interpretation; prior market access experience preferred
  • Strong background in contract negotiations with vendors, payers, providers, specialty pharmacies, and/or distributors
  • Proven experience with government pricing programs (e.g. Medicaid, Medicare, 340B, VA/DoD) and commercial (medical and pharmacy benefit) contracts
  • Knowledge of US pricing and reimbursement structures required
  • Detailed knowledge of health plans and PBM decision-making processes
  • Demonstrated understanding of health economics
  • Demonstrated ability to interact with all levels of management as well as field sales, marketing, medical affairs, regulatory and vendor partners
  • Ability to maintain an independent and objective perspective while developing and maintaining a strong partnership with client organizations
  • Ability to work with and deliver on deadlines while managing multiple projects and priorities with limited supervision
  • Intrinsic drive and motivation to achieve success

Benefits

  • Long-Term Incentive Plan (cash plan) of 25% base salary
  • Annual performance bonus target of 25% base salary (subject to meeting plan requirements)
  • Comprehensive health benefits (employer funded)
  • Unlimited vacation time
  • 401k plan (subject to change or modification from time to time)

Related Categories

Related Job Pages

More Director Jobs

Director137 days ago
Full TimeRemoteTeam 1,001-5,000Since 2020H1B No Sponsor

Director of Patient-Centered Outcomes providing strategic guidance for patient research

California + 1 moreAll locations: California, Massachusetts
$150K - $270K / year
Director138 days ago
ContractRemoteTeam 51-200Since 1993H1B No Sponsor

Director of Analytics leading a team at a health plan analytics department

MySQLPostgresSQLTableau
United States
Director138 days ago
Full TimeRemoteTeam 1,001-5,000Since 2007

Senior Director optimizing digital experiences for Risepoint’s university partners.

United States
QuestBridge logo

Associate Director, Student Outreach

QuestBridge

Envision a world where leadership encompasses thoughtful and broad-minded decision-makers from every economic segment

Director138 days ago
Full TimeRemoteTeam 11-50Since 2004H1B No Sponsor

Associate Director leading outreach initiatives for QuestBridge's programs.

United States
$75K - $95K / year