Government Pricing Manager

Job Summary

Subject matter expert responsible for managing the calculation of key pricing metrics, maintaining compliance with all government pricing calculation and reporting, and government rebate processing requirements. Supports Associate Director, Government Pricing with interpretation of statutes, rules, and laws pertaining to government pricing.  Reviews, validates and approvs all work product from Senior Analyst, Government Pricing and Analyst/Senior Analyst Government Rebates.  Recommends, reviews and approves process documentation related to government pricing  and rebate processing  methodologies and procedures. Leads analytical initiatives to enhance business planning and decision-making processes. 

Job Responsibilities

• Manage and review the work product of analysts who perform all required government pricing calculations including Average Manufacturer Price (AMP), Best Price (BP), Medicaid Unit Rebate Amount (URA), PHS (340b), Average Sales Price (ASP), non-Federal Average Manufacturer Price (nFAMP), Federal Ceiling Price (FCP), etc.
• Ensure accurate, complete, and timely reporting of all government pricing calculations.
• Develop, manage, and maintain compliance for all government pricing calculation methodologies.
• Manage and lead day-to-day government rebate processing activities for all Medicaid, Tricare, and Coverage Gap claims.
• Ensures timely and accurate review and approval of all Government Rebate payments.
• Lead government rebate dispute resolution associated with disputed claims.
• Identify and resolve compliance issues and pricing requests from various stakeholders.
• Support associate director with calculation compliance and manage day-to-day activities associated with government pricing calculations.
• Ensure SOPs and work instructions are documented, relevant, and up-to-date
• Assist Associate Director Government Pricing on efforts to identify  and advise leadership of risks and opportunities related to government pricing as they relate to potential business strategies and initiatives
• Attend industry-related seminars and training to ensure compliance knowledge is current and up to date.
• Perform other duties and special projects as assigned.
• Assists Associate Director in Managing the ongoing performance of staff, which includes, but is not limited to:
  • Review and approval of day to day work product in accordance with deliverable targets;
  • Providing feedback to Associate Director on team performance and accomplishments;
• Utilize open, honest, two way communication to build trust-based relationships with employees, business partners and direct leader while continuously improving leadership capabilities by personally seeking feedback and development.
• Create a culture which values trust and provides the opportunity for Employee development and growth in pursuit of our purpose and demonstrating our core Values – Integrity, Teamwork, Courage and Innovation.
• Ensure adherence of team members with all compliance programs and company policies and procedures.

• Responsible to ensure compliance with the Global Business Ethics and Compliance Program, Global Quality procedures, Safety and Environment policies, and HR policies. 
• Works as a member of a team to achieve all outcomes;
• Leads with a global mindset that respects all cultural dimensions;
• Performs all work in accordance with our Code of Conduct and Business Ethics, and all established regulatory, compliance and safety requirements;
• Delivers all work in support of our Values of Collaboration, Courage, Perseverance, and Passion; and

All other duties as assigned

Job Requirements

• Education

• Bachelor degree in Accounting or Finance or equivalent experience

• Knowledge, Skills and Abilities
  • Experience with Model N Powered by N or equivalent Government Pricing system
  • Analysis and interpretation of detailed pharmaceutical data sets including:

• Medicaid Rebate claim detail
• Transactional data (Direct Sales,Chargebacks, Rebates)
• Master data (Product Master, Customer Master, Contract Master)

• Time management and organization

• Achieve deliverable targets
• Ability to manage multiple projects simultaneously

• Must be self-motivated and possess strong business ethics for handling confidential information
• Able to make independent judgment decisions
• Solid oral and written communication skills
• Comfort working with individuals at all levels of the organization.

• Experience
  • Minimum of 6+ years of pharmaceutical experience and 2+ years of government pricing management experience.
  • Decision-making autonomy
  • Interpretation of federal statutes, rules, and pricing frameworks
  • Ownership of compliance?critical deliverables
  • Leadership of dispute resolution
  • SOP ownership
  • Direct impact on risk exposure and financial liabilities