Vertex Pharmaceuticals · 1 day ago
Government Pricing Compliance Senior Manager
Boston, MA
Full-time
Hybrid
Mid, Senior Level
$144K/yr - $216K/yr
4+ years expVertex Pharmaceuticals Inc. is seeking a Senior Manager for Government Pricing within the US Market Access department. The role focuses on providing subject matter expertise in price reporting and compliance related to government programs, while collaborating with various stakeholders to ensure adherence to regulations and contractual obligations.
BiotechnologyHealth CareMedicalPharmaceutical
Responsibilities
Key contributor within the Government Pricing Team, with demonstrable knowledge and experience in government pricing calculations and reporting requirements including Medicaid, Medicare, 340B and FSS
Supports actionable strategic and tactical recommendations that enable Vertex to adapt rapidly and appropriately evolve for U.S. government payer practices, policies, relevant legislation, regulations, trends and other dynamics
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
Collaborates with Market Access Contracting, Legal and broader Commercial Business Partners on contract reviews, assessing contractual terms, Bona-Fide Service tests (BFSF), FMV, Class of Trade Assessment, and other Government Pricing analysis
Leads contract assessments of all BFSF tests, ensuring four-part tests is appropriately analyzed, interpreted and documented, the highest level of compliance
Ensures contractual obligations under the Federal Supply Schedule (FSS) contract are met, through continuous monitoring of obligations with Federal Acquisition Regulations (FARs) and the Veterans Health Care Act
Establishes and maintains policies, procedures, and standards in support of Sarbanes-Oxley (SOX) requirements, internal/external financial reporting processes, and government regulations and stays abreast of CMS Medicaid rules and guidance changes
Collaborate across all internal and external stakeholders (i.e., Market Access Strategy, Contract Operations, GTN, Accounting/Finance, US Public Affairs, Legal, Audit, Commercial leaders, and external Legal and consultants)
Qualification
Required
A Bachelor's degree in Business, Finance, Accounting or Public Policy, and/or equivalent working experience
4-6 years of experience in pharmaceutical/biotechnology industry or state agency, with experience in Government Pricing, Finance, or other related government payer/program administration experience
Strong knowledge/understanding of relevant pricing and drug contracting strategy development, government pricing methodologies, government and commercial customers, and associated distribution channels
Demonstrable knowledge of the current policies and guidelines that affect government programs, pricing and payment adjustments (e.g., Final Rule, Proposed Rule, Inflationary Reduction Act)
Experience with and passion for pricing policy research (qualitative and quantitative impact assessments)
Strong analytical skills to interpret complex data and market trends for FMV assessments
Must show a high level of proficiency with Microsoft Access, Excel, PowerPoint and Word
Ability to multitask and prioritize workloads and activities
Experience reviewing commercial contracts, for entities such as Specialty Pharmacies and Distributors, Wholesalers, PBMs, GPOs, or Copay vendors, etc
Preferred
An MBA or other related graduate-level degree is a plus
Systems knowledge of Model N or Revitas/Flex is a plus
Benefits
Medical, dental and vision benefits
Generous paid time off (including a week-long company shutdown in the Summer and the Winter)
Educational assistance programs including student loan repayment
A generous commuting subsidy
Matching charitable donations
401(k)
Company
Vertex Pharmaceuticals
Vertex Pharmaceuticals is focused on the discovery and development of small molecule drugs for the treatment of serious diseases.
5001-10000 employees
H1B Sponsorship
Vertex Pharmaceuticals has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (188)
2024 (150)
2023 (111)
2022 (164)
2021 (112)
2020 (80)
Funding
Current Stage
Public CompanyTotal Funding
$657.31MKey Investors
Janssen Belgium
2024-07-10Post Ipo Secondary· $1.11M
2022-05-17Post Ipo Equity· $50M
2009-12-03Post Ipo Equity· $443M
Leadership Team
Reshma Kewalramani
CEO and President
Nina Devlin
Senior Vice President, Chief Communications Officer
Recent News
2026-01-05
2026-01-05
Company data provided by crunchbase