RTI International · 21 hours ago
Prescription Drug Policy and Pricing Analyst
United States
Full-time
Remote
Senior Level
$142K/yr - $176K/yr
6+ years expRTI International is an independent, scientific research institute dedicated to improving the human condition. They are seeking a Prescription Drug Policy and Pricing Analyst to provide expertise in drug pricing programs and support health policy projects for clients like the Centers for Medicare and Medicaid Services.
ConsultingEducationGovernmentNon Profit
No H1B
Responsibilities
Provide deep subject-matter expertise on federal prescription drug pricing programs, including: Medicaid Drug Rebate Program (MDRP): AMP, Best Price, URA calculations, supplemental rebates, state rebate operations
340B Drug Pricing Program: ceiling price methodology, covered entity eligibility, duplicate discount prevention, manufacturer and HRSA compliance requirements
Medicare Part B drug reimbursement policies, including ASP methodology (g., eligible transactions, role of discounts and chargebacks) and biosimilar reimbursement
Medicare Part D pricing and reimbursement, including pharmacy reimbursement, plan payments, and rebate dynamics
VA/FSS and other federal pricing requirements, including non-FAMP, federal ceiling price, etc
Interpret federal statutes, CMS and HRSA regulations, guidance, and rulemaking related to drug pricing, access, and reimbursement
Provide in-depth knowledge of commercial drug contracting, formulary strategy, and/or PBM operations
Support the design and interpretation of studies on drug utilization patterns and outcomes in populations and subpopulations, including Medicare and Medicaid
Provide subject matter expertise on the development of value frameworks, formulary recommendations, and drug coverage and reimbursement policies of public and private payers
Collaborate with multidisciplinary teams, including economists, physicians, statisticians, policy analysts, and programmers, to produce high-quality, policy-relevant deliverables
Translate findings into clear reports, briefs, presentations, and publications for diverse stakeholders
Qualification
Required
PhD and at least six years of relevant experience; or a Master's degree and at least 10 years of relevant experience; or a Bachelor's degree and at least 12 years of relevant experience
At least four years of experience in drug policy, government price reporting, health services research, healthcare consulting, managed care, or related work
Experience supporting federal contracting programs or working in a consulting environment
Experience with Medicare Part D and/or other prescription drug policies and programs, including Medicaid and 340B
Experience with domestic (United States) health policy
Familiarity with pharmacy claims, formulary design, quality measures (e.g., PQA, STAR ratings), and clinical drug evaluation
Ability to translate highly technical pricing concepts into clear, accessible explanations for federal audiences
Proven ability to collaborate across disciplines and manage multiple priorities in a fast-paced environment
Proficiency with Microsoft Office 365 Suite (Word, Excel, PowerPoint, etc.)
To qualify, applicants must be legally authorized to work in the United States and should not require, now or in the future, sponsorship for employment visa status (e.g., H-1B visa status, etc.)
Preferred
Experience analyzing large healthcare data sets, especially Medicare or Medicaid claims and administrative data
Publication record in drug policy, drug pricing, clinical effectiveness, or health services research
Benefits
A generous paid time off policy
Merit based annual increases
Bonus opportunities
A robust recognition program
A competitive range of insurance plans (including health, dental, life, and short-term and long-term disability)
Access to a retirement savings program such as a 401(k) plan
Paid parental leave for all parents
Financial assistance with adoption expenses or infertility treatments
Financial reimbursement for education and developmental opportunities
An employee assistance program
Numerous other offerings to support a healthy work-life balance
Company
RTI International
RTI is an independent, nonprofit institute that provides research, development, and technical services to government and commercial clients.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
$18.06MKey Investors
US Department of EnergyU.S. Environmental Protection AgencyAscendium Education Group
2024-09-17Grant· $0.8M
2023-10-23Grant· $0.5M
2023-04-13Grant· $10M
Leadership Team
Michael H. Kaelin Jr.
EVP & Chief Operating Officer
Linda Dimitropoulos
Sr. Director, Primary Data Collection, Data & Analytics Practice Area
Recent News
PR Newswire UK
2026-01-22
2025-12-02
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