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Company

Scholar Rock · 4 hours ago

Director/Senior Director, Pricing, Contracting & Government Program Operations

United States

Full-time

Remote

Senior Level, Lead/Staff, Director/Executive

8+ years exp

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Responsibilities

Develop and manage company governance decision making process for all WAC and contract price approvals.

Work alongside Market Access colleagues to drive the strategic thought process around pricing (both gross and net) for the entirety of the organization, and articulate rationale for strategic decisions around price.

Direct company activities to develop and approve product WAC price and WAC price change recommendations, including the lifecycle management (market evolution, label changes, etc.)

Assist in development of Market Access net price strategies to support brand and segment initiatives, including contract strategy and market segment strategies.

Work closely with VP, Market Access and Head of Trade & Distribution to ensure appropriate disclosure of pricing, accurate price communications to stakeholders, and support for other functions as it relates to pricing and contracting.

Partner across the Commercial and Finance organizations to ensure an aligned approach to pricing, pricing changes and the resultant financial impact

Manage the drug listing process

Lead and/or manage, as appropriate:

Contract Development process for all payer segments:

Assist Legal in developing and maintaining standard contract template terms and conditions

Assist Account Managers in negotiating requested changes to standard terms and conditions

Assist Legal with managing internal contract approval process to review, approve and sign contracts for formal execution

Develop and execute standard internal and external communications of executed contracts

Review and approve contract setup in CGPV contract management system to include effective dates, eligible products and plans, products, pricing and rebate calculations

Review and approve rebate eligibility for plans and benefit designs as outlined in contract terms and conditions

Develop standard reports and information to support CGPV rebate payments

Perform preliminary review and approval of rebate payment

Assist in final rebate review and approval

Develop standard report formats for contract and rebate payment information:

Quarterly contract performance reports

Quarterly product business reviews

Dispute Resolution reports

Oversee and/or manage staff towards:

The operations of the designated CGPV to ensure accurate and timely calculation and reporting of mandated federal (including 340B and Federal Supply Schedule / Federal Ceiling Price) and state government price points (Medicaid)

Develop and maintain communication and feedback loop to support monthly, quarterly, and annual government price calculations

Develop and execute monthly, quarterly, and annual price calculation reviews to include known system changes, policy and procedure changes, and pricing and contracting changes

Manage required certification of mandated government price points by C-suite or delegate

Direct activities to ensure accurate and timely delivery of required data to CGPV for all government mandated pricing programs

Develop and execute quarterly business reviews and annual reviews of vendor operations

Manage dispute resolution process for any disputed rebate claims

The development of standard report formats for government price reporting.

Monthly / quarterly / annual price review reports

Government price impact report (ex: ASP)

Best price / lowest contract price report

The resolution of CGPV and/or government questions and issues for calculation and reporting of government price points.

Manage government information requests or audits of government price reporting

The alignment with CGPV to ensure training and education of relevant parties in the organization for government price reporting requirements, changes in legislation, and needed policies and procedures

Own the state government price reporting requirements and work with the CGPV to ensure timely and accurate reporting; interface and alignment with Corporate Compliance is required

Assist in development of rebate accrual forecast, including detail assessment of the required gross to net reporting, and review of rebate actual payments against forecast

Support special projects as needed

Qualification

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Pharmaceutical pricingContract managementGovernment pricingMarket access strategiesPharmaceutical businessFinance acumenPayer segmentsRebate calculationsUS accounting rulesPharma/biotech experienceMatrix environment experienceManaged markets experienceLeadership experience

Required

Understanding of the pharmaceutical business

Understanding of the overall economics of a pharmaceutical manufacturer, its customers and stakeholder partners

Clear understanding, with a proven track record working in, all aspects of pharmaceutical/biotech pricing & contracting, including laws and regulations, payer segments, purchase based customers, government pricing statutes and obligations, and the impact of other areas on pricing (ex: Trade & Distribution.)

Demonstrated strategic mindset, with the ability to piece together disparate elements impacting price, customer decisions, competitive landscape, etc. to arrive at a cohesive decision/recommendation

Working knowledge of US accounting rules, gross to net reporting, and overall sound finance acumen

Proven ability to work independently in a diverse and challenging environment, successfully handling multiple priorities and delivery against tight deadlines

Demonstrated ability to manage through ambiguity and drive to performance

Analytic skill to solve problems and resolve issues within and external to the organization, and to work closely with data, vendors, customers and contracts to determine the proper resolution

Minimum of four-year college degree preferably with business or finance concentration

Minimum 8 years (minimum 10 preferred) pharma, biotech experience

Minimum 5 years’ experience with pricing and contracting in the pharmaceutical/biotech market, including a minimum of three years in a pricing function, and demonstrated experience with contracting in commercial, Medicare, Medicaid, FSS, and PHS

Previous experience managing people both in functional line management, and people and projects in a matrix environment

Experience working with or in the realm of the calculation and reporting of mandated government prices