Director overseeing clinical programming and staff within outpatient services at Bradford Health Services. Ensuring patient - centered care, compliance, and quality improvement initiatives.
About the role
- Director of Government Pricing leading comprehensive pricing strategies and compliance in the pharmaceutical industry. Overseeing government pricing calculations and partnerships across multiple teams.
Responsibilities
- Lead and mentor the Government Pricing team while fostering a culture of compliance, innovation, accuracy, and continuous improvement.
- Oversee all government pricing calculations in full compliance with Medicaid, Medicare, and VA Healthcare Act regulations.
- Ensure timely and accurate submission of all required pricing metrics for ~150 NDCs across multiple business units, including:
- Monthly/Quarterly AMP and Quarterly BP
- Quarterly ASP
- Quarterly and Annual Non‑FAMP and FCP
- Quarterly 340B pricing
- Lead government pricing activities for product launches, acquisitions, and divestitures.
- Conduct detailed analyses to understand pricing variances and key business drivers.
- Ensure accurate reconciliations between the general ledger and government pricing systems.
- Serve as the primary subject matter expert partnering with Contract Operations, Digital, and Legal to address complex data issues.
- Lead the identification, development, and implementation of system enhancements and process improvements.
- Interpret regulatory requirements and ensure compliant pricing methodologies, product setups, and internal controls.
- Maintain extensive compliance documentation (300+ pages), including Reasonable Assumptions, SOPs, work instructions, and calculation checklists.
- Partner with Contract Development and Analytics teams to assess new and innovative contracting strategies.
- Support internal and external audits and litigation requests with expert documentation and analysis.
- Demonstrate company values and perform additional related duties as needed.
Requirements
- MBA or equivalent experience in business, finance, accounting, policy, or healthcare.
- 10+ years of progressive experience in the pharmaceutical industry, including 1–2 years of government pricing experience preferred.
- Strong understanding of U.S. Government pricing regulations, including OBRA ’90, OBRA ’93, Deficit Reduction Act, VA Healthcare Act, Medicare Modernization Act, ACA, and Inflation Reduction Act.
- Advanced analytical skills with the ability to interpret complex datasets and identify actionable insights.
- Excellent written and verbal communication skills, including presenting to senior leadership.
- Strong project management, decision-making, coaching, and mentoring capabilities.
- Ability to collaborate effectively across multiple teams and business units.
- Exceptional organizational skills with the ability to manage multiple priorities in a fast-paced environment.
- Commitment to compliance, integrity, and operational excellence.
- Proficiency with analytical tools such as Advanced Excel, Model N, and SAP.
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