Director, Government Pricing – Pharmaceutical/Biotech

Role Overview

• 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.