Sr. Director, Strategic Pricing & Contracting
Veloxis Pharmaceuticals, Inc. Job Description: This position is responsible for oversight and management of pricing, contracting, government price reporting, and gross-to-net (GTN) strategies for the Company's products. The incumbent leads contract negotiations, pricing analysis, account management, and policy interpretation, ensuring compliance with all applicable regulations and Company policies. This role has high organizational visibility with significant impact on performance outcomes and requires a deep understanding of pricing methodologies, market dynamics, compliance requirements, and effective negotiation skills. The base compensation range for this role is $200-230K. Base Compensation is influenced by many factors including, but not limited to: time in the role, previous experience, skills, knowledge, performance, work requirements, internal equity, and business / economic conditions. SUMMARY OF KEY RESPONSIBILITIES
- Develops and implements pricing strategies for the company's products considering market competition, product lifecycle, and reimbursement policies while ensuring compliance with government pricing guidelines (e.g., fair market value).
- Creates a thorough assessment of all pricing decisions, contract strategies, and Gross-to-Net impacts, on existing and prospective products including financial forecast modeling and impact analysis for presentation to and decision by the Pricing Committee and Executive Leadership.
- Develop loss-of-exclusivity and lifecycle strategies, including generic mitigation, deal structuring, and pharmacy channel and discounting strategies to proactively manage generic entry and MAC pricing impacts..
- Chair the Pricing Committee; maintain and operationalize the Pricing Committee governance SOP.
- Ensures compliance with federal and state regulations, including, but not limited to, MDRP, CMS, 340B, and government price reporting requirements.
- Own 340B program integrity, including Medicaid and Managed Care rebate duplicate discount dispute operations, third party vendor relationship, Medicaid dispute accrual reconciliation, and program design.
- Works with internal stakeholders on any contract negotiation strategies with health care providers, payers, GPOs, PBMs, Medicare Part D plan sponsors, government agencies, managed care organizations, and other stakeholders.
- Lead pricing and GTN workstreams for business development opportunities, integrations, and coordinate international pricing methodologies with parent organization.
- Monitors and analyzes pricing trends, competitive pricing strategies, market access opportunities and government pricing standards in making strategic decisions and recommendations.
- Proactively monitors and communicates changes in government policies, regulations, pricing guidelines, and legislation that may impact Company pricing and contracts.
- Works closely with Medical Affairs, Marketing, Commercial Operations, Field Sales, Ethics and Compliance, and Legal departments on alignment of business objectives and how they impact pricing and contracting strategies.
- Work with Market Access Team on the oversight of all contracts with healthcare organizations, wholesalers, and distributors ensuring timely and compliant execution of contractual obligations.
- Lead IRA implementation across Part B and Part D, including Medicare rebate negotiations with plans/PBMs (e.g., ESI, Optum), GLOBE/GUARD execution, internal pricing risk modeling, and strategies to align with and mitigate legislative changes impacting pricing and discounts
- Oversees all data and analysis related to pricing, contracts, and reimbursement, including contract modeling and analytics to support Pricing Committee (PC) decision-making and ensure compliance.
- Manage third-party government pricing and analytics vendor relationships; lead vendor transitions and platform migrations.
- Oversees and monitor the performance of service provider(s) for government pricing calculations, dispute resolution platforms, state transparency filing vendors, and Managed Market/Medicaid rebate processing to ensure accurate and timely government pricing calculations and reporting.
- Assesses risks and develops mitigation solutions for potential government pricing compliance violations and/or pricing disputes.
- Identifies and implements improvements and efficiencies with existing processes and as additional products are added.
- Ensures compliance with State Drug Pricing Transparency regulations and reporting.
- BS / BA in business, healthcare administration, finance, or other related discipline
- 10+ years' experience in pharmaceutical pricing and contract management, with strong understanding in government pricing and regulations
- Demonstrated product launch experience with in-depth knowledge of Medicaid, Medicare, and other government healthcare programs (340B, Part B, Part D, IRA)
- Experience with lifecycle strategy (loss of exclusivity, new product launch) and portfolio pricing strategy across branded and generic assets.
- Business acumen of Company P&L, gross-to-net, and overall financial implications of business functions, including, without limitation, expenses, and contracts
- Strong analytical and negotiation skills
- Excellent communication and leadership skills
- Regulatory Compliance experience
- Ability to manage assigned accounts from negotiation phase through critical execution phase; must be able to coordinate and plan account meetings with face-to-face dialogue
- Proficient computer skills: Advanced Excel and PowerPoint skills, modern analytics solutions, government pricing platforms, and efficient with technology for business insights and communications.
- Travel Requirements: Approximately 10%
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