Note: The job is a remote job and is open to candidates in USA. Meitheal Pharmaceuticals, Inc. is a company focused on the development and commercialization of generic injectable medications and has expanded into fertility, biologic, and branded products. The Associate Director, Biosimilar Pricing, Analytics, and Strategy is responsible for developing and executing pricing strategies for the biosimilar portfolio, ensuring compliance and maximizing patient access.
Responsibilities
- Develop WAC and net price strategies at launch and lifecycle for each biosimilar asset
- Build pricing models, including channel specific models (Pharmacy/PBM vs Buy and Bill/ASP), model ASP impact scenarios and articulate tradeoffs, and forecast modeling
- Present pricing and strategy recommendations to senior leadership and key stakeholders to maximize patient access
- Serve as a commercial payor and government contracting expert to the organization on statutory pricing compliance, price transparency reporting, and GTN impacts that result from contracting
- Partner with Finance on gross-to-net (GTN) budget assumptions, accrual calculations, and all gross-to-net matters
- Responsible for oversight of all Government Pricing programs including calculation of statutory prices (ASP, AMP, BP, PHS, NFAMP, FSS), and compliance with Federal regulations and statutes
- Oversees implementation, administration, claim validation and payment of Payor and government agreements by the internal team and with a third-party vendor
- Partners closely with Legal to ensure contract language, agreement terms, and program compliance
- Serves as a primary liaison to the Pricing Compendia reporting any price or product updates to the marketplace
- Monitor competitive price moves across reference product and competing biosimilars; recommend response strategies
- Maintains governance of a pricing repository for all product pricing and terms available to the distributors so Trade can seamlessly release product orders
- Participates in and holds the Sarbanes-Oxley compliance oversight over the Pricing Committee
- Develops and maintains departmental SOPs to ensure operational compliance with internal policies
- Partners closely with External and Internal Audit teams to ensure control compliance
- Manages third-party vendor relationships and reviews deliverables
- Position to evolve into overseeing, developing, and managing a team that supports and operationalizes the Pricing and Contracting initiatives for the organization
- Other duties may be assigned
Skills
- Advanced level of understanding of the US healthcare systems including organization, reimbursement, formulary strategy, decision making and emerging trends
- Strong financial modeling skills; fluency in GTN and rebate structures
- Ability to analyze/interpret contract language and identify risks to the company
- Flexibility to work in a fast-paced environment with multiple demands with a high level of initiative and independence
- Ability to work cross-functionally within areas such as Accounting, Commercial Analytics, Compliance, Finance, Government Affairs, IT, Legal, Market Access, and Trade
- Strong problem-solving skills and the ability to analyze and reconcile contracts and financial data
- Excellent organizational skills with a strong attention to detail
- Motivated self-starter with the ability to think strategically and work independently
- Proficiency in Microsoft Office
- Professional, proactive demeanor
- Strong interpersonal skills
- Excellent written and verbal communication skills
- BA/BS in related field, or equivalent experience
- 8+ years in the pharmaceutical industry
- 8+ years of experience in government pricing, commercial contracting, and gross-to-net support
- Hands-on experience with GPO contracting, PBM formulary strategy, and payor negotiations strongly preferred
- MBA preferred
- 5+ years in biosimilar or managed market leadership role strongly preferred
- Deep understanding of ASP/WAC mechanics, CMS pricing rules, 340B implications, Medicare Part B/D dynamics and buy-and-bill reimbursement strongly preferred
Benefits
- Competitive pay and medical, dental, and vision insurance
- Flexible spending accounts
- Long- and short-term disability insurance, as well as life insurance
- 401(k) plan with match
- Competitive PTO and company-paid holidays
- Paid parental leave (maternity & paternity)
- Employee assistance program
- Onsite gym
Company Overview