Director, Pricing & Contracting

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October 31

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Averitas Pharma

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Pharmaceuticals • Healthcare Insurance • Science

Averitas Pharma is a pharmaceutical company committed to developing innovative alternatives for managing pain, with a strong focus on patient-centric solutions. The company seeks to address unmet patient needs through affordable access to treatments for neuropathic pain. Leveraging scientific research, including the discovery of the Transient Receptor Potential Vanilloid 1 (TRPV1) receptor, Averitas Pharma aims to create a positive impact on patients' lives. With a legacy built on 75 years under the global healthcare company Grünenthal, Averitas Pharma is dedicated to approaching pain not just as a symptom, but as a disease that requires effective solutions.

51 - 200 employees

💊 Pharmaceuticals

⚕️ Healthcare Insurance

🔬 Science

📋 Description

• Develop and execute innovative contracting options that produce and maintain appropriate brand access, data access and brand profitability across Averitas product portfolio • Manage the contract development, execution and maintenance of commercial, pharmacy and medical benefit agreements to support PBM/GPO like entities, Medicare Part D, Medicare Advantage, Medicaid, and PPA contracts • Monitor price reporting for Average Sales Price (ASP) and CMS reimbursement methodologies in support of medical benefit agreements • Monitor implications to Gross to Net (GTN) to support accurate forecasting and minimize fluctuation implications on revenue • Responsible for analytic modeling to support requests for proposals (RFP)s • Facilitate the contract negotiation process by analyzing customer contract redlines, and preparing responses for both internal discussions and external negotiations • Perform timely and accurate calculation, authorization, payment and tracking of contractual rebates, chargebacks and fees • Work with cross functional partners to measure ROI on post deal analytics • Perform all necessary tasks to establish and maintain our federal and state contracts and reporting requirements: Adhere to federal submission deadlines and requirements • Manage the Medicaid and Medicare rebate operations, including monthly and quarterly CMS pricing compliance, internal pricing analysis, systems development and dispute resolution • Manage quarterly and annual VA pricing compliance and oversee administration of the VA Federal Supply Schedule contract including annual Public Law process • Manage any price reporting functions under state law with support from our vendors • Prepare and submit Requests for Modifications (RFMs) as necessary • Oversee the development of pricing strategies for new indications and or new products • Manage the notification process for all wholesale acquisition cost and contract pricing action changes to contracted and third-party vendors • Support the development and maintenance of policies and standard operating procedures (SOPs) for rebate management, pricing actions, etc. to ensure compliant operations • Aid in forecasting to support the accrual process for financial close in support of earnings projection objectives • Ensure all federal and state rebates, e.g., Medicaid, Coverage Gap/MDP, etc. payments are made and tracked accurately and in a timely manner • Maintain ongoing communication with the finance, legal and third-party vendor to monitor and analyze pricing and/or discounts that may affect Best Price and government price reporting calculations

🎯 Requirements

• Minimum 10 years’ experience in the healthcare industry • Minimum 5 years’ experience in contract administration or operations, data analysis and interpretation; prior market access experience preferred • Strong background in contract negotiations with vendors, payers, providers, specialty pharmacies, and/or distributors • Proven experience with government pricing programs (e.g. Medicaid, Medicare, 340B, VA/DoD) and commercial (medical and pharmacy benefit) contracts • Knowledge of US pricing and reimbursement structures required • Detailed knowledge of health plans and PBM decision-making processes • Demonstrated understanding of health economics • Demonstrated ability to interact with all levels of management as well as field sales, marketing, medical affairs, regulatory and vendor partners • Ability to maintain an independent and objective perspective while developing and maintaining a strong partnership with client organizations • Ability to work with and deliver on deadlines while managing multiple projects and priorities with limited supervision • Intrinsic drive and motivation to achieve success

🏖️ Benefits

• Long-Term Incentive Plan (cash plan) of 25% base salary • Annual performance bonus target of 25% base salary (subject to meeting plan requirements) • Comprehensive health benefits (employer funded) • Unlimited vacation time • 401k plan (subject to change or modification from time to time)