Director, Market Access Contract Offer & Development

🔥 14 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $186.5k - $278.9k / year

⏰ Full Time

🔴 Lead

👔 Director

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Otsuka Pharmaceutical Companies (U.S.)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💊 Pharmaceuticals

🏥 Healthcare

🧬 Biotechnology

Pharmaceuticals • Healthcare • Biotechnology

Otsuka Pharmaceutical Companies (U. S. ) is a prominent player in the pharmaceutical manufacturing industry, dedicated to creating innovative products for better health worldwide. The company comprises two main entities: Otsuka America Pharmaceutical, Inc. (OAPI), which is focused on commercializing Otsuka-discovered and in-licensed products in North America, and Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC), which specializes in the clinical development and global registration of innovative healthcare solutions, particularly in the field of neuroscience.

📋 Description

• Serve as execution lead for commercial and Medicare/Medicaid contracting across the company’s portfolio • Support National and Regional Managed Markets Account Management teams with contracting and pricing strategies • Construct data-driven pre-deal financial simulations for complex rebate structures, value-based contracts, price protection caps, and portfolio bundles • Calculate pre-Gross-to-Net impacts and assess access gains versus margin erosion • Analyze PBM administrative fees, data fees, and GPO service fees for safe-harbor compliance • Assess proposed discounts’ impacts on Medicaid Best Price, AMP, and 340B ceiling prices • Present business cases to the Pricing Committee and Executive Leadership • Maintain expertise on the evolving PBM/GPO ecosystem, vertical integration, clearinghouse mechanics, and downstream payer dynamics • Lead negotiation and drafting of customized contract language, master rebate agreements, and amendments • Partner with Corporate Legal on PBM-proffered templates and strategic redlines • Scrutinize contract language to eliminate ambiguities, gotcha clauses, and financial exposure • Bridge National Account Managers, Corporate Legal, Finance, Government Pricing, and Contract Operations • Support audit and compliance activities under corporate governance, SOX, anti-kickback statutes, and fair market value guidelines

🎯 Requirements

• Bachelor’s Degree in Finance, Economics, Business, Health Policy, or related quantitative field required • MBA, JD, or advanced healthcare degree highly preferred • Minimum of 8–10+ years of experience • Proven track record of leading high-stakes contract strategy preferred • Direct face-to-face negotiations with Top 3 PBM/GPO entities preferred • Expert-level understanding of the PBM/GPO ecosystem • Expertise in financial modeling, rebate structures, value-based contracts, price protection caps, and portfolio bundles • Knowledge of Gross-to-Net impacts and margin/access trade-offs • Ability to analyze PBM administrative fees, data fees, and GPO service fees • Knowledge of Medicaid Best Price, Average Manufacturer Price (AMP), and 340B ceiling prices • Expertise in contract drafting, negotiation, and redline management • Knowledge of formulary compliance definitions, audit rights, termination-for-convenience, inflation caps, market share calculations, and exclusion penalties • Knowledge of corporate governance, Sarbanes-Oxley (SOX), anti-kickback statutes, and fair market value guidelines

🏖️ Benefits

• Comprehensive medical, dental, vision, and prescription drug coverage • Company-provided basic life insurance • Accidental death and dismemberment insurance • Short-term and long-term disability insurance • Tuition reimbursement • Student loan assistance • Generous 401(k) match • Flexible time off • Paid holidays • Paid leave programs • Other company-provided benefits • Incentive opportunity

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