The Associate Director, Government Pricing (GP) position is a key member of Regeneron’s government pricing team, which includes supporting the accurate calculation and timely submission of all required government price reporting.
Included in this role is responsibility for assuring compliance with all pricing and reporting requirements legislated by the Centers for Medicare & Medicaid Services (CMS), the Department of Veterans Affairs and any state legislation required price reporting. This includes a full understanding of all current legislation and staying abreast of pending legislation. Government Pricing Calculations include: Medicaid, Medicare Part B, Public Health Service (PHS)/340B, and Federal Supply Schedule (FSS), which includes: TriCare and the Industrial Funding Fee (IFF). The Associate Director will work collaboratively with Contracting Strategy supporting the overall strategy, contracting and/or payment activities.
A typical day may include the following:
Ability to calculate, validate and report accurate monthly, quarterly, and annual government pricing.
Submit and monitor State Price Transparency regulations.
Complete understanding of calculation reasonable assumptions and methodologies and ability to research and communicate cause of variances of results when comparing current period to prior periods.
Perform all necessary processes needed to ensure compliant submissions including, but not limited to G/L reconciliations, Class of Trade (COT) review, and PHS/340b eligibility review.
Associate Director will review calculations with Senior Management and obtain approval signoff (and executes any other required Standard Operating Procedures (SOPs)) before communicating prices to the appropriate government agencies (Center for Medicare and Medicare (CMS), Veterans Affairs (VA)/Department of Defense (DOD), etc.) or internally.
Responsible for maintaining and updating SOP’s and reasonable assumptions, on a quarterly basis, as related to Government Programs/Pricing.
Monitor policies, procedures and processes supporting Government Pricing submissions and related areas to ensure ongoing compliance with external and internal requirements and guidance.
Understand and estimate impact of pricing and policy changes regarding government pricing.
Perform pricing research and analysis on special projects as assigned.
Ability to review and understand commercial contract language as pertaining to Best Price (BP), Average Sales Price (ASP) and FSS Tracking Customers.
Investigate Government pricing trends and cross channel impact. Also provide Government price inputs to the Gross to Net (GTN) team.
Monitor for Tracking customer violations, Bona Fide Service Fee treatments & Customer COT assignment.
Participate on cross-functional teams as a subject matter expert representing the Government Pricing and Contract Operations as required to evaluate and implement business strategies and initiatives.
Serve as a liaison with Commercial Leadership, Pricing, Trade, Brand and Accounting/Finance teams regarding a variety of issues impacting government pricing.
Familiar with Fair Market Value methodology while determining bona fide service fees paid to Wholesaler, Pharmacy Benefit Manager (PBM) and Group Purchasing Organizations (GPOs).
The role may be for you if:
Understanding of current government pricing rules, regulations, and calculations
Must be able to identify potential problems, conduct analysis and use judgment to determine if problem exists as well as offer up potential solutions.
Highly analytical, able to analyze, interpret, and convey data and its commercial impact
Ability to decipher calculations to determine key causes of variances.
Strong communication skills and ability to communicate effectively to all levels of the organization.
Process oriented
Proven ability to successfully manage competing priorities, meet challenging deadlines, and work independently and across organizations
Demonstrated track record of strong attention to detail; accountability and ownership of results; flexibility and adaptability in a rapidly changing environment
To be consider for this role, we expect you to have a bachelors degree and 7+ years prior experience in Government Pricing OR a related field such as finance, accounting, Medicare/Medicaid (with strong analytical skills). We also will need you to be open to traveling at times.
Does this sound like you? Apply now to take your first step towards living the Regeneron Way! We are committed to building a workplace with an inclusive culture. Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion or belief (or lack thereof), sex, sexual orientation, gender identity or expression, gender reassignment, marital or civil partnership status, civil status, pregnancy or parental status, age, disability, nationality, citizenship status, ethnic or national origin, membership of the Traveler community, familial status, genetic information, military or veteran status, or any other characteristic protected under applicable law. Where required, we will provide reasonable accommodation to applicants with known disabilities or chronic illnesses during the recruitment process, unless such accommodation would impose undue hardship.
Where necessary, we disclose salary ranges for roles in all countries in which we operate. The final offer will be determined within the relevant range based on the country of employment, specific role level, and your skills and experience. In some countries, collective bargaining agreements (CBAs) may apply and influence certain elements of pay or benefits. Regeneron offers a competitive and comprehensive total rewards package which may include, depending on country and role: annual bonuses or other incentive plans, equity awards, pension or retirement benefits, 401(k) company match, health and wellness programs, fitness centers, insurance benefits (e.g. medical, dental, vision, life and disability), paid time off, and family support benefits. For additional information about Regeneron benefits in the U.S., please visit . For other locations, additional information will be provided during the recruitment process. If you have any questions, please speak with your recruiter.
Please be advised that at Regeneron, we believe we do our best work when we are together. For that reason, many roles are required to be performed on‑site. Please speak with your recruiter and hiring manager for more information about on‑site expectations for your role and location.
As part of the recruitment process, certain background checks may be conducted in accordance with the laws of the country where the position is based. The purpose of such checks is to verify certain information prior to the commencement of employment such as identity, right to work and educational qualifications.
For jobs in Canada: this posting is for an existing position.
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