Associate Director, Government Pricing & Gross-to-Net Operation

CG Oncology Inc• Remote, US,

41d•$175,000 - $195,000•Remote

About The Position

The Associate Director, Government Pricing & Gross-to-Net Operations serves as CG Oncology’s subject matter expert for U.S. government pricing and reimbursement programs and operational owner of Gross-to-Net (GTN) forecasting. The role leads government pricing execution, GTN forecasting support, compliance, financial reporting, and process optimization. It partners with cross-functional teams and external vendors to ensure accurate government pricing calculations, compliant reporting, and support for commercialization and launch readiness. As CG Oncology grows and commercializes its oncology portfolio, this role leads government pricing execution across federal and state programs and owns day-to-day GTN forecasting operations, including model maintenance, assumption management, variance analysis, and reporting. The role also strengthens operational controls and implements scalable systems and processes to support organizational growth.

Requirements

Bachelor’s degree in Finance, Accounting, Business Administration, Economics, or a related discipline.
At least 8 years of progressive pharmaceutical or biotechnology government pricing experience.
Experience supporting commercial product launches and launch readiness activities.
Experience developing, maintaining, and operating GTN forecasting models, assumptions, accrual analyses, scenario planning, variance analyses, and government rebate calculations.
Experience supporting Annual Operating Plan (AOP), Long Range Plan (LRP), quarterly forecast updates, and month-end close processes.
Strong understanding of payer mix dynamics, site-of-care economics, specialty distribution, specialty pharmacy and specialty distributor operations, 340B exposure, patient support programs, and government pricing implications.
Demonstrated ability to manage complex cross-functional forecasting and operational processes involving Finance, Accounting, Business Analytics, Market Access, Patient Services, Distribution, and external vendors.
Must be authorized to work for any employer in the U.S.; the company is unable to sponsor or take over sponsorship of an employment visa.

Responsibilities

Lead government pricing calculations, submissions, and reporting for applicable federal and state programs, including AMP, Best Price, ASP, Medicaid Drug Rebate Program, 340B, FSS, VA, NFAMP, FCP, Medicare, and other programs.
Ensure timely, accurate, and compliant pricing-file submissions and maintain compliance with CMS, HRSA, VA, and other regulatory requirements.
Maintain government pricing methodologies, assumptions, calculation documentation, and supporting procedures.
Monitor government pricing regulatory changes, including IRA, MFN, and related guidance, and implement required operational changes.
Lead day-to-day operation and maintenance of the GTN forecasting process, including model maintenance, methodology documentation, assumption management, version control, scenario analyses, and forecast updates.
Evaluate government pricing and GTN impacts of commercial contracting strategies, pricing decisions, channel strategy, patient support programs, distribution arrangements, and business development initiatives.
Support commercialization planning, launch readiness, AOP, LRP, quarterly forecast updates, and monthly business reviews with GTN analyses, net revenue impact assessments, and key-driver sensitivities.
Prepare monthly, quarterly, annual, and long-range GTN forecast updates and supporting analyses for Finance.
Partner with Business Analytics to validate and challenge payer mix, site-of-care mix, channel mix, and analog assumptions used in GTN forecasts.
Maintain GTN assumption documentation, assumption registers, decision logs, data-source mapping, version control, and audit-ready forecasting files.
Prepare GTN forecast packages, variance analyses, executive summaries, and management reports covering key drivers, risks, opportunities, and forecast movements.
Coordinate GTN data collection and assumption refreshes across Business Analytics, Distribution, Patient Services, Contracting, Finance, Accounting, and Market Access.
Maintain audit-ready documentation supporting government pricing methodologies and reporting.
Lead responses to internal and external audits and government inquiries.
Identify pricing discrepancies, investigate root causes, and implement sustainable corrective actions.
Strengthen internal controls, governance processes, and compliance monitoring to minimize operational risk.
Evaluate government pricing processes and identify opportunities to improve scalability, efficiency, and accuracy.
Support implementation, optimization, and ongoing enhancement of government pricing systems and reporting tools.
Partner with IT and external vendors to improve data integration, reporting automation, and operational workflows.
Evaluate automation and AI-enabled analytics opportunities for government pricing, GTN forecasting, variance analysis, reporting, and operational decision-making.
Serve as the company’s government pricing subject matter expert and provide technical guidance to internal stakeholders on regulations and financial implications.
Build collaborative partnerships with Market Access, Finance, Commercial, Legal, Compliance, Supply Chain, Medical Affairs, and Executive Leadership.
Support vendor management for government pricing operations, GTN forecasting tools, data feeds, and software platforms.