Director, Government Pricing and Compliance

BoehringerPRD•Brampton, ON

25d•Hybrid

About The Position

As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies' success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim's high regard for our employees. The Director, Government Pricing & Compliance leads a high-performing team responsible for the calculation, analysis, and reporting of all U.S. government pricing programs, ensuring full compliance with federal and state regulations. This role will oversee and manage all proposed policy rules coming from the government regarding lower drug pricing proposals, including but not limited to, the recent CMMI demonstration projects and related Most Favored Nation (MFN) proposals. This will include a leadership role within the global organization to guide on deliverables and interpretations of US government pricing policy, nuances, deliverables, etc. This role is integral to the Value & Access organization, overseeing government pricing and reporting, government program administration, compliance with all government program requirements and reporting. The Director serves as a strategic partner to Senior Leadership, Legal, Finance, Market Access, and Commercial teams, driving operational excellence, compliance, and innovation in government programs and pricing. This role is based on-site at our Ridgefield, CT location with hybrid flexibility of 2-3 days per week on-site.

Requirements

Bachelor’s degree in Finance, Accounting, Business, Policy, Healthcare, or related field required; MBA or advanced degree strongly preferred.
Minimum 10+ years of progressive experience in the pharmaceutical industry, with significant experience in government pricing, contract compliance, or related functions.
Demonstrated leadership and team management experience, including managing outsourced teams.
Deep expertise in U.S. Federal and State Pricing Programs (Medicaid, Medicare, VA/DoD, PHS/340B) and related regulations.
Strong analytical, problem-solving, and data interpretation skills; proficiency in Excel, Model N, SAP, and revenue management systems.
Excellent communication and presentation abilities, with experience engaging senior leadership and cross-functional teams.
High ethical standards, attention to detail, and a commitment to compliance and continuous improvement.
Prior large pharma experience.
Experience with product launches, lifecycle pricing strategy, and heavily contracted therapeutic areas.
Familiarity with Medicaid Supplemental Rebates, State Price Transparency Laws, and FMV analysis.
Experience interfacing with CMS, VA, and/or external auditors.

Responsibilities

Lead, develop, and mentor the Government Pricing & Contract Compliance team, fostering a culture of compliance, innovation, and continuous improvement.
Oversee internal and outsourced teams responsible for government pricing calculations and methodologies.
Partner with Legal, Contract Operations, Value & Access, Commercial FP&A, and GTN to ensure data integrity, system accuracy, and alignment on pricing strategies.
Provide government pricing impact assessments for GTN modeling, forecasting, accruals, bid assessments, and product launches.
Represent Government Pricing in strategic pricing committees and cross-functional initiatives.
Direct all government price reporting calculations and submissions, including AMP, BP, Non-FAMP, FCP, ASP, 340B, FSS, VA, and related programs.
Ensure timely and accurate monthly, quarterly, and annual reporting to CMS, VA/DoD, and state Medicaid agencies.
Maintain comprehensive compliance documentation (e.g., Reasonable Assumptions, SOPs, calculation checklists).
Serve as subject matter expert on federal pricing regulations and methodologies.
Ensure all proposed policy rules coming from the government regarding lower drug pricing proposals, including the recent CMMI demonstration projects and related Most Favored Nation (MFN) proposals are implemented to the highest quality.
Ensure full compliance with Medicaid, Medicare, VA Healthcare Act, MFN, and all relevant pricing regulations.
Maintain and update policies in response to business or regulatory changes, partnering with Legal and external counsel as needed.
Support audits, litigation responses, and maintain a strong controls environment.
Drive enhancements to pricing methodologies, automation tools, and dashboards to improve accuracy, efficiency, and executive reporting.
Serve as the owner for revenue management systems (e.g., Model N), overseeing user training, system updates, and UAT requirements.
Identify and lead process improvement initiatives and support special projects as assigned.
Stay abreast of industry trends, policy changes, and regulatory updates, evaluating their impact on pricing strategy and compliance.