Director, Pricing & Contracting

Intellia Therapeutics, Inc.•Cambridge, MA

1d•$220,554 - $269,566•Hybrid

About The Position

As the Director, Pricing & Contracting at Intellia Therapeutics, Inc., you will play a pivotal role in developing and executing the operations of our pricing, contracting, and market access strategies as we bring our CRISPR-based therapies to market. This is a career-defining opportunity to participate in the first-ever commercialization of an in-vivo, one-time CRISPR-based therapy. This role requires an experienced and motivated individual with a strong background working with outpatient, medical benefit reimbursed drugs (e.g. specialty therapies, biologics, or cell & gene therapies). The primary purpose of the role is to own and drive pricing and contracting operations for launch readiness and post-launch activities, including: pricing and contracting strategy and material development and workflow; contract development, negotiation, review and tracking; revenue management operations; and state price transparency reporting. The ideal candidate will bring thought leadership and demonstrated experience building these processes from the ground up. Additionally, the individual should have deep experience with Government Pricing, Excel-based analytical modeling, and contracting. This is a highly collaborative, leadership-oriented role. The individual will collaborate and coordinate with the relevant cross-functional teams including (but not limited to), Finance, HEOR, Trade and Accounts, Forecasting, Commercial Operations, and Legal. The individual must thrive in a fast-paced, build-from-scratch environment as we grow into a commercial organization in anticipation of our first launch. The role will report to the Senior Director of Access Strategy, Pricing and Contracting, Market Access.

Requirements

Strong understanding of traditional and innovative contracting strategies (including outcomes- and value-based strategies as needed)
Knowledge and experience in GP and related programs for Medicaid, Medicare, Federal Supply Schedule/Tricare and 340B/PHS (including understanding of regulations in effect and proposed regulations) and the potential impacts to our business
High proficiency in MS Office software (Word, Excel, Outlook, Visio, PowerPoint)
Demonstrated experience developing analytical models to analyze contract offers and strategies
Excellent and confident presentation and communication skills
Capacity to build trusted relationships and drive strategic alignment across teams
Proven ability to collaborate cross-functionally and influence senior-level decision-making
Experience launching novel therapies with experience with medical benefit, outpatient reimbursement
Ability to work effectively in a fast-paced, growth-oriented environment with a commitment to addressing the unique challenges of gene editing therapies
Desire to learn and expand responsibilities as necessary in a fast-paced environment that is moving towards commercialization
Commitment to compliance, operational excellence, and continuous improvement
Bachelor’s degree required
8-10+ years in pharmaceutical or biotech industry, with a minimum of 6 years in pricing, market access, or contracting, preferably in specialty or gene therapies

Nice To Haves

advanced degree in Business, Economics, Finance, or a related field preferred.

Responsibilities

Develop pricing and contracting materials and training to support payer account teams
Contribute to and inform pricing strategy, leveraging data-driven insights, competitive landscape analysis, and pricing research.
Evaluate and, as applicable, support the design and implementation of value-based or outcomes-based contracting strategies that align therapy value with real-world outcomes
Lead business case development with National Account Directors including analytical modeling to assess the financial impact of potential offers and develop supporting offer justification
Communicate results of offer modeling to vet the potential offer within the Market Access team
Review and provide guidance and recommendations on contract language (contractual language, terms, conditions, proposals) for business applicability and patient access (risk to Intellia, management within guidelines, cross-agreement implications, etc.) to support negotiations
Lead negotiation and red-lining processes internally and externally
Track, report on, and manage contract lifecycle status
Perform lookback analysis to measure contract performance against original base case assumptions.
Own the relationship with our 3rd party vendor for development of all aspects of revenue management operations pre-and post launch
Develop and maintain SOPs and policies (in partnership with external collaborators) for revenue management operations for GP methodology, Rebate and Fee Processing, FSS, Gross-to-Net
Ensure accurate system configuration (at PDUFA) for related product and key attributes for government programs (Market Entry Date, First Sale Date, etc)
Manage and analyze all aspects of government price reporting in compliance with Medicaid, Medicare, PHS/340B, Tricare, and Federal (VA/DOD) requirements including: Initial review of data and trends pre-calculation, Review and analysis of calculated government prices prior approvals, Support the internal approval process for government prices prior to submission to government agencies
Submit required quarterly AMP reports to Texas (through the VDP for TX HHS); and any other mandatory states
Oversee contract set-up and related payment processing
Ensure contracts are set-up in 3rd party system
Review submitted claims data (prior to adjudication) for compliance and verification
Verify any off-invoice discounts (if applicable)
Work with 3rd party vendor and internal partners through the adjudication process to generate payment packages for rebates and fees (Commercial, Medicaid, Medicare, FSS, Tricare)
Identify and work with 3rd party vendor and any other teams to resolve discrepancies and/or claims disputes prior to finalizing prices and payment packages for approval
Proactively review claims and 340B transactions for diversion and/or duplicate discounts
Build pricing and contracting models and conduct scenario planning (rebates, WAC/ASP deltas, share shifts).
Develop, own, and maintain SOPs and policies for State Price Transparency Reporting
Develop, manage, and track State Price Transparency requirements
Create required submissions (as applicable per state) per quarterly and annual reporting needs, submit in advance of submission date
Review impacts of price on State Price Transparency reporting requirements
Manage state related registrations and fee payments, (including PDABs)
Lead the development and maintenance of drug compendia submissions to key databases (e.g., MediSpan, Red Book, Gold Standard), ensuring accurate and timely product listings to support market access and reimbursement
Oversee compendia data integrity across all product listings, partnering cross-functionally with Medical Affairs, Regulatory, and Commercial teams to ensure alignment with approved labeling and pricing
Partner with supply chain to support the state licensing process to ensure the company maintains all required permits and licenses to distribute and sell pharmaceutical products across all applicable states
Support the development and submission of applications for appropriate billing and reimbursement codes (e.g., NDC, HCPCS, J-codes) to support product access across commercial, Medicare, and Medicaid channels.