Director, Pricing, Payer Contracting & Analytics

Genetix Biotherapeutics•Somerville, MA

1d•Hybrid

About The Position

The Director of Pricing, Payer Contracting & Analytics is an individual contributor role within Market Access, with broad ownership across payer contracting, including outcomes-based agreements, government pricing, and analytics. This person is the operational and strategic lead for the company's payer contract portfolio and is accountable for a set of functions that are compliance-sensitive, deadline-driven, and both strategically and operationally complex. This role requires detailed management and execution, while thinking strategically about contracting and access in a competitive and evolving market. A highly cross-functional position that interfaces regularly with Finance, Legal, Field Payer Team, Patient Services & Channel Operations, payers, external vendor partners and leadership.

Requirements

8+ years of experience in pricing, market access, and payer contracting strategy within the pharmaceutical or biotech industry, including strategy consulting experience
Expertise in coverage, access and reimbursement for specialty pharmaceuticals; rare disease, cell and gene therapy and/or hospital-based product experience a plus
Demonstrated experience managing a payer contract portfolio, including contract negotiation, compliance monitoring, and cross-functional support; value-based contracting experience a plus.
Working knowledge of pricing mechanics, including AMP, Best Price, ASP, and government price reporting requirements; hands-on experience preferred
Strong business acumen with experience in financial modeling, rebate adjudication and/or pricing analysis
Experience managing external vendors and coordinating across multiple workstreams simultaneously
Strong sense of urgency, accountability, and patient-centric focus.
Excellent verbal and written communication with high emotional intelligence and active listening.
Strong quantitative and qualitative analytical, investigative, and critical thinking skills with ability to translate insights into action.
Ability to work independently and manage a high volume of complex, ongoing responsibilities
Ability to navigate sensitive information with discretion and strict adherence to compliance standards.
Proficiency in Microsoft Excel, Word, PowerPoint, and data entry systems.
Bachelor’s degree required (preferred fields: Business, Finance, Healthcare Administration, Life Sciences).
Ability to work effectively in a fast-paced, evolving environment with competing priorities.
Willingness to travel as needed.

Nice To Haves

Rare disease, cell and gene therapy and/or hospital-based product experience
Value-based contracting experience
Relevant advanced degree

Responsibilities

Manage payer contracts for gene therapy portfolio for both commercial and government payers and across all stages of the contract lifecycle, including collaboration with cross-functional partners, external stakeholders and legal counsel
Serve as the internal subject matter expert on contract terms, payer-specific dynamics, and therapy-specific outcomes to support collaboration with Field Payer Team, Legal, Finance, external vendor partners and leadership
Develop contracting strategies and pricing scenario analysis in response to changes in the treatment and payer landscape
Oversee compliance of contracts across payer types, including monitoring performance, addressing disputes, and ensuring terms are met
Own regular government price reporting obligations in collaboration with third-party vendors and Finance
Manage pricing events and ensure timely, accurate submissions in compliance with federal and state regulations
Maintain internal documentation to support compliance and audit readiness
Own payer coverage policy landscape analyses for internal teams and external partners
Lead payer rebate validation and adjudication, across vendors and internal teams, with accountability for accuracy and support on rebate liabilities and exposure
Develop and execute gross-to-net modeling, and ad-hoc analytical requests from Finance and leadership
Manage vendor relationships, holding vendors accountable to timelines and deliverables, and escalating issues as needed
Oversee current vendor workstreams spanning market access strategy and operations
Coordinate vendor activities with cross-functional internal teams to support ongoing business needs