Government Pricing & Rebate Operations Lead

MoonLake Immunotherapeutics US, Inc. • Miami, FL

5d

About The Position

The Government Pricing & Rebate Operations Lead establishes, manages, and oversees systems and operational processes for government pricing, rebate administration and processing, and state-level price reporting. The role leads the design and implementation of revenue management infrastructure for compliant price reporting and rebate processing, manages vendor relationships, and serves as the operational interface with finance, legal, and access strategy. As part of the broader market access team, this position ensures accurate and compliant execution of post-commercial government pricing obligations.

Before launch, the Lead selects and oversees government pricing vendors and platforms, prepares for Medicaid Drug Rebate Program participation, supports 340B setup, develops processes for state price transparency requirements, documents standard operating procedures, aligns government pricing assumptions with finance, integrates systems, conducts end-to-end testing, and provides internal training.

After launch, the Lead oversees submissions to CMS and other government entities; manages commercial, Medicaid, and Medicare rebate operations; monitors 340B transactions; ensures state reporting compliance; oversees vendor performance; maintains pricing and rebate data governance; reconciles revenue assumptions with actual activity; and supports operational readiness for new indications, formulations, and label expansions.

Requirements

• Bachelor’s degree required.
• At least 7 years of experience in U.S. government pricing, rebate operations, or pharmaceutical revenue management.
• Experience managing vendors and outsourced providers of rebate processing and government pricing compliance.
• Strong understanding of AMP, BP, URA, 340B, and Medicaid/Medicare Part D pricing and rebate mechanics.
• Familiarity with state transparency laws and operational requirements for compliant disclosure.
• Excellent project management and documentation skills, including SOP development and audit preparation.
• Strong cross-functional collaboration skills with finance, legal, pricing, trade, and IT stakeholders.
• Detail-oriented, process-driven mindset with strong data and analytical capability.
• Ability to work in a launch environment and build processes from the ground up.

Nice To Haves

• Advanced degree (MSc, MBA, PhD, PharmD, or MD) strongly preferred.
• Experience with government pricing and rebate vendors such as Eversana, Integrichain, or Riparian.

Responsibilities

• Select and oversee government pricing vendors and platforms, including contracting, onboarding, and service-level agreement definition.
• Prepare for Medicaid Drug Rebate Program participation, including AMP, BP, and URA calculations.
• Support 340B program setup, compliance, eligibility, and ceiling price establishment.
• Develop systems and processes for state-level price disclosure and reporting requirements.
• Build and document SOPs for pricing data flows, government submissions, and rebate calculations.
• Work with finance to align government pricing assumptions in gross-to-net forecasting and revenue recognition.
• Integrate government pricing and rebate systems with finance, ERP, trade, and chargeback systems.
• Conduct end-to-end user testing of government pricing systems, rebate workflows, and validation mechanisms.
• Provide internal training on government pricing policies and embed compliance controls in launch operations.
• Oversee timely and accurate submission of AMP, BP, and URA values to CMS and other government entities.
• Manage commercial, Medicaid, and Medicare rebate operations, including invoice validation, dispute resolution, and payment processing.
• Monitor 340B chargeback transactions and support audit readiness for covered entity pricing integrity.
• Ensure ongoing compliance with state-level price transparency and reporting obligations.
• Oversee government pricing and rebate vendors, including KPI and SLA performance and issue resolution.
• Maintain audit trails, version control, and validation protocols for pricing and rebate data.
• Partner with finance and pricing leads to reconcile gross-to-net assumptions with actual rebate and chargeback activity.
• Support operational readiness for new indications, formulations, or label expansions that affect government pricing or rebate terms.

Benefits

• Opportunity to learn and grow alongside experienced professionals in a supportive and innovative biotech environment.
• Opportunity to contribute to projects with the potential to transform global healthcare.
• Work-life balance and flexibility.
• Career progression and the opportunity to take on more responsibilities as skills develop.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior