Lead Pricing and Contracting

Dr. Reddy • Princeton, NJ

258d

About The Position

The Lead Pricing and Contracting, Biologics will be responsible for developing and deploying pricing strategies and managing contracting processes across key accounts such as Payers, PBMs, GPOs, Integrated Delivery Networks (IDN), institutional/community clinic practices and other provider networks. The person will direct the pricing and reimbursement strategy for new launches and in-line products, own the tactical execution of the same to achieve the brand objectives and to drive profitable growth for Dr. Reddy's Biologics portfolio in the US. The role will work closely with Market Access, Sales, Finance and Government pricing teams, drive the pricing committee by leveraging financial analysis for upcoming Biosimilar and Biologic launches. The person will play quarterback for the contracting process, working collaboratively with Payer and GPO account teams, Field Sales, External customers, Legal and contract teams. The role will report to the Head of Commercial Strategy, Pricing and Analytics. The ideal candidate will have in-depth knowledge of pricing, reimbursement and contracting dynamics in the Buy & Bill Biologics space. Strong expertise in managed care landscape across medical and pharmacy benefit, commercial and government payer segments is required. Experience in in handling Biosimilars would be an added advantage.

Requirements

• Bachelor's degree in Life Sciences and/or Business Administration, MBA is preferred.
• 6 to 8 years of relevant US pharmaceutical experience in any of the following areas - Market Access, Pricing, Contracting, Finance, and Brand Analytics.
• Minimum 3 years of experience in managing Buy & Bill brands/biosimilars in Immunology/Oncology space.
• Advanced understanding of market access dynamics, pricing and contracting levers across payers, pharmacy benefit managers, GPOs, specialty pharmacies, Integrated Delivery Networks (IDNs), etc.

Nice To Haves

• Previous Biosimilar product launch experience in a competitive environment is highly desired.
• Track record of managing pricing and contracting strategies for products straddled across medical and pharmacy benefit highly desired.
• Good understanding of provider reimbursement dynamics to effectively guide team members (e.g., Average Sales Price, Net Cost Recovery, etc.)
• Experience working with a matrixed team in contract approval process, reviewing key business terms, liaising with Legal, Compliance, and Contract Operations groups.
• Excellent communication (written, verbal, and presentation), interpersonal influencing, and prioritization skills required.
• Ability to influence across matrixed organizations including influencing without authority.
• Ability to interact and manage multiple internal relationships at all levels of the business.
• Understanding of organizational behavior, culture and be able to flourish in a complex and rapidly evolving workplace.
• Has a positive “glass half full” attitude, speaks with “We” and not “I”, ability to work with limited resources, when necessary, be flexible, take ownership and be accountable.
• Always be thirsty to learn more and think outside the box for new ideas, technology and approaches to build robust operational capabilities.
• Proficiency in Microsoft Excel, PowerPoint and other key platforms.

Responsibilities

• Develop list pricing strategy and gross to net modeling for Biologic brand launches.
• Develop and maintain channel pricing and contracting strategy for launches and in-line products.
• Lead the pricing committee to establish, review and manage the price approval process.
• Conduct financial analysis and develop content to support the contract review and approval processes including partnership with legal, market access, and finance.
• Conduct financial modeling and analysis to evaluate the impact of pricing and contracting decisions on revenue and profitability.
• Closely partner with Market access, sales, and marketing teams to target achievement of the brand's financial objectives.
• Manage ASP forecasting, and continually assess impact of contracting changes on ASP and reimbursement.
• Assist with price forecasting for pipeline products and licensing opportunities.
• Leverages understanding of the competitive landscape to anticipate and pre-empt future competitor moves by developing innovative pricing strategies and tactics.
• Monitor brand performance across different channels and optimize pricing strategies for success.
• Monitor key external trends in the areas of managed care, reimbursement and other healthcare policies which would impact Brand financials, and share with internal stakeholders.
• Supports development of the pricing and contracting strategy, playbook, and guidelines for all new product launches to aid account team planning and implementation.
• Works collaboratively with Market Access/Sales Account Managers, Legal and Contract teams to support the implementation of contracting strategy.
• Assess contract performance of payers/PBMs, GPOs, Strategic IDNs. Compares actual results against projected KPIs and developing a contingency plan to bridge any gap. Provide directional insights to account and field teams.
• Participates directly in key customer meetings, as appropriate. External relationships include interactions with key managed markets payers, GPOs and other channel partners.
• Monitor and assess impact of legislative changes to brand financials.
• Lead the reimbursement code application and approval process working closely with government pricing and regulatory teams.
• Work closely with the finance team to establish rebate processing to payer and other contracted stakeholders.
• Develop and present financial impact analysis and other ad-hoc reporting as needed to senior management.
• Leads the yearly review of current pricing strategies and owns the process for developing recommendations for the upcoming year.
• Lead the annual budgeting process for brands and be the custodian of the Biologics commercial team's budget.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree