Senior/Commercial Pricing and Contracting Manager, Market Access

United Therapeutics Corporation•RTP, NC, NC

1d•Remote

About The Position

The Commercial Pricing & Contracting Manager will be responsible for the administration of all market access contracts, IDN/hospital contracts, and transplant organization agreements from inception through final approval. This role will work closely with internal account management teams, legal counsel (internal and external), finance, data analytics, and pricing, to support all contract development, administration, operations, and analysis for United Therapeutics commercial product portfolio with an emphasis on monitoring contract pricing, rebates and fees, forecasting impact on G2N, managing contract performance, and reporting pricing to compendia as required. Collaborate with Market Access National Account Directors, Pricing and Government Programs personnel, LBE Transplant team, Finance, Legal, and Compliance to support the development and establishment of best practices for contract administration, compliance, and operations Provide ongoing operational and financial analytics to establish contract benchmarks, evaluate contract performance, support formulary validation, and inform pricing and contracting decisions through data and reporting in alignment with business unit goals and customer needs Support quarterly gross to net and financial accrual activities related to commercial payer and Medicare Part D contracts by ensuring accurate and timely invoice reconciliation, including coordination with UT’s third-party vendor and National Account Directors to validate formulary status and rebate eligibility Manage day-to-day invoice approval and payment processes by delivering required data and coordinating with Accounts Payable and UT’s third-party vendor to support appropriate funding and timely payment Exercise independent judgment to analyze commercial agreement terms and provide contract data to the Pricing and Government Programs teams to support accurate allocation of discounts, rebates, and service fees Work with the Compliance team to contribute input into the development and documentation of processes and work instructions related to contract operations and reporting Facilitate the Bonafide Service Fee assessment process for Market Access contracts by coordinating with National Account Directors, Government Programs, Legal, and Compliance and maintaining supporting analyses and documentation Independently prepare and submit required commercial pricing reports, including WAC price submissions to compendia and other commercial price disclosures, in accordance with established requirements Support state drug price transparency reporting obligations by preparing data, maintaining supporting files, and coordinating submissions to ensure reporting requirements are met accurately and on time Support annual operational projects such as PBM audits by preparing analyses, documentation, and responses as assigned

Requirements

Bachelor’s Degree in an analytical area of study with 10+ years of relevant healthcare/life sciences experience or Master's Degree with 8+ years of relevant healthcare/life sciences experience
7+ years of progressive experience with payer administration, managed markets, and/or contract administration
Knowledge of PBM/GPO, Specialty Pharmacy, National and Regional Health Plans, commercial insurance, Medicaid, and Medicare Parts B&D
Ability to foster strong internal and external relationships to develop greater understanding of competitive intelligence, customer needs, and industry insight by providing valuable insight and analytical skills
Thorough knowledge of contract template language and detail oriented management of red-line business and legal review
Comprehensive knowledge of US healthcare economics, including pricing, reimbursement, and the changing healthcare landscape
Proven ability to collaborate and build relationships across all key internal & external stakeholders, including executive management
Demonstrated prioritization, organizational and analytical skills and the ability to create solutions for complex processes and procedures
Effectively communicate contract benchmarks, performance, and results to cross functional teams and executive leadership
General understanding of legal, regulatory and compliance guidelines to appropriately identify contract risk and opportunity
High level of emotional intelligence, independence, self-awareness, flexibility, and curiosity
Intermediate knowledge of CRM systems, Excel, Microsoft Word, and ability to quickly learn and navigate data analytics platforms
Positive attitude to embrace occasional special projects as part of collaborative team or individual contributor
Comfort with ambiguity; ability to effectively manage multiple projects and reprioritize as warranted
Flexibility to travel as needed - up to 25%

Nice To Haves

Master’s Degree in an analytical area of study
Experience with Managed Care and Specialty Channels (Specialty Pharmacy- Service Contracts / Specialty Wholesale-FFS)

Responsibilities

Administer all market access contracts, IDN/hospital contracts, and transplant organization agreements from inception through final approval.
Work closely with internal account management teams, legal counsel (internal and external), finance, data analytics, and pricing to support contract development, administration, operations, and analysis.
Monitor contract pricing, rebates, and fees.
Forecast impact on G2N (Gross to Net).
Manage contract performance.
Report pricing to compendia as required.
Collaborate with Market Access National Account Directors, Pricing and Government Programs personnel, LBE Transplant team, Finance, Legal, and Compliance to support the development and establishment of best practices for contract administration, compliance, and operations.
Provide ongoing operational and financial analytics to establish contract benchmarks, evaluate contract performance, support formulary validation, and inform pricing and contracting decisions through data and reporting in alignment with business unit goals and customer needs.
Support quarterly gross to net and financial accrual activities related to commercial payer and Medicare Part D contracts by ensuring accurate and timely invoice reconciliation, including coordination with UT’s third-party vendor and National Account Directors to validate formulary status and rebate eligibility.
Manage day-to-day invoice approval and payment processes by delivering required data and coordinating with Accounts Payable and UT’s third-party vendor to support appropriate funding and timely payment.
Analyze commercial agreement terms and provide contract data to the Pricing and Government Programs teams to support accurate allocation of discounts, rebates, and service fees.
Contribute input into the development and documentation of processes and work instructions related to contract operations and reporting with the Compliance team.
Facilitate the Bonafide Service Fee assessment process for Market Access contracts by coordinating with National Account Directors, Government Programs, Legal, and Compliance and maintaining supporting analyses and documentation.
Independently prepare and submit required commercial pricing reports, including WAC price submissions to compendia and other commercial price disclosures, in accordance with established requirements.
Support state drug price transparency reporting obligations by preparing data, maintaining supporting files, and coordinating submissions to ensure reporting requirements are met accurately and on time.
Support annual operational projects such as PBM audits by preparing analyses, documentation, and responses as assigned.