Senior Director, US Pricing and Contracting

Invivyd•Los Angeles, CA

3d•Hybrid

About The Position

The Senior Director, US Pricing & Contracting is a member of the US Market Access leadership team, reporting directly to the SVP, US Market Access. Responsible for leading the strategic planning for establishing price and contracting for formulary access for IVVD’s mAb therapies. This role is responsible for executing all elements of pricing and contracting strategies and tactics. The ideal candidate will have a comprehensive knowledge of PBMs, Health Plans, GPOs, payers, market access, reimbursement, pricing, and contracting. They will analyze contract profitability, offer leadership on pricing and contracting-related issues, and develop and implement effective strategies and tactics. The individual should be familiar with various pricing and contracting approaches most relevant for retail products. They will also need to collaborate with multiple internal stakeholders, including Market Access, Finance, Field Accounts, Brand, Legal, Compliance, and other key functional areas to ensure alignment and successful execution of strategies.

Requirements

Bachelors degree required
Working knowledge of current US market access environment, including pricing environment and dynamics, payer coverage dynamics, and government pricing programs
10+ year’s relevant experience in the pharmaceutical industry including at least 2 years in pricing and contracting (commercial and government segments)
Extensive knowledge of WAC, Medicare cost share, Medicaid Best Price, 340B, AMP, and Federal pricing
Deep understanding of GPO, payer and customer segments relevant to brand product(s)
Strong understanding of the US reimbursement across major payer segments (Commercial, Medicare, Medicaid, and Federal segments)
Strong analytical skills with a focus on pharmaceutical product pricing, discounting, and rebate analysis. Proven ability to access, analyze, and present data effectively
Innovative thinker skilled in analyzing data, developing insights to identify develop, and execute strategic solutions
Highly organized, able to meet deadlines, and work independently
Excellent written and verbal communication skills, with the ability to convey information clearly and persuasively
Strong commitment to high ethical values and healthcare compliance
Effective in utilizing resources to prioritize and plan, making sound decisions, and adapting business plans as needed
Deep understanding of patient types, treatment options, and patient flow within relevant ecosystems
Experience leading a pharmaceutical pricing and contracting organization
Communicates authentically and persuasively, maintaining a professional, positive, and enthusiastic presence in all interactions
Embraces a growth mindset, operates with resilience in a dynamic environment, adapts to change, and is self-directed and accountable
Efficient in managing administrative tasks and proficient in planning and organizing activities

Nice To Haves

Experience in a combination of early launch and in-line price management with large pharma and biotech companies preferred
Bachelor’s degree in health sciences, business/marketing, or a related field; master's degree preferred

Responsibilities

Lead pricing research inclusive of identifying a research partner, overseeing interview guides and interview execution. Make recommendation for launch prices of IVVD’s products
Selects external vendor partner for establishing launch pricing, support of pricing and contracting operations, and compliance with government price reporting
Design pricing governance processes and lead the pricing committee
Establishing and maintaining product prices with pricing services and compendia
Collaborate across Brand Team, Market Access, Finance, Legal and other functional teams to develop and implement contracting and pricing strategy that effectively and efficiently meets brand strategic objectives
Partner with Finance to support GTN forecasts and budgets and to ensure accurate government reporting and submission
In collaboration with GTN vendor partner, maintain on-going perspective on current GTN activity and impact of inputs
Work closely with Finance, to build the pricing and contracting framework and governance, including management of Pricing Committee
Provide oversight and commentary regarding contract redlines through a working knowledge of Manufacturer/PBM/Payer Pharmaceutical Contracting language
Develop and lead internal cross-functional product pricing lifecycle strategy
Oversee proposal, financial and ROI analysis of various payer segments and channels in support of contracting goals
Conduct analysis to assess identified competitive threats related to competitor pricing and/or contracting activity
Develop and maintain internal contract performance reports for products
Create and maintain information for customer business reviews and rebate obligations with key accounts
Train the accounts teams and, where necessary, other field-based teams on new contracting programs
Work with National Account Directors to ensure that all contract proposals are withing the framework of brand contract strategy, have been checked for accuracy from a financial perspective and verified to meet the internal definition of a profitable contract
Develop payer & provider deal models to assess the implications of deal scenarios on gross-to-net revenue and support development of business cases for review & approval by the Pricing Committee
Subject matter expert on ASP based Pricing Models, Medicaid, Medicare, PHS/340B and VA/DOD pricing calculations
Evaluate market and product value and develop pricing analyses leading to formal recommendations for the pricing/contracting committee
Analyze product markets, life cycle status, and competitive environments for products to make formal price recommendations aligned with corporate financial objectives
Assess economic drivers and barriers related to IDNs, payers, customers, and patients that impact product utilization
Present program/strategy updates to internal stakeholders