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Axsome Therapeutics, Inc. · 1 week ago

Associate Director/Director, Government Pricing

New York, NY

Full-time

Onsite

Senior Level, Lead/Staff, Director/Executive

$160K/yr - $200K/yr

7+ years exp

Axsome Therapeutics is a biopharmaceutical company leading advancements in the treatment of CNS conditions. They are seeking an Associate Director/Director, Government Pricing to oversee compliance with pricing regulations, manage Medicaid operations, and collaborate with internal teams to support business objectives.

BiopharmaBiotechnologyTherapeutics

Responsibilities

Ensure accurate and timely submission of pricing data in compliance with federal and state price transparency regulations

Maintain up-to-date knowledge of government pricing and state price transparency regulations and policies

Ensure adherence to all legal and regulatory requirements

Ensure appropriate and timely payment of Medicaid rebates

Ensure appropriate execution and payment of approved and finalized Medicaid supplemental and SPAP contracts

Analyze pricing data, trends, and prepare and review government pricing reports

Work closely with finance, legal, and market access teams to support pricing strategies and address issues

Provide guidance on pricing matters and regulatory requirements

Identify and implement process improvements to enhance efficiency and accuracy in pricing and reporting

Develop and maintain documentation for pricing procedures and controls

Manage ongoing TPP relationships, resolve specific issues, and review and approve TPP billings

Calculate and file appropriate prices for federal drug programs (BP, AMP, PHS/340B, NFAMP, FCP/FSS, IFF, URA)

Knowledge of and ability to handle complex pricing concepts such as discount reallocation, pro-ration, and smoothing

Provide business guidance across teams related to the life sciences commercial and regulatory landscape

Ensure adherence to compliance requirements and conduct risk mitigation activities

Manage internal and external audits/reviews and Sox compliance supervision

Actively monitor government pricing regulations related to payer, IDN, policy, competitor, and market conditions to inform critical decisions and potential impacts to reimbursement and federal pricing

Assist with contract reviews, assessing contractual terms, performing Bona Fide Service Fee tests, Class of Trade Assessment, and other government pricing analysis

Create analytics, graphs, and slides showing policy impacts on government pricing data

Present findings to Executive Leadership

Ensure contractual obligations under the Federal Supply Schedule (FSS) contract are met through continuous monitoring of obligations with Federal Acquisition Regulations (FARs) and the Veterans Health Care Act

Provide excellent insights to Gross to Net forecasting accuracy and business decisions

Establish and maintain policies, procedures, and standards in support of Sarbanes-Oxley (SOX) requirements, internal/external financial reporting processes, and government regulations

Stay abreast of government and state rules and guidance changes

Collaborate across all internal and external stakeholders (Market Access Strategy, Contract Operations, GtN, Accounting/Finance, US Public Affairs, Legal, Audit, Commercial leaders, and external Legal and consultants)

Qualification

Government PricingMedicaid OperationsRegulatory ComplianceData AnalysisFinancial ModelingProcess ImprovementCross-Functional CollaborationAnalytical SkillsMicrosoft OfficeCommunication SkillsAttention to DetailTime ManagementProblem-SolvingTeam Management

Required

Bachelor's degree in Business, Finance, Accounting, Public Policy, or related field

Minimum of 7 years of experience in the pharmaceutical/biotechnology industry or state agency, with experience in Government Pricing, Medicaid, and State Price Transparency Reporting, finance, or related government payer/program administration

Proven track record in managing pricing compliance and reporting and Medicaid rebate payments

Ability to work on site Monday, Tuesday & Thursday. We are unable to consider candidates who are looking for fully remote roles

Strong understanding of government pricing regulations and compliance requirements

Proficiency in data analysis and financial modeling

Excellent communication and interpersonal skills

Ability to work independently and manage multiple priorities

Detail-oriented with strong analytical and problem-solving abilities

Experience with Microsoft Office products and advanced Excel techniques

Ability to manage multiple and competing tasks across functional areas

High accuracy rate and attention to detail

Experience with effective management of large datasets and data query tools

Skilled at financial modeling and pricing policy research (qualitative and quantitative)