Market Access - Pricing Director

$215,000 | Raleigh | Permanent

Posted 15 days ago


*Eligible for Relocation Package

The Pricing Director is responsible for developing pricing & contracting strategies for all payer customer channels (e.g. managed care, Medicaid, Managed Medicaid, Medicare, ADAPs, etc) for the franchise, with 3 indications anticipated to launch over the course of the next several years. As such, the position will span both pipeline and inline responsibilities. Pricing and reimbursement implications, payer benefit placement and coverage, as well customer experience and service delivery will all differ from the current market access environment for oral anti-retrovirals (ARVs).


- Develop launch pricing and contracting strategy recommendations across all payer channels, and lead development of gross-to-net financial forecasts for launch
- Define and/or manage inline brand pricing strategy, contracting strategy & guidelines across all payer channels
- Develop strategies and financial models to forecast WAC, ASP, and 5iAMP, and monitor quarterly
- Support the company's Governance process for pricing and payer contracts, including cross-functional consultation and evaluation with brand, legal, and contract operations
- Lead development and review of gross-to-net financial forecasts for the cabotegravir franchise (short-term and long-term)
- Lead development and maintenance of brand gross-to-net financial impact modeling (public policy proposals, contract strategies, investor relations requests, etc)
- Assess US payer environmental trends and healthcare policy changes, and lead impact assessments to determine implications to provider-administered injectable ARVs
- Lead evaluations of pharmaceutical industry pricing actions and strategies for provider-administered injectables
- Lead independent review function for government pricing calculations and submissions
- Engage with payer field team to create payer insights and strategies, and to identify opportunities to enhance engagement with payer customers
- Support payer access reporting & monitoring (coverage status, validation, coverage messaging metrics, payer access database)
- Lead, support, and develop direct report(s)

Basic qualifications:
- Bachelor's degree or equivalent in Business, Marketing, or Finance areas
- 5+ years of pharmaceutical industry experience in the market access area (payer marketing, payer contracting, Gross-to-Net finance, government pricing, etc)
- Demonstrated expertise in financial impact modelling
- Familiarity with all major payer segments, coverage decision drivers, and payer formulary access management & utilization controls
- Understanding of environmental/policy issues in the pharmaceutical industry, and trends that may influence access or performance
- Ability to lead and influence across various levels and within various functions - primarily policy, account teams, and brand marketing

Preferred qualifications:
- CPA, MBA, or similar advanced degree in Finance area
- Understanding of the HIV therapeutic area
- Demonstrated understanding of commercial and public payer customers (i.e. PBM, MCO, employer, Medicaid, Medicare) and the complex dynamics among key players affecting the payer customer (i.e. CMS, quality standards-setting organizations)
- Expertise in payer coverage drivers and implications for provider-administered injectables (benefit placement, coverage criteria, site of care, etc)
- Deep understanding of gross-to-net pricing and revenue analysis, including implications of pricing & contracting on different payer channels
- Familiarity with payer and provider discount arrangement structures for provider-administered injectables
- Familiarity with payer claims adjudication for provider-administered injectables
- Provider-administered injectable product launch experience
- High level of motivation and a strong ability to find creative solutions to challenging unstructured situations
- Proven ability to operate independently and handle multiple projects with a high degree of initiative, planning, and prioritization
- Demonstrated ability to develop recommendations through logical, fact-based presentations
- Excellent communication (written & verbal), interpersonal influence and prioritization skills
- Strong business acumen and demonstrated analytical skills
- Supervisory experience

InterQuest Group is acting as an employment agency for this vacancy. InterQuest Group is an equal opportunities employer and we welcome applications from all suitably qualified persons regardless of age, disability, gender, religion/belief, race, marriage, civil partnership, pregnancy, maternity, sex or sexual orientation. Please make us aware if you require any reasonable adjustments throughout the recruitment process.