Associate Director, Government Pricing

Overview

The Associate Director, Government Pricing (GP) position is a key member of Regeneron’s government pricing team, which includes supporting the accurate calculation and timely submission of all required government price reporting.

Included in this role is responsibility for assuring compliance with all pricing and reporting requirements legislated by the Centers for Medicare & Medicaid Services (CMS), the Department of Veterans Affairs and any state legislation required price reporting.

This includes a full understanding of all current legislation and staying abreast of pending legislation.

Government Pricing Calculations include Medicaid, Medicare Part B, Public Health Service (PHS)/340B, and Federal Supply Schedule (FSS), which includes Tri Care and the Industrial Funding Fee (IFF).

The Associate Director will work collaboratively with Contracting Strategy supporting the overall strategy, contracting and/or payment activities.

• Typical Responsibilities
• Calculate, validate and report accurate monthly, quarterly, and annual government pricing.
• Submit and monitor State Price Transparency regulations.
• Understand calculation assumptions, research and communicate causes of variances between periods.
• Perform necessary processes for compliant submissions, including G/L reconciliations, Class of Trade review, and PHS/340B eligibility review.
• Review calculations with Senior Management, obtain approval signoff, and execute required SOPs before communicating prices to agencies.
• Maintain and update SOPs and reasonable assumptions quarterly.
• Monitor policies, procedures, and processes to ensure ongoing compliance.
• Understand and estimate impact of pricing and policy changes.
• Perform pricing research and analysis on special projects as assigned.
• Review and understand commercial contract language regarding Best Price, Average Sales Price, and FSS Tracking Customers.
• Investigate government pricing trends and cross-channel impact; provide inputs to the Gross to Net team.
• Monitor for tracking customer violations, bona fide service fee treatments, and customer COT assignment.
• Participate in cross-functional teams as a subject matter expert to evaluate and implement business strategies and initiatives.
• Serve as a liaison with Commercial Leadership, Pricing, Trade, Brand, and Accounting/Finance teams regarding government pricing issues.
• Be familiar with Fair Market Value methodology when determining bona fide service fees paid to wholesalers, PBM, and GPOs.
• What We’re Looking For
• Understanding of current government pricing rules, regulations, and calculations.
• Ability to identify potential problems, conduct analysis, and use judgment to determine issues and propose solutions.
• Highly analytical with the ability to interpret, analyze, and convey data and its commercial impact.
• Ability to decipher calculations to determine key causes of variances.
• Strong communication skills and ability to communicate effectively at all levels of the organization.
• Process oriented.
• Proven ability to manage competing priorities, meet challenging deadlines, and work independently and across organizations.
• Demonstrated track record of strong attention to detail, accountability and ownership of results; flexibility and adaptability in a rapidly changing environment.
• Required Experience

Bachelor’s degree and 7+ years of prior experience in Government Pricing or a related field such as finance, accounting, Medicare/Medicaid (with strong analytical skills).

Travel may be required at times.

Travel

Open to traveling occasionally as needed.

Benefits

Regeneron provides comprehensive benefits that include health, dental, vision, life, disability insurance, fitness centers, 401(k) company match, family support benefits, equity awards, annual bonuses, paid time off, and paid leaves such as parental leave.

Equal Opportunity

Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion or belief (or lack thereof), sex, nationality, national or ethnic origin, civil status, age, citizenship status, membership of the Traveler community, sexual orientation, disability, genetic information, familial status, marital or registered civil partnership status, pregnancy or parental status, gender identity, gender reassignment, military or veteran status, or any other protected characteristic in accordance with applicable laws and regulations.

The Company will also provide reasonable accommodation to the known disabilities or chronic illnesses of an otherwise qualified applicant for employment, unless the accommodation would impose undue hardship on the operation of the Company’s business.

• Salary Range (annually)
• $114,800.00 - $187,400.00
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