Job Description
Job Title: Director/Senior Director, Pricing, Contracting & Government Program Operations
Job Location: United States
Job Location Type: Remote
Job Contract Type: Full-time
Job Seniority Level: Director
Scholar Rock is a biopharmaceutical company that discovers, develops, and delivers life-changing therapies for people with serious diseases that have high unmet need. As a global leader in the biology of the transforming growth factor beta (TGFβ) superfamily of cell proteins and named for the visual resemblance of a scholar rock to protein structures, the clinical-stage company is focused on advancing innovative treatments where protein growth factors are fundamental. Over the past decade, the company has created a pipeline with the potential to advance the standard of care for neuromuscular disease, cardiometabolic disorders, cancer, and other conditions where growth factor-targeted drugs can play a transformational role. Scholar Rock is the only company to show clinical proof of concept for a muscle-targeted treatment in spinal muscular atrophy (SMA). This commitment to unlocking fundamentally different therapeutic approaches is powered by broad application of a proprietary platform, which has developed novel monoclonal antibodies to modulate protein growth factors with extraordinary selectivity. By harnessing cutting-edge science in disease spaces that are historically under-addressed through traditional therapies, Scholar Rock works every day to create new possibilities for patients. Learn more about the company’s approach at ScholarRock.com and follow @ScholarRock and on LinkedIn . Summary of Position:
Reporting to the VP, Commercial Finance and FP&A, the Director / Senior Director Pricing, Contracting & Government Program Operations will lead the Company’s operations in pricing, contract management and government price reporting. This position will manage the pricing approval process to include the establishment and refinement of policies, procedures, and ways of working of the company Pricing Committee, and manage the Pricing Committee agenda and operation of the meeting. Position is also responsible for the management and development of all payer and managed markets contracts to include: assisting Market Access with analyzing and recommending account contract strategy; negotiating redlines to contract terms and conditions; executing the contract through internal approval and signature; and providing internal and external communications and tracking of approved contracts. Position will functionally own the operations of the government pricing process at Scholar Rock and oversee the contracting & government pricing vendor (CGPV) for the implementation of approved payer contracts to include: contract terms review; contract setup; contract performance review and rebate calculation; rebate payments, including but not limited to commercial payer, Medicare, and Medicaid rebates, and calculation and filing of government pricing. Additionally, the position will provide documentation and information to support approval of rebate payments, assist in developing rebate accruals and proper gross to net reporting, develop standard reporting for rebate payment packets, and serve as the liaison to the CGPV to fulfill ad hoc reporting requests for contract performance information.
Position Responsibilities - Strategic Pricing:
- Develop and manage company governance decision making process for all WAC and contract price approvals.
- Work alongside Market Access colleagues to drive the strategic thought process around pricing (both gross and net) for the entirety of the organization, and articulate rationale for strategic decisions around price.
- Direct company activities to develop and approve product WAC price and WAC price change recommendations, including the lifecycle management (market evolution, label changes, etc.)
- Assist in development of Market Access net price strategies to support brand and segment initiatives, including contract strategy and market segment strategies.
- Work closely with VP, Market Access and Head of Trade & Distribution to ensure appropriate disclosure of pricing, accurate price communications to stakeholders, and support for other functions as it relates to pricing and contracting.
- Partner across the Commercial and Finance organizations to ensure an aligned approach to pricing, pricing changes and the resultant financial impact
- Manage the drug listing process
- Contract Management:
- Lead and/or manage, as appropriate:
- Contract Development process for all payer segments:
- Assist Legal in developing and maintaining standard contract template terms and conditions
- Assist Account Managers in negotiating requested changes to standard terms and conditions
- Assist Legal with managing internal contract approval process to review, approve and sign contracts for formal execution
- Develop and execute standard internal and external communications of executed contracts
- Contract Setup and execution in CGPV systems:
- Review and approve contract setup in CGPV contract management system to include effective dates, eligible products and plans, products, pricing and rebate calculations
- Review and approve rebate eligibility for plans and benefit designs as outlined in contract terms and conditions
- Contract payment process:
- Develop standard reports and information to support CGPV rebate payments
- Perform preliminary review and approval of rebate payment
- Assist in final rebate review and approval
- Develop standard report formats for contract and rebate payment information:
- Quarterly contract performance reports
- Quarterly product business reviews
- Dispute Resolution reports
- Government Pricing & Reporting:
- Oversee and/or manage staff towards:
- The operations of the designated CGPV to ensure accurate and timely calculation and reporting of mandated federal (including 340B and Federal Supply Schedule / Federal Ceiling Price) and state government price points (Medicaid)
- Develop and maintain communication and feedback loop to support monthly, quarterly, and annual government price calculations
- Develop and execute monthly, quarterly, and annual price calculation reviews to include known system changes, policy and procedure changes, and pricing and contracting changes
- Manage required certification of mandated government price points by C-suite or delegate
- Direct activities to ensure accurate and timely delivery of required data to CGPV for all government mandated pricing programs
- Develop and execute quarterly business reviews and annual reviews of vendor operations
- Manage dispute resolution process for any disputed rebate claims
- The development of standard report formats for government price reporting.
- Monthly / quarterly / annual price review reports
- Government price impact report (ex: ASP)
- Best price / lowest contract price report
- The resolution of CGPV and/or government questions and issues for calculation and reporting of government price points.
- Manage government information requests or audits of government price reporting
- The alignment with CGPV to ensure training and education of relevant parties in the organization for government price reporting requirements, changes in legislation, and needed policies and procedures
- Own the state government price reporting requirements and work with the CGPV to ensure timely and accurate reporting; interface and alignment with Corporate Compliance is required
- Assist in development of rebate accrual forecast, including detail assessment of the required gross to net reporting, and review of rebate actual payments against forecast
- Support special projects as needed
- Position is expected to potentially have one staff/manager level reporting to it in the future
Candidate Requirements - Understanding of the pharmaceutical business
- Understanding of the overall economics of a pharmaceutical manufacturer, its customers and stakeholder partners
- Clear understanding, with a proven track record working in, all aspects of pharmaceutical/biotech pricing & contracting, including laws and regulations, payer segments, purchase based customers, government pricing statutes and obligations, and the impact of other areas on pricing (ex: Trade & Distribution.)
- Demonstrated strategic mindset, with the ability to piece together disparate elements impacting price, customer decisions, competitive landscape, etc. to arrive at a cohesive decision/recommendation
- Working knowledge of US accounting rules, gross to net reporting, and overall sound finance acumen
- Proven ability to work independently in a diverse and challenging environment, successfully handling multiple priorities and delivery against tight deadlines
- Demonstrated ability to manage through ambiguity and drive to performance
- Additionally, this position will require analytic skill to solve problems and resolve issues within and external to the organization, and to work closely with data, vendors, customers and contracts to determine the proper resolution
- Minimum of four-year college degree preferably with business or finance concentration. MBA or MSA preferred
- Minimum 8 years (minimum 10 preferred) pharma, biotech experience
- Minimum 5 years’ experience with pricing and contracting in the pharmaceutical/biotech market, including a minimum of three years in a pricing function, and demonstrated experience with contracting in commercial, Medicare, Medicaid, FSS, and PHS
- Previous experience managing people both in functional line management, and people and projects in a matrix environment
- Experience working with or in the realm of the calculation and reporting of mandated government prices
- Prefer experience working in managed markets or other market access functions
Scholar Rock is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees .
Lifelancer ( ) is a talent-hiring platform in Life Sciences, Pharma and IT. The platform connects talent with opportunities in pharma, biotech, health sciences, healthtech and IT domains.
For more details and to find similar roles, please check out the below Lifelancer link.
Job Tags
Price work, Full time, Remote job,