Manager, Pharmaceutical Government Pricing

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Date: Nov 15, 2018

Location: Atlanta, Georgia, US

Help us transform patients' lives.

At UCB, we put our heart, soul, and skills into making a difference for people living with severe disease. Working together to push the boundaries, we blend the best of our talents to unlock innovation.  Will you join us in our pioneering adventure?

The Manager / Senior Manager, Government Pricing is responsible for oversight of UCB Government Pricing calculations, analysis, and submissions.  This position will help serve as the subject matter expert in supporting the company’s strategy for the portfolio of products across all government payors.  Additionally, this roll will manage oversight of Government Pricing including creating / updating SOPS, ensuring methodologies are compliant with SOPs, verifying calculations are accurate, and ensuring submissions are timely.  This position will also be responsible for complying with all state reporting requirements including pricing and transparency requirements

Responsibilities include:

  • Ensure that UCB Government Pricing calculations are accurate, submitted on a timely basis, and are compliant with government regulations.
  • Oversight and development of Analysts responsible for Gov’t Pricing calculations ensuring they are well trained and knowledgeable
  • Provide historical trend and variance analysis for Gov’t Pricing results 
  • Ensure UCB SOPs are up to date and in compliance with Government Regulations; that personnel are properly trained on the SOPs; and that SOPs are properly implemented and followed
  • Partner with the Contracting team to review all business cases for government pricing implications
  • Ensure UCB complies with all state reporting requirements
  • Ensure non-bona fide fees are properly assessed and reported for all Gov’t pricing submissions
  • Provide impact analysis for gov’t pricing based on various pricing and contracting scenario
  • Provide strategic and actionable insights to management team for the landscape changes and opportunities associated with all government channels

Serve as UCB’s subject matter expert on GP and reimbursement

 

MAJOR ACCOUNTABILITIES (Describe up to eight/ten essential responsibilities of this position including significant tasks, responsibilities and projects)

  • Develops, reviews, and implements pricing methodologies in compliance with regulations published by CMS, VA, HRSA, and other applicable Government Agencies.  Works with internal and external Legal counsel to ensure UCB complies on all Government Pricing Programs. 
  • Defines data requirements for pricing and reporting; supports testing processes for data integrity and updated processes.
  • Responsible for the development, communication, and ongoing maintenance of Gov’t Pricing Calculations and Reimbursement SOPs, systems, processes, data, and reporting templates.   
  • Is responsible for the development of the Gov’t Pricing team and provides education and training to other UCB employees who may impact or are impacted by Gov’t pricing results.  
  • Leads the reconciliation of Gov’t pricing data inputs ensuring that any data integrity issues are resolved prior to the performance of any gov’t pricing calculation.
  • Identifies and communicates Gov’t Pricing trends and variances to other UCB employees including senior management, Finance, and product management teams. 
  • Validates all government calculations in a timely and accurate manner including validating (as appropriate) monthly, quarterly and annual AMP, BP, PHS, ASP, NFAMP, FCP along with any state reporting.
  • Continuously monitor, evaluate and improve processes for the gov’t pricing calculation functions.
  • Monitor the activity of contracts to evaluate AMP and Best Price calculations impact in accordance with CMS policy.
  • Directs the management of the VA Contract Life Cycle and maintains compliance with all terms and obligations of the Veterans Affairs contract
  • Participate in the Executive Pricing Committee when government contracts are discussed and be the subject matter expert on how BP, AMP and Supplemental GNUPs affect pricing policy and decisions
  • Provide financial analytical support to the Managed Markets’ team to optimize the profitability of contracted agreements
  • Comply with all company policies and procedures

Perform related duties as assigned

 

Education

Required Bachelor's Degree

Preferred Master's Degree

 

Education (Describe the minimum level of education necessary for this position)

          Required                                                         Preferred

            Bachelor's Degree                                         Bachelor's Degree                                         Master's Degree                                           Master's Degree                                               Ph.D.                                                            Ph.D.                           

            Law (J.D.)                                                    Law (J.D.)                   

            Other (Describe)                                           Other (Describe)          

 

            Certification (Describe)                     ______________________________              Registration (Describe)                     ______________________________                          Licensure (Describe)                         ______________________________
 

Experience

  • 7+ years prior experience in Government Pricing or a related field with appropriate level of responsibility and track record of demonstrated success.
  • In-depth knowledge and understanding of government regulatory requirements through prior experience with a minimum of 5 years in a pharmaceutical government contracts group or providing specialty consulting services.
Specific skills
  • Computer skills- Excel, Word, PowerPoint. Knowledge of GP / Medicaid systems (e.g. Model N) a plus.
  • Ability to keep up with current business practices within the industry. 
  • Strong communication skills, both orally and written. 
  • Ability to effectively work with cross-functional teams.
  • Ability to manage multiple tasks/projects simultaneously.
  • Proficiency with spreadsheet programs and the demonstrated ability to understand and develop complex mathematical formulas with these programs
  • Ability to write clearly and concisely.
  • Ability to develop policies.
  • Knowledge of systems and software sufficient to provide guidance to Information Management associates in selecting and properly utilizing software required for government pricing, reporting and rebate preparation.
  • Proven success in maintaining compliance in a regulatory environment.
  • Motivation and ability to stay abreast of constantly changing government regulatory landscape within the pharmaceutical industry.
  • Ability to communicate government requirements effectively to all levels of the organization.

 

Problem solving

  • Interpersonal skills necessary to assist and train others in understanding government pricing concepts
  • Strong interpersonal, teamwork, organizational and workload planning skills.
  • Works independently. Must be able to identify potential problems, conduct analysis and use judgment to determine if problem exists.
  • Have an appropriate recognition when it is necessary to seek guidance or approval.
  • Recommends customer contract strategy based on results of analysis.
  • Position requires complex analytical judgment ability

 

Individual will play an active role as liaison to Legal, Finance, National Accounts Team, and Product Managers in the analysis of product NDC best price, average manufacturer price and average sale price performance related to quarterly pricing, launches of new products and potential recalculations of prior period pricing.

 

UCB is a global biopharmaceutical company. We focus on discovering and developing innovative medicines and lateral solutions that can transform the everyday lives of people with severe diseases of the immune system – or the central nervous system.

With more than 7500 people in approximately 40 countries, UCB offers an exciting working environment where initiative can flourish and those with a ‘can-do’ attitude can thrive.  Scientific excellence, innovation, co-creation, lateral thinking, reinventing the way we do things…these are some of the key competencies we are constantly developing, and looking for, at UCB.


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