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Managed Care Contracting Associate Director

$152k - $228k
Full-time

Vertex Inc.

Job Description General Summary: The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating pre- and post-deal analytics, negotiation, and administration of all Payer, Provider, Trade & Distribution, and Hospital Group Purchasing Organization contracts. This person will partner with, among others, Account Management, Finance, Government Pricing & Rebate Operations, GTN, Legal, Marketing, Payer Marketing, Trade Strategy and Accounts to ensure appropriate identification and evaluation of contracting opportunities. These responsibilities will apply across all Vertex marketed product lines and pipeline products. Key Duties and Responsibilities: Manage the end-to-end contract (Payer, Provider, Trade & Distribution, Hospital Group Purchasing Organizations) development process, including working with cross-functional partners on pre-deal analytics, negotiations, and post-deal analytics as well as the logging, tracking, reporting and facilitation of contract opportunities through the governance, negotiation/redlining and legal review processes Develop, maintain and improve strong internal processes and documentation working across the Finance, Legal and Market Access teams Maintain calendar and matrix of bids/offers and coordinate communication of contract development and execution status Facilitate the transition of executed contracts to the appropriate operational team for implementation and/or adjudication, including outlining key terms and providing detailed explanations, as necessary Provide insights to the business that inform GTN forecasting, contracting, and pricing decisions and strategies, and general business planning Strong cross functional collaboration in support of internal contract processing, review, and reporting Assist Account Managers with ad-hoc analysis, business planning, and contract performance review Use financial models to perform and verify calculations for business scenarios, as needed Advise on strategic and operational issues and requirements related to contract administration including any matters relating to rebate analysis and payments, as well as resolution of disputes on rebate claims Knowledge and Skills: Progressive business experience in finance, accounting, sales, government pricing, contracting, or other related area Understanding of pharmaceutical pricing government programs and associated regulations and the ability to determine the impact of contracts on them Highly analytical and detail oriented, with the ability to define problems, research proposed solutions, analyze the short- and long-term implications, propose and present the results to key stakeholders and implement solutions Advanced Microsoft Excel, Word and PowerPoint skills Superior organizational and project management skills as well as polished written and verbal communication skills Excellent interpersonal skills, customer service commitment, and detail orientation with the ability to work across the organization and external subject matter experts Be self-motivated, requiring minimal supervision, and able to contribute as a team player Ability to multitask, shift gears and pivot when necessary, and be comfortable working under constant deadlines Deep working knowledge of the pharmaceutical and managed care industry including market dynamics and the competitive landscape of formulary coverage, market share and profitability Education and Experience: Bachelor’s Degree in a business discipline required Typically requires 8 years minimum experience in payer contracting, contract administration and/or analytics experience in the Pharmaceutical, Life Science or related Industries or the equivalent combination of education and experience Pay Range: $152,000 - $228,000 Disclosure Statement: The range provided is based on what we believe is a reasonable estimate for the base salary pay range for this job at the time of posting. This role is eligible for an annual bonus and annual equity awards. Some roles may also be eligible for overtime pay, in accordance with federal and state requirements. Actual base salary pay will be based on a number of factors, including skills, competencies, experience, and other job-related factors permitted by law. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations. From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more. Flex Designation: Hybrid-Eligible Or On-Site Eligible Flex Eligibility Status: In this Hybrid-Eligible role, you can choose to be designated as: 1. Hybrid: work remotely up to two days per week; or select 2. On-Site: work five days per week on-site with ad hoc flexibility. Note: The Flex status for this position is subject to Vertex’s Policy on Flex @ Vertex Program and may be changed at any time. #LI-Hybrid Company Information Vertex is a global biotechnology company that invests in scientific innovation. Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law. Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager, or contact Talent Acquisition at View email address on click.appcast.io Help Us Achieve Our Mission Vertex is a global biotechnology company that invests in scientific innovation to create transformative medicines for people with serious diseases. The company has approved medicines that treat the underlying causes of multiple chronic, life-shortening genetic diseases — cystic fibrosis, sickle cell disease and transfusion-dependent beta thalassemia — and continues to advance clinical and research programs in these diseases. Vertex also has a robust clinical pipeline of investigational therapies across a range of modalities in other serious diseases where it has deep insight into causal human biology, including APOL1-mediated kidney disease, acute and neuropathic pain, type 1 diabetes, myotonic dystrophy type 1 and alpha-1 antitrypsin deficiency . Founded in 1989 in Cambridge, Mass., Vertex's global headquarters is now located in Boston's Innovation District and its international headquarters is in London. Additionally, the company has research and development sites and commercial offices in North America, Europe, Australia, Latin America and the Middle East. Vertex is consistently recognized as one of the industry's top places to work, including 14 consecutive years on Science magazine's Top Employers list and one of Fortune’s 100 Best Companies to Work For. For company updates and to learn more about Vertex's history of innovation, visit or follow us on Facebook, Twitter/X , LinkedIn, YouTube and Instagram. The diversity and authenticity of our people is part of what makes Vertex unique, and we recognize that each employee brings diverse perspectives and strengths. By embracing those strengths and celebrating differences, we are fostering an inclusive culture where each of us can bring our authentic selves to work, inspire innovation together, and change people’s lives. Our vision is clear: to be the place where an authentic, diverse mix of talent want to come, to stay, and do their best work.

Vacancy posted 7 hours ago
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