Senior/Commercial Pricing and Contracting Manager, Market Access

Commercial Pricing & Contracting Manager

United Therapeutics seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter's pulmonary arterial hypertension (PAH). Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis (PF). The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create manufactured organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option.

The Commercial Pricing & Contracting Manager will be responsible for the administration of all market access contracts, IDN/hospital contracts, and transplant organization agreements from inception through final approval. This role will work closely with internal account management teams, legal counsel (internal and external), finance, data analytics, and pricing, to support all contract development, administration, operations, and analysis for United Therapeutics commercial product portfolio with an emphasis on monitoring contract pricing, rebates and fees, forecasting impact on G2N, managing contract performance, and reporting pricing to compendia as required.

Collaborate with Market Access National Account Directors, Pricing and Government Programs personnel, LBE Transplant team, Finance, Legal, and Compliance to support the development and establishment of best practices for contract administration, compliance, and operations. Provide ongoing operational and financial analytics to establish contract benchmarks, evaluate contract performance, support formulary validation, and inform pricing and contracting decisions through data and reporting in alignment with business unit goals and customer needs. Support quarterly gross to net and financial accrual activities related to commercial payer and Medicare Part D contracts by ensuring accurate and timely invoice reconciliation, including coordination with UT's third-party vendor and National Account Directors to validate formulary status and rebate eligibility. Manage day-to-day invoice approval and payment processes by delivering required data and coordinating with Accounts Payable and UT's third-party vendor to support appropriate funding and timely payment. Exercise independent judgment to analyze commercial agreement terms and provide contract data to the Pricing and Government Programs teams to support accurate allocation of discounts, rebates, and service fees. Work with the Compliance team to contribute input into the development and documentation of processes and work instructions related to contract operations and reporting. Facilitate the Bonafide Service Fee assessment process for Market Access contracts by coordinating with National Account Directors, Government Programs, Legal, and Compliance and maintaining supporting analyses and documentation. Independently prepare and submit required commercial pricing reports, including WAC price submissions to compendia and other commercial price disclosures, in accordance with established requirements. Support state drug price transparency reporting obligations by preparing data, maintaining supporting files, and coordinating submissions to ensure reporting requirements are met accurately and on time. Support annual operational projects such as PBM audits by preparing analyses, documentation, and responses as assigned.

Commercial Pricing & Contracting Manager Minimum Requirements

Bachelor's Degree in an analytical area of study with 8+ years of relevant healthcare/life sciences experience or Master's Degree with 6+ years of relevant healthcare/life sciences experience. 5+ years of progressive experience with payer contract administration, market access, and/or payer data analysis. Knowledge of PBM/GPO, Specialty Pharmacy, National and Regional Health Plans, commercial insurance, Medicaid, and Medicare Parts B&D. Ability to foster strong internal and external relationships to develop greater understanding of competitive intelligence, customer needs, and industry insight by providing valuable insight and analytical skills. Display thorough knowledge of contract template language and detail oriented management of red-line business and legal review. Comprehensive knowledge of US healthcare economics, including pricing, reimbursement, and the changing healthcare landscape. Proven ability to collaborate and build relationships across all key internal & external stakeholders, including executive management. Demonstrated prioritization, organizational and analytical skills and the ability to create solutions for complex processes and procedures. Effectively communicate contract benchmarks, performance, and results to cross functional teams and executive leadership. Demonstrate a general understanding of legal, regulatory and compliance guidelines to appropriately identify contract risk and opportunity. Exhibit a high level of emotional intelligence, independence, self-awareness, flexibility, and curiosity. Intermediate knowledge of CRM systems, Excel, Microsoft Word, and ability to quickly learn and navigate data analytics platforms. Positive attitude to embrace occasional special projects as part of collaborative team or individual contributor. Comfort with ambiguity; ability to effectively manage multiple projects and reprioritize as warranted. Flexibility to travel as needed - up to 25%.

Senior Commercial Pricing & Contracting Manager Minimum Requirements

Bachelor's Degree in an analytical area of study with 10+ years of relevant healthcare/life sciences experience or Master's Degree with 8+ years of relevant healthcare/life sciences experience. 7+ years of progressive experience with payer administration, managed markets, and/or contract administration. Knowledge of PBM/GPO, Specialty Pharmacy, National and Regional Health Plans, commercial insurance, Medicaid, and Medicare Parts B&D. Ability to foster strong internal and external relationships to develop greater understanding of competitive intelligence, customer needs, and industry insight by providing valuable insight and analytical skills. Display thorough knowledge of contract template language and detail oriented management of red-line business and legal review. Comprehensive knowledge of US healthcare economics, including pricing, reimbursement, and the changing healthcare landscape. Proven ability to collaborate and build relationships across all key internal & external stakeholders, including executive management. Demonstrated prioritization, organizational and analytical skills and the ability to create solutions for complex processes and procedures. Effectively communicate contract benchmarks, performance, and results to cross functional teams and executive leadership. Demonstrate a general understanding of legal, regulatory and compliance guidelines to appropriately identify contract risk and opportunity. Exhibit a high level of emotional intelligence, independence, self-awareness, flexibility, and curiosity. Intermediate knowledge of CRM systems, Excel, Microsoft Word, and ability to quickly learn and navigate data analytics platforms. Positive attitude to embrace occasional special projects as part of collaborative team or individual contributor. Comfort with ambiguity; ability to effectively manage multiple projects and reprioritize as warranted. Flexibility to travel as needed - up to 25%.

Preferred Qualifications: Master's Degree in an analytical area of study. Experience with Managed Care and Specialty Channels (Specialty Pharmacy- Service Contracts / Specialty Wholesale-FFS).

Location: United Therapeutics has the flexibility to hire this role remotely within the United States with a preference to candidates residing in the eastern time zone. The salary range for this position is $121,000 - $190,000 and reflects our good-faith estimate of the compensation for this role at the time of posting. An employee's position within the salary range will be based on factors such as education, qualifications, experience, skills, geographic location, and business needs, as well as other factors permitted by law at the time of posting. This range may be modified in the future based on company and market factors. At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good. Eligible employees may participate in the Company's comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more.