Senior/Commercial Pricing and Contracting Manager

Role Description

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
• Reporting pricing to compendia as required

Key responsibilities include:

• Collaborating 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.
• Providing 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.
• Supporting quarterly gross to net and financial accrual activities related to commercial payer and Medicare Part D contracts.
• Managing day-to-day invoice approval and payment processes.
• Exercising independent judgment to analyze commercial agreement terms.
• Working with the Compliance team to contribute input into the development and documentation of processes and work instructions related to contract operations and reporting.
• Facilitating the Bonafide Service Fee assessment process for Market Access contracts.
• Independently preparing and submitting required commercial pricing reports.
• Supporting state drug price transparency reporting obligations.
• Supporting annual operational projects such as PBM audits.

Qualifications

• 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.
• Display thorough knowledge of contract template language.
• Comprehensive knowledge of US healthcare economics.
• Proven ability to collaborate and build relationships across all key internal & external stakeholders.
• Demonstrated prioritization, organizational and analytical skills.
• Effectively communicate contract benchmarks, performance, and results.
• Demonstrate a general understanding of legal, regulatory and compliance guidelines.
• Exhibit a high level of emotional intelligence, independence, self-awareness, flexibility, and curiosity.
• Intermediate knowledge of CRM systems, Excel, Microsoft Word.
• Positive attitude to embrace occasional special projects.
• Comfort with ambiguity; ability to effectively manage multiple projects.
• Flexibility to travel as needed - up to 25%.

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.
• Display thorough knowledge of contract template language.
• Comprehensive knowledge of US healthcare economics.
• Proven ability to collaborate and build relationships across all key internal & external stakeholders.
• Demonstrated prioritization, organizational and analytical skills.
• Effectively communicate contract benchmarks, performance, and results.
• Demonstrate a general understanding of legal, regulatory and compliance guidelines.
• Exhibit a high level of emotional intelligence, independence, self-awareness, flexibility, and curiosity.
• Intermediate knowledge of CRM systems, Excel, Microsoft Word.
• Positive attitude to embrace occasional special projects.
• Comfort with ambiguity; ability to effectively manage multiple projects.
• 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).

Benefits

• Medical / dental / vision / prescription coverage.
• Employee wellness resources.
• Savings plans (401k and ESPP).
• Paid time off & paid parental leave benefits.
• Disability benefits.

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.

Salary Range

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.

Company Description

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.