Director, Gross-to-Net Accounting & Analytics
Foster McKay
About the Role
We are seeking a Director, Gross-to-Net Accounting & Analytics to lead GTN accounting, reserve analysis, and financial analytics across a pharmaceutical portfolio. This role will own the integrity of GTN reserves and estimates while partnering across Finance, Market Access, Government Pricing, Commercial Finance, and Operations to turn complex GTN activity into forward-looking insights, risk identification, and business recommendations.
Key Responsibilities
GTN Accounting & Reserves
- Own gross-to-net accounting and financial reporting across key deduction categories, including rebates, chargebacks, government programs, distribution fees, returns, discounts, coupons, and other allowances.
- Establish GTN accounting methodologies and ensure compliance with U.S. GAAP.
- Lead monthly and quarterly close and reserve review processes.
- Review significant accounting estimates, judgments, and reserve movements.
- Evaluate accounting implications of new contracts, pricing changes, and government programs.
- Maintain strong balance sheet governance and reserve documentation.
Analytics & Reserve Adequacy
- Develop and maintain a comprehensive reserve adequacy framework.
- Lead actual-to-estimate and historical lookback analyses.
- Analyze claims lag, utilization, inventory, payer/customer mix, pipeline activity, and other GTN drivers.
- Build analytics that isolate impacts from price, volume, mix, utilization, rates, and estimate changes.
- Develop reserve ranges and sensitivity analyses.
- Identify emerging risks and potential adjustments before they become material.
Management Reporting & Forecasting
- Develop reporting around gross-to-net bridges, reserve movements, forecast variances, operational drivers, risks, opportunities, and cash-flow implications.
- Translate complex GTN results into clear recommendations for senior Finance leadership.
- Partner with FP&A to incorporate actual GTN experience, claims trends, customer mix, pricing changes, and reserve development into forecasts.
- Create a consistent feedback loop between actual results and forecast assumptions.
Cross-Functional Partnership
- Partner closely with GTN Operations, FP&A, Market Access, Government Pricing, Commercial Finance, Corporate Accounting, External Reporting, and IT.
- Provide Accounting's perspective on significant pricing and contracting decisions.
- Coordinate with auditors and Internal Controls on GTN accounting and reporting matters.
Controls & Leadership
- Maintain effective controls over GTN accounting, estimates, and reporting.
- Drive automation and system-enabled controls.
- Lead and develop the GTN Accounting & Analytics team.
- Build analytical capabilities, strengthen team ownership, and develop future GTN leaders.
Ideal Background
- Strong accounting leadership experience with deep knowledge of gross-to-net accounting and pharmaceutical reserves.
- Strong understanding of GTN categories including rebates, chargebacks, Medicaid/Medicare, returns, discounts, and other deductions.
- Experience with reserve adequacy, accrual analysis, lookbacks, and complex accounting estimates.
- Strong U.S. GAAP and internal controls knowledge.
- Experience partnering with FP&A, Market Access, Government Pricing, Commercial Finance, and other business functions.
- Strong analytical skills with the ability to explain not only what changed, but why it changed, the associated risks, and recommended actions.
- Demonstrated people leadership and ability to communicate complex financial information to senior leadership.
$139.15k - $164.32k
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...timePosted: 2026-09-16Grant Thornton is seeking a Data & Analytics Associate Director to join the team. Approved office locations can be found... ...Experience operating in a professional services, consulting, accounting, or complex global enterprise environment.Experience...Work at office- Bausch + Lomb is seeking a Director, Forecasting Excellence for the U.S. Pharmaceuticals organization in Bridgewater, NJ. You will lead... .... The role requires 10+ years in pharma forecasting, advanced analytics experience, and leadership of cross-functional teams across...Work at officeRemote work
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