Senior Director, Government Pricing

Job Description

General Summary:

The Senior Director Government Pricing will lead the tactical compliance and strategic oversight of the Government Pricing and Transparency team. The team is comprised of complementary functions: Government Pricing Operations Compliance and State Price Transparency. This position will collaborate closely with the Managed Markets Specialty Pharmacy and Payer Field teams Accounting Legal Finance Global Information Systems Government Affairs and Public Policy OBIE Treasury Regulatory Quality and Pharmaceutical Operations. This role will demonstrate a level of detail strategic understanding of Vertex business priorities and executive presence.

Key Duties and Responsibilities:

• Serve as subject matter expert on Government Pricing calculations methodologies reporting obligations and Bonafide Service Assessments.
• Oversees and approves all Government Pricing (AMP BP ASP NonFAMP and 340B) calculations documentation and reasonable assumptions ensuring accuracy and compliance to regulations.
• Leads analytics and scenario planning efforts that proactively evaluates changes to Government (Medicaid FSS Medicare and 340B) programs considerations for in-line and launch products
• Supportcontract development efforts and collaborate with business partners with contract negotiations; ensures operational viability of rebate and payment processes contemplated by contract terms.
• Oversee state price transparency reporting
• Tracks state regulations and forecast assumptions; measures financial impacts to GTN
• Partners with GIS to ensure timely and compliant upgrades to Revitas modules.
• Sponsors or leads complex cross-functional initiatives
• Leads mentors and develops team members to strengthen team expertise and performance
• Lead and oversees external audits and SOX compliance activities
• Lead and support implementation of regulatory changes
• Partner with legal and compliance to ensure operational alignment with current regulatory requirements.
• Oversee Bona Fide Service Fee assessments.

Knowledge and Skills:

• Experience with forecasting modeling and estimation of financial impacts to GTN
• Demonstrated knowledge of US payer landscape and public policy developments
• Strong written communication and presentation skills
• Experience leading people/teams with excellent cross-functional leadership and collaboration skills
• Experience in leading contracting strategy contract management and contract operations a plus
• Advanced understanding of commercial and government payers
• Familiarity with distributors 3PLs limited distribution networks and specialty products
• Dedication to cross-functional partnership and building/maintaining positive relationships across teams
• Familiarity with distribution practices in assigned geographic region(s)
• An advanced understanding of FSS and CMS statutory programs and price calculations (NFAMP IFF AMP BP URA) State Price Reporting requirements the 340B Program Coverage Gap Discount Program and Tricare.
• Familiarity with chargebacks processes and membership management
• Experience with Revitas or Model N systems
• Knowledge of GXP

Education and Experience:

• Bachelors degree required
• 12 years of professional experience in pharma/biotech industry/ relevant consulting environment including 5 years of supervisory/management experience or the equivalent combination of education and experience

At Vertex we embrace continuous learning and encourage employees to stay informed on advances in AI technology automation and industry trends. We seek talent who bring an external perspective demonstrate curiosity and sound judgment and thoughtfully adopt new capabilities that improve decision-making drive innovation increase efficiency and help deliver better outcomes for patients.

Pay Range:

Disclosure Statement:

Flex Designation:

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 Vertexs 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 persons 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