Associate Director, US Pricing Contract Operations & Rebate Processing

revolutionmedicines; United States; Hybrid; USD 150,000 - 210,000; Full time

Job summary

Revolution Medicines seeks an Associate Director, US Pricing Contract Operations, to lead operational effectiveness, compliance, and business outcomes for provider and government payer contracting. This role will oversee Medicare/Medicaid/TRICARE rebates, analytics, and contract performance, aligning with US Market Access and pricing strategy.

Based in Redwood City, CA or remote with up to 15% travel, you will collaborate with National Accounts, Finance, and broader Commercial teams to drive

Qualifications

• Bachelor's degree holder with 8+ years in pharmaceutical pricing operations.
• 5+ years of Oncology product experience and pricing/payer contracting expertise.
• Strong track record in government and provider contract operations and pricing policy.

Responsibilities

• Plan and manage Medicare/Medicaid/TRICARE quarterly rebate processing.
• Provide pricing analytics and insights to inform gross-to-net actuals.
• Lead contract performance reporting for GPO partners and internal stakeholders.
• Coordinate cross-functional efforts with US Market Access, Finance, and National Accounts.
• Ensure compliance with contract validation, member eligibility, and process flow.

Skills

Pricing operations

Oncology pricing

Payer contracting

Government contracts

Data analysis

Education

Bachelor's degree

Job description

Revolution Medicines is a global, commercial-state oncology company dedicated to discovering, developing and delivering innovative medicines for patients with RAS-addicted cancers. Leveraging its differentiated RAS(ON) tri-complex inhibitor platform, the company is advancing a broad, integrated portfolio of oral RAS(ON) inhibitors designed to directly target the active, cancer-driving state of RAS. Founded on rigorous scientific inquiry and a willingness to challenge long-held assumptions, Revolution Medicines is committed to changing the trajectory of disease for patients with RAS-addicted cancers worldwide.

Our people are united by a shared way of working: follow the science, challenge assumptions, act with urgency and hold ourselves to a high standard of rigor-all in service of patients.

The Opportunity:

Revolution Medicines is seeking an Associate Director, US Pricing Contract Operations, to lead and manage operational effectiveness, compliance, and business outcomes for provider and government payer contracting operations. Responsibilities include leading contract operations include oversight of: Medicare, Medicaid, TRICARE rebate processing as well as commercial customer contract processing, analytics and business insights. Analytics will involve regular segment account mapping, in-depth purchasing analytics and modeling GPO contract performance outputs that translate to strategic pricing recommendations. Additionally, collaborations with external GPO operations team, Oncology National Accounts team and strategic pricing team to develop and recommend baseline measurements, KPI analytics and contract strategy insights that aligns with site-of-care, reimbursement, and policy considerations. This includes directing all operations of commercial and government rebates processing and communicating key market insights to US Market Access and Pricing leadership.

This role will report to the Senior Director, US Strategic Pricing and will serve in a critical function to lead, analyze, and execute end-to-end contract process operations and insights as the company grows as a commercial organization. This role will work closely with US and Commercial leadership, Distribution, Finance, as well as broader Commercial organization.

This role can be based in Redwood City, CA location or can be remotely based with up to 15% travel.

Key Responsibilities

• Plan, drive, and deliver processes for Medicare, Medicaid and TRICARE quarterly rebate payment processing.
• Create and communicate senior level quarterly insights to inform gross-to-net actuals to USMA and finance.
• Track and analyze customer segment and purchasing trends that inform pricing strategies and outline optimal business outcomes.
• Build and maintain streamlined GPO member account mapping, distributors and affiliations to create a consistent view of purchasing and contract performance over time.
• Review and maintain member rosters and manage eligibility based on defined criteria.
• Perform contract performance reporting and analytics, including recurring reports and Quarterly Business Reviews for GPO partners and internal stakeholders.
• Build efficient department capabilities that calculate and maintain GPO baselines and validate rebate, admin fee and accrual calculations.
• Respond to and resolve internal and external questions related to GPO contracts, pricing, baselines and rebates.
• Partner with National Accounts and Contracting leads and communicate quarterly contract performance and emerging customer purchasing and pricing strategies.
• Deliver strategic contracting recommendations with contract analytics, using multi-year purchasing history to inform leadership.
• Drive cross-functional collaboration with US Market Access, Finance, and National Accounts to align GPO contract performance communications.
• Maintain compliant policy and standard operating procedures for contract validation, eligible membership and process flow.
• Ensure contract processes are working efficiently, identify root cause of issues, and recommend corrective action to eliminate future occurrences.
• Provide ad hoc analytics as requested, utilizing available reporting tools and building new tools as needed.
• Support other analytic projects and strategic initiatives within the team.
• Identify and articulate improvement initiatives aligned with group and departmental goals and actively lead and/or participate in process improvement projects.
• Attend industry conferences on an as-needed basis.
• Perform other related job responsibilities as assigned.

Required Skills, Experience and Education:

• Bachelor's degree.
• 8+ years of pharmaceutical pricing operation experience.
• 5+ years of Oncology product experience.
• 5+ years pricing, and payer/provider contracting experience to support government and discretionary discounts.
• Extensive experience and demonstrated success in government and provider customer segment contract operations, oncology market knowledge, and pricing poli