Director, Gov Pricing & Reimbursement Strategy

Otsuka America Pharmaceutical Inc.; Augusta (ME); On-site; USD 150,000 - 210,000; Full time

Job summary

Otsuka America Pharmaceutical Inc. is seeking a Director of Government Pricing to oversee all federal pricing calculations, reporting, and compliance. The role involves GP checks, validation of modeling, and coordination with audit teams to ensure data accuracy.

The position includes managing Medicaid rebates, Medicare Part D discounts, and inflation rebates under IRA, with collaboration across Market Access and Legal to implement compliant contracting language.

Qualifications

• Experience leading government pricing calculations and reporting (AMP, Best Price, ASP, FAMP).
• Strong analytics to identify pricing trends and data accuracy through audits.

Responsibilities

• Lead GP calculations and reporting for federal programs (Medicaid, ASP, VA).
• Oversee reimbursement operations for government rebates and discounts.
• Ensure regulatory compliance with federal/state pricing requirements and CMS guidance.
• Collaborate with cross-functional teams to align pricing with market access strategies.
• Manage data visibility and reporting via dashboards to enable proactive monitoring.
• Oversee dispute resolution with state agencies to minimize manual work and improve throughput.

Skills

Pricing analytics

Regulatory compliance

Education

Bachelor's degree in Accounting, Finance, Business Administration; MBA

Tools

Power BI

Job description

Otsuka America Pharmaceutical Inc. is seeking a Director of Government Pricing to oversee all federal pricing calculations, reporting, and compliance. The role involves GP checks, validation of modeling, and coordination with audit teams to ensure data accuracy.

The position includes managing Medicaid rebates, Medicare Part D discounts, and inflation rebates under IRA, with collaboration across Market Access and Legal to implement compliant contracting language.