Director, Government Pricing

Otsuka America Pharmaceutical Inc.; Annapolis (MD); Remote; USD 186,000 - 279,000; Full time

Job summary

Otsuka America Pharmaceutical Inc. seeks a Director of Government Pricing to lead Medicaid AMP/Best Price, ASP, and VA Non-FAMP pricing, with responsibility for annual and quarterly reporting, data validation, and audit-ready processes.

You will oversee government rebates, discounts, and compliance with evolving federal/state requirements, partnering with legal and cross-functional teams to drive pricing strategy and reporting accuracy.

Qualifications

• Bachelor's degree in Accounting, Finance, or Business Administration; MBA/CPA/JD preferred
• Minimum 10+ years progressive pharma/biotech experience
• Minimum 5+ years in statutory Government Pricing calculations, operations, and compliance

Responsibilities

• Lead all federally mandated price calculations (AMP, Best Price, ASP, VA Non-FAMP) and manage annual/quarterly reporting certifications.
• Institute GP checks for accuracy, validate modeling setup, and assess business impact of GP updates.
• Oversee government rebates and discounts processing (Medicaid, Medicare Part D, IRA).
• Ensure compliance with federal/state requirements, including price transparency and CMS guidance.
• Collaborate with Contract Operations, Market Access, and Pricing Committees; educate stakeholders on GP implications.
• Oversee data management and dashboards (Power BI) for proactive monitoring.
• Manage disputes with state Medicaid agencies, including 340B issues and workload reduction.

Skills

Leadership

Regulatory knowledge

Analytics

Communication

Education

Bachelor's degree in Accounting, Finance, Business Administration

MBA, CPA, or JD preferred

Tools

Power BI

MS Excel

Job description

Remote

Full time

R12802

The Director, Government Pricing leads all federally mandated price calculations including Medicaid Average Manufacturer Price (AMP) and Best Price, Medicare Average Sales Price (ASP), and VA Non-FAMP pricing. This includes managing quarterly and annual reporting certifications, analytics to identify pricing trends and anomalies, and ensuring data accuracy through validation processes with audit teams.

Key Responsibilities

Government Pricing Calculations & Reporting

• The director leads all federally mandated price calculations including Medicaid Average Manufacturer Price (AMP) and Best Price, Medicare Average Sales Price (ASP), and VA Non-FAMP pricing. This includes managing quarterly and annual reporting certifications, analytics to identify pricing trends and anomalies, and ensuring data accuracy through validation processes with audit teams.

• Institute the appropriate GP checks for accuracy and completeness, including independent parallel government pricing calculations, validate modeling set‑up, test reasonableness of GP changes, and assess the business impact of GP updates.

Reimbursement Operations

• This role oversees processing and payment of all government rebates and discounts, including Medicaid rebates, Medicare Part D manufacturer discount program, and inflation rebates under the Inflation Reduction Act (IRA). The team manages Federal Supply Schedule (FSS) contracts, Department of Defense blanket purchase agreements, and Medicaid supplemental agreement negotiations with state programs.

Regulatory Compliance & Policy Management

• The director ensures compliance with evolving federal and state requirements, including state price transparency reporting, Medicare Drug Price Negotiation (MFP) under IRA, and bonafide service fee evaluations in partnership with commercial teams. This includes working closely with legal counsel (internal and external) to interpret CMS guidance and develop compliant contracting language.

Strategic Responsibilities/ Cross-Functional Partnership

• The role requires close collaboration with Contract Operations for commercial rebate alignment, Market Access teams for government account strategy, Gross-to-Net forecasting teams for pricing impact analysis, and Pricing Committees to assess how proposals affect government price calculations. The director provides education to stakeholders on government pricing implications of business decisions through lunch‑and‑learns, annual meetings, and ongoing communications.

Systems & Data Management

• Oversight of third‑party vendor and evaluation of technology platforms for contract management and rebate analysis and financial payments. A key responsibility is driving data visibility initiatives through Power BI dashboards and enhanced reporting to enable proactive monitoring rather than reactive analysis

Dispute Resolution & Operational Excellence

• Managing complex dispute processes with state Medicaid agencies, particularly around 340B duplicate discounts where manufacturers have already provided discounts but states seek rebates. The director leads process improvement initiatives to reduce manual workload and free up team capacity for strategic analysis rather than transactional payment processing.

Education & Experience Requirements

Education

A Bachelor's degree in Accounting, Finance, Business Administration; an MBA, CPA, or JD is highly preferred

Years of Experience

10+ years of progressive experience in the pharmaceutical or biotech industry.

Domain Expertise

Minimum of 5+ years directly focused on statutory Government Pricing calculations, operations, and compliance.

Leadership

Proven track record of managing technical analyst teams, handling external audits, and presenting complex regulatory risks to senior executives.

Competencies

Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.

Strategic Thinking & Problem Solving - Make decisions considering the long‑term impact to customers, patients, employees, and the business.

Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.

Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.

Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.

Empowered Development - Play an active role in professional development as a business imperative.

Minimum $186,489.00 - Maximum $278,875.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate’s job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws.

Application Deadline : This will be posted for a minimum of 5 business days.

Company benefits:

Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.

Disclaimer: This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting [e-mail] .

Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka’s call center at: 800-363-5670. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: https://www.ic3.gov , or your local authorities.

Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. (“Otsuka”) does not accept unsolicited assistance from search firms for employment opportunities.

Otsuka Pharmaceutical Co., Ltd. is a global healthcare company with the corporate philosophy: “Otsuka–people creating new products for better health worldwide.” In the U.S., Otsuka is comprised of two companies, Otsuka America Pharmaceutical, Inc., and Otsuka Pharmaceutical Development & Commercialization, Inc., that share a deep commitment to the development and commercialization of innovative products in the spaces of neuroscience, nephrology, and digital medicine.

Driven by our purpose to defy limitation, so that others can too, we have an unwavering belief in doing more and transcending expectations. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each and every day.

OPDC and OAPI are indirect subsidiaries of Otsuka Pharmaceutical Company, Ltd., which is a subsidiary of Otsuka Holdings Co., Ltd. headquartered in Tokyo, Japan. The Otsuka group of companies employed 34,400 people worldwide and had consolidated sales of approximately USD 14.2 billion in 2023.

We invite you to explore our open positions for an opportunity to join our 2,200 colleagues in the U.S. whose passion for our mission and pride in our company have earned us certification as a Great Place to Work by the Great Place to Work Institute.