Director, Government Pricing

Otsuka Pharmaceutical Co., Ltd; Northern (KY); Hybrid; USD 186,000 - 279,000; Full time

Benefits offered by this job

Medical benefits

Dental/vision

401(k) match

Paid time off

Tuition reimbursement

Job summary

The Director, Government Pricing at Otsuka Pharmaceutical Co., Ltd leads all federally mandated price calculations including Medicaid AMP and Best Price, Medicare ASP, and VA Non-FAMP pricing. This role oversees quarterly and annual reporting certifications, analytics to identify pricing trends, and validation with audit teams.

Institute GP checks for accuracy and completeness, including independent parallel government pricing calculations, validate modeling setup, test reasonableness of GP

Qualifications

• Bachelor's degree in Accounting, Finance, or Business Administration required; MBA/CPA/JD highly preferred.
• 10+ years of progressive experience in the pharmaceutical or biotech industry with at least 5+ years on statutory Government Pricing.

Responsibilities

• Lead federally mandated price calculations including Medicaid AMP/Best Price, ASP, and VA Non-FAMP pricing.
• Oversee quarterly and annual reporting certifications and analytics to identify pricing trends and anomalies.
• Institute GP checks for accuracy, validate modeling setup, and assess business impact of GP updates.
• Oversee processing and payment of government rebates and discounts (Medicaid rebates, Part D discounts, IRA rebates).
• Ensure regulatory compliance with evolving federal/state requirements and CMS guidance.
• Collaborate with Contract Operations, Market Access, Gross-to-Net forecasting, and Pricing Committees to align government pricing.
• Drive data visibility via Power BI dashboards and enhanced reporting for proactive monitoring.
• Lead dispute resolution with state Medicaid on 340B issues and reduce manual workload.

Skills

Pricing analytics

Regulatory compliance

Leadership

Cross-functional collaboration

Education

Bachelor's degree in Accounting/Finance/Business Administration

MBA/CPA/JD preferred

Job description

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.

• 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 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 has earned us certification as a Great Place to Work by the Great Place to Work Institute.