Director, Government Pricing

Otsuka America Pharmaceutical Inc.; Saint Paul (MN); Remote; USD 150,000 - 210,000; Full time

Job summary

Otsuka America Pharmaceutical Inc. is seeking a Director, Government Pricing to lead all federally mandated price calculations (AMP, Best Price, ASP, VA Non-FAMP) and related reporting.

The role oversees rebates, discounts, and IRA programs, ensuring regulatory compliance and accurate data with audit teams. You will collaborate with Contract Operations, Market Access, and accounting functions, driving Power BI enabled visibility and strategic pricing decisions.

Qualifications

• 10+ years of progressive experience in pharma/biotech industry.
• 5+ years directly focused on statutory Government Pricing calculations, operations, and compliance.
• Proven leadership of technical analytic teams and handling external audits.
• Experience presenting complex regulatory risks to senior executives.

Responsibilities

• Lead all federally mandated price calculations including AMP, Best Price, ASP, and VA Non-FAMP pricing and manage annual reporting certifications.
• Institute GP checks for accuracy, validate modeling setups, test GP changes, and assess business impact.
• Oversee processing and payment of government rebates and discounts (Medicaid, Part D, IRA).
• Ensure compliance with federal/state requirements, price transparency, and CMS guidance; collaborate with legal.
• Collaborate cross-functionally with Contract Operations, Market Access, Gross-to-Net, and Pricing Committees.
• Drive data visibility initiatives via Power BI dashboards and enhanced reporting.
• Lead dispute resolution with state Medicaid agencies and reduce manual workload.

Skills

Leadership

Government Pricing

Strategic thinking

Cross-functional collaboration

Education

Bachelor's degree in Accounting, Finance, Business Administration

MBA, CPA, or JD preferred

Tools

Power BI

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