Director, Government Pricing

Otsuka Pharmaceutical Companies (U.S.); United States; On-site; USD 186,000 - 279,000; Full time

Benefits offered by this job

401(k) match

Generous PTO

Comprehensive medical benefits

Tuition reimbursement

Employee assistance program

Job summary

Otsuka Pharmaceutical Companies (U.S.) is seeking a Director of Government Pricing to lead all federally mandated price calculations, reporting, and analytics across Medicaid, ASP, Best Price, and IRA programs.

This role oversees compliance, cross-functional partnerships, data management, and dispute resolution, guiding pricing strategy for government programs and ensuring audit-ready processes.

Qualifications

• Education: Bachelor's degree in Accounting/Finance/Business.
• 10+ years progressive pharma/biotech experience.
• 5+ years in statutory Government Pricing calculations.
• MBA/CPA/JD preferred for advanced credentials.

Responsibilities

• Lead GP calculations for Medicaid AMP/Best Price, ASP, and VA Non-FAMP pricing and related reporting.
• Institute GP checks, validate modeling setup, test reasonableness, and assess business impact of GP updates.
• Oversee processing and payment of government rebates and discounts (Medicaid rebates, Medicare Part D, IRA inflation rebates).
• Ensure regulatory compliance with federal/state requirements, CMS guidance, and compliant contracting language.
• Collaborate with Contract Operations, Market Access, Gross-to-Net forecasting, and Pricing Committees; educate stakeholders via lunch-and-learns.
• Oversee third-party vendor tech platforms for contract management and rebate analysis; drive Power BI dashboards for proactive monitoring.
• Manage dispute processes with state Medicaid agencies around 340B discounts and pursue process improvements.

Skills

Leadership

Strategic thinking

Regulatory knowledge

Pricing analytics

Communication

Cross-functional collaboration

Education

Bachelor's degree in Accounting/Finance/Business

MBA/CPA/JD preferred

10+ years pharma/biotech experience

5+ years government pricing experience

Leadership of analytics teams

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.

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.

Come discover more about Otsuka and our benefit offerings; https://ah-prod.com/multi/videoplayer/player.html?v=6385356920112.

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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].