Director, Government Pricing & Reimbursement

Otsuka America Pharmaceutical Inc.; Denver (CO); On-site; USD 186,000 - 279,000; Full time

Job summary

Otsuka America Pharmaceutical Inc. is seeking a Director of Government Pricing to lead all federally required price calculations, including AMP, Best Price, ASP, and VA Non-FAMP pricing, and to oversee quarterly and annual reporting and audits.

The role drives GP checks, data validation, and collaboration with legal, contract operations, and pricing teams to ensure compliant pricing strategies across U.S. government programs.

Qualifications

• Bachelor's degree in Accounting, Finance, or Business Administration is required.
• 10+ years of progressive pharmaceutical or biotech experience.
• Minimum 5+ years focused on statutory Government Pricing calculations, operations and compliance.
• Proven management of technical analyst teams and external audits.

Responsibilities

• Government Pricing Calculations & Reporting: Lead calculations for Medicaid AMP/Best Price, ASP, and VA Non-FAMP; manage quarterly/annual certifications and data validation with audit teams.
• Reimbursement Operations: Oversee government rebates, discounts, and contracts (Medicaid rebates, Medicare Part D, IRA; FSS, DoD BPAs; state negotiations).
• Regulatory Compliance & Policy Management: Ensure compliance with federal/state requirements; monitor price transparency, Medicare Drug Price Negotiation under IRA; develop compliant contracting language.
• Strategic Responsibilities/ Cross-Functional Partnership: Collaborate with Contract Operations, Market Access, Gross-to-Net, and Pricing Committees; educate stakeholders on government pricing implications.
• Systems & Data Management: Oversee vendor/technology platforms for contract management and rebate analysis; drive Power BI dashboards for proactive monitoring.
• Dispute Resolution & Operational Excellence: Manage disputes with state Medicaid agencies and reduce manual workload to free time for strategic analysis.

Skills

Leadership

Cross-functional collaboration

Regulatory pricing knowledge

Data analysis

Education

Bachelor's degree in Accounting, Finance, Business Administration

MBA, CPA, or JD preferred

Job description

Otsuka America Pharmaceutical Inc. is seeking a Director of Government Pricing to lead all federally required price calculations, including AMP, Best Price, ASP, and VA Non-FAMP pricing, and to oversee quarterly and annual reporting and audits.

The role drives GP checks, data validation, and collaboration with legal, contract operations, and pricing teams to ensure compliant pricing strategies across U.S. government programs.