Government Pricing & Rebate Operations Lead

Moonlaketx; Miami (FL); On-site; USD 140,000 - 180,000; Full time

Benefits offered by this job

Learning Environment

Impactful Work

Flexibility and Balance

Career Growth

Job summary

MoonLake is seeking a Government Pricing & Rebate Operations Lead to establish, manage, and oversee all government pricing systems and rebate processing.

This role will lead vendor relationships (Eversana, Integrichain, Riparian) and partner with finance, legal, and access strategy to ensure compliant post-commercial pricing obligations.

From pre-launch to post-launch, you will drive MDRP readiness, 340B setup, state price reporting, SOP development, data governance, and revenue integrity.

Qualifications

• 7 years of U.S. government pricing or pharma revenue management experience.
• Experience managing rebate processing and GP compliance vendors.
• Strong knowledge of AMP, BP, URA, 340B, and Medicaid/Medicare pricing.
• Familiarity with state price transparency laws and disclosures.
• Excellent project management and documentation skills.

Responsibilities

• Vendor selection and onboarding for GP operations and SLA definition.
• Prepare for MDRP readiness including AMP, BP, URA calculations.
• Support 340B eligibility setup and ceiling price establishment.
• Develop state price transparency systems for CA, OR, NV, VT.
• Create SOPs for pricing data flows and rebate calculations.
• Collaborate with finance on GTN forecasting and revenue recognition.
• Oversee CMS submissions of AMP, BP, URA values.
• Ensure audit readiness and data governance for pricing data.

Skills

Vendor management

Cross-functional collaboration

Project management

SOP development

Pricing and rebate knowledge

Data analysis

Launch readiness

Regulatory awareness

Education

Bachelor’s degree

Advanced degree preferred

Job description

Job Purpose

The Government Pricing & Rebate Operations Lead is responsible for establishing, managing, and overseeing all systems and operational processes related to government pricing as well as rebate administration and processing, and state-level price reporting. This role will lead the design and implementation of the revenue management infrastructure required for compliant price reporting and rebate processing. The individual will manage vendor relationships and serve as the operational interface with finance, legal, and access strategy. As a key function within the broader market access team, this role ensures accurate and compliant execution of all post-commercial government pricing obligations.

Your profile

Major Accountabilities

• Pre-Launch (T–24 to Launch)

• Vendor and platform selection : Select and oversee vendors supporting GP operations (e.g., Eversana, Integrichain, Riparian), contracting, onboarding and SLA definition

• GP readiness: Prepare for participation in the Medicaid Drug Rebate Program (MDRP), including AMP, BP, and URA calculations

• 340B program setup: Support setup and compliance for 340B eligibility and ceiling price establishment

• State price transparency: Develop systems and processes for managing state-level price disclosure requirements (e.g., CA, OR, NV, VT)

• Operational documentation: Build and document SOPs for all pricing data flows, government submissions, and rebate calculations

• Finance partnership: Work closely with finance to align on GP assumptions in GTN forecasting and revenue recognition

• Systems integration: Ensure integration of GP and rebate systems with finance, ERP, trade, and chargeback systems

• Testing & validation: Conduct end-to-end user testing of government pricing systems, rebate workflows, and validation mechanisms

• Training & compliance: Provide internal training on GP policies and ensure compliance controls are embedded in launch operations

• Post-Launch (T 0 to T 12 Months)

• CMS submissions: Oversee timely and accurate submission of AMP, BP, and URA values to CMS and other government entities

• Rebate validation: Manage Commercial, Medicaid and Medicare rebate operations including invoice validation, dispute resolution, and payment processing

• 340B compliance: Monitor 340B chargeback transactions and support audit readiness for covered entity pricing integrity

• State reporting: Ensure ongoing compliance with state-level price transparency and reporting obligations

• Vendor oversight: Lead operational oversight of GP and rebate vendors, ensuring KPIs, SLA performance, and issue resolution

• Data governance: Maintain audit trail, version control, and validation protocols for all pricing and rebate data

• Revenue integrity: Partner with finance and pricing leads to reconcile GTN assumptions with actual rebate and chargeback activity

• Lifecycle expansion: Support operational readiness for new indications, formulations, or label expansions impacting GP or rebate terms

Job Requirements

Education:

• Bachelor’s degree required
• Advanced degree (MSc, MBA, PhD, PharmD, or MD) strongly preferred

Experience:

• 7 years of experience in U.S. government pricing, rebate operations, or pharma revenue management
• Experience managing vendors and outsourced providers of rebate processing and GP compliance (e.g., Eversana, Integrichain, Riparian)

Skills/knowledge/behavioural competencies:

• Strong understanding of AMP, BP, URA, 340B, and Medicaid/Medicare Part D pricing and rebate mechanics
• Familiarity with state transparency laws and operational requirements for compliant disclosure
• Excellent project management and documentation skills, including SOP development and audit preparation
• Strong cross-functional collaboration with finance, legal, pricing, trade, and IT stakeholders
• Detail-oriented and process-driven mindset, with strong data and analytical capability
• Ability to work in a launch environment and build processes from the ground up

Why us?

An exciting job opportunity awaits you!

MoonLake is a dynamic and innovative company pushing the boundaries of possibility, and we are looking for passionate individuals to join our stellar team.

What we offer:

Learning Environment: An opportunity to learn and grow alongside experienced professionals in a supportive and innovative biotech environment.

Impactful Work: Contribute to ground-breaking projects that have the potential to transform global healthcare.

Flexibility and Balance: Enjoy a healthy work-life balance while making meaningful contributions to our team.

Career Growth: A clear path for career progression, with the chance to take on more responsibilities as you develop your skills.