Managed Care Contracting Associate Director

Vertex US Distribution; United States; Hybrid; USD 152,000 - 228,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

Generous paid time off

Educational assistance programs

Job summary

Vertex seeks a Managed Care Contracting Associate Director to lead end-to-end contract processes across payer, provider, trade and hospital groups. You will partner with Finance, Legal, and Market Access to optimize pre- and post-deal analytics, negotiations, and administration of contract opportunities, ensuring alignment with company strategy and marketplace dynamics.

You will influence GTN forecasting and pricing decisions, develop scalable processes, and support cross-functional teams to

Qualifications

• Bachelor’s Degree in a business discipline required.
• Typically requires 8 years minimum experience in payer contracting, contract administration and/or analytics in Pharmaceutical, Life Science or related industries.

Responsibilities

• Manage end-to-end contract development across Payer, Provider, Trade & Distribution, and Hospital Group Purchasing Organizations.
• Coordinate pre-deal and post-deal analytics, negotiations and governance reviews.
• Develop and improve internal processes with Finance, Legal and Market Access teams.
• Maintain bid/offers calendars and communicate contract status.
• Transition executed contracts to operations for implementation or adjudication.
• Provide insights to inform GTN forecasting, contracting, and pricing strategies.
• Support Account Managers with ad-hoc analyses and performance reviews.
• Apply financial models to evaluate business scenarios.

Skills

Contracting

Pre/post-deal analytics

Negotiation

Cross-functional collaboration

Finance understanding

Pricing & rebates

Excel proficiency

Detail oriented

Education

Bachelor’s Degree in Business

Tools

Excel

Word

PowerPoint

Job description

General Summary

The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating pre- and post-deal analytics, negotiation, and administration of all Payer, Provider, Trade & Distribution, and Hospital Group Purchasing Organization contracts. This person will partner with, among others, Account Management, Finance, Government Pricing & Rebate Operations, GTN, Legal, Marketing, Payer Marketing, Trade Strategy and Accounts to ensure appropriate identification and evaluation of contracting opportunities. These responsibilities will apply across all Vertex marketed product lines and pipeline products.

Key Duties and Responsibilities

• Manage the end-to-end contract (Payer, Provider, Trade & Distribution, Hospital Group Purchasing Organizations) development process, including working with cross-functional partners on pre-deal analytics, negotiations, and post-deal analytics as well as the logging, tracking, reporting and facilitation of contract opportunities through the governance, negotiation/redlining and legal review processes


• Develop, maintain and improve strong internal processes and documentation working across the Finance, Legal and Market Access teams


• Maintain calendar and matrix of bids/offers and coordinate communication of contract development and execution status


• Facilitate the transition of executed contracts to the appropriate operational team for implementation and/or adjudication, including outlining key terms and providing detailed explanations, as necessary


• Provide insights to the business that inform GTN forecasting, contracting, and pricing decisions and strategies, and general business planning


• Strong cross functional collaboration in support of internal contract processing, review, and reporting


• Assist Account Managers with ad-hoc analysis, business planning, and contract performance review


• Use financial models to perform and verify calculations for business scenarios, as needed


• Advise on strategic and operational issues and requirements related to contract administration including any matters relating to rebate analysis and payments, as well as resolution of disputes on rebate claims

Knowledge and Skills

• Progressive business experience in finance, accounting, sales, government pricing, contracting, or other related area


• Understanding of pharmaceutical pricing government programs and associated regulations and the ability to determine the impact of contracts on them


• Highly analytical and detail oriented, with the ability to define problems, research proposed solutions, analyze the short- and long-term implications, propose and present the results to key stakeholders and implement solutions


• Advanced Microsoft Excel, Word and PowerPoint skills


• Superior organizational and project management skills as well as polished written and verbal communication skills


• Excellent interpersonal skills, customer service commitment, and detail orientation with the ability to work across the organization and external subject matter experts


• Be self‑motivated, requiring minimal supervision, and able to contribute as a team player


• Ability to multitask, shift gears and pivot when necessary, and be comfortable working under constant deadlines


• Deep working knowledge of the pharmaceutical and managed care industry including market dynamics and the competitive landscape of formulary coverage, market share and profitability

Education and Experience

• Bachelor’s Degree in a business discipline required


• Typically requires 8 years minimum experience in payer contracting, contract administration and/or analytics experience in the Pharmaceutical, Life Science or related Industries or the equivalent combination of education and experience

Pay Range

$152,000 - $228,000

Disclosure Statement

The range provided is based on what we believe is a reasonable estimate for the base salary pay range for this job at the time of posting. This role is eligible for an annual bonus and annual equity awards. Some roles may also be eligible for overtime pay, in accordance with federal and state requirements. Actual base salary pay will be based on a number of factors, including skills, competencies, experience, and other job‑related factors permitted by law. At Vertex, our Total Rewards offerings also include inclusive market‑leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.

Benefits

• Medical, dental and vision benefits


• Generous paid time off (including a week‑long company shutdown in the Summer and the Winter)


• Educational assistance programs including student loan repayment


• Generous commuting subsidy


• Matching charitable donations


• 401(k)


• and so much more

Flex Designation

Hybrid-Eligible Or On-Site Eligible

Flex Eligibility Status

In this Hybrid-Eligible role, you can choose to be designated as: 1. Hybrid: work remotely up to two days per week; or select 2. On‑Site: work five days per week on‑site with ad hoc flexibility. Note: The Flex status for this position is subject to Vertex’s Policy on Flex @ Vertex Program and may be changed at any time.

Company Information

Vertex is a global biotechnology company that invests in scientific innovation.

Equal Employment Opportunity

Vertex is committed to equal employment opportunity and non‑discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law.

Vertex is an E‑Verify Employer in the United States.

Vertex will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law. Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager, or contact Talent Acquisition at [e-mail]

Mission

Vertex is a global biotechnology company that invests in scientific innovation to create transformative medicines for people with serious diseases and conditions. The company has approved therapies for cystic fibrosis, sickle cell disease, transfusion‑dependent beta thalassemia, acute pain and acromegaly, and it continues to advance clinical and research programs in these areas. Vertex also has a robust clinical pipeline of investigational therapies across a range of modalities in other serious diseases where it has deep insight into causal human biology, including IgA nephropathy, neuropathic pain, APOL1‑mediated kidney disease, primary membranous nephropathy, congenital adrenal hyperplasia, ACTH‑dependent Cushing’s syndrome, autosomal dominant polycystic kidney disease, type 1 diabetes, generalized myasthenia gravis, and myotonic dystrophy type 1.

Vertex was founded in 1989 and has its global headquarters in Boston, with international headquarters in London. Additionally, the company has research and development sites and commercial offices in North America, Europe, Australia, Latin America and the Middle East. Vertex is consistently recognized as one of the industry's top places to work, including 16 consecutive years on Science magazine's Top Employers list and one of Fortune’s 100 Best Companies to Work For.

For company updates and to learn more about Vertex's history of innovation, visit www.vrtx.com or follow us on LinkedIn, Facebook, Instagram, YouTube, and X

Culture

We believe our culture is one of Vertex’s greatest strengths and a key enabler of our ability to deliver transformative medicines for patients who need them. Rooted in innovation, purpose and collaboration, our culture empowers people to take smart risks, challenge conventional thinking and do their best work. The diversity of our people is central to that culture. By bringing together individuals with different backgrounds, experiences and perspectives, we foster an environment where new ideas thrive, better decisions are made and breakthrough innovation is possible. We are committed to creating a workplace where everyone feels valued, included and connected to our shared mission, because we know that our unique culture and the collective strength of our people are what set Vertex apart.