Senior Director, Government Pricing

Vertex Pharmaceuticals Incorporated; Boston (MA); Hybrid; USD 232,000 - 348,000; Full time

Job summary

Vertex Pharmaceuticals Incorporated seeks a Senior Director of Government Pricing to lead a cross-functional team responsible for compliance, pricing analytics, and state transparency reporting. You will collaborate across managed markets, payer teams, and legal to ensure robust pricing governance and regulatory alignment.

The role requires 12+ years in pharma with 5+ years in leadership, strong GTN forecasting, and deep knowledge of US payer programs.

Qualifications

• Bachelor's degree required.
• 12+ years in pharma/biotech or relevant consulting; 5+ years supervisory experience.
• Strong knowledge of US payer landscape and pricing programs (AMP, BP, ASP, 340B).
• Experience forecasting, modeling and estimating GTN financial impacts.
• Excellent written, verbal and presentation skills.

Responsibilities

• Serve as SME on Government Pricing calculations, methodologies, and reporting obligations.
• Oversee all Government Pricing calculations and compliance (AMP, BP, ASP, NonFAMP, 340B).
• Lead analytics and scenario planning for Medicaid, Medicare and 340B changes.
• Support contract development and ensure rebate and payment processes align with terms.
• Oversee state price transparency reporting and forecast GTN impacts.
• Collaborate with GIS to upgrade Revitas modules timely and compliantly.
• Sponsor or lead cross-functional initiatives; mentor team members.
• Lead external audits and SOX compliance activities; implement regulatory changes.

Skills

Forecasting GTN impacts

US payer landscape

Written & verbal communication

Cross-functional leadership

Contracting strategy

Government payers knowledge

GXP familiarity

Chargebacks processes

Revitas or Model N

Education

Bachelor's degree

Tools

Revitas

Model N

Job description

Job Description

General Summary:

The Senior Director, Government Pricing will lead the tactical, compliance, and strategic oversight of the Government Pricing and Transparency team. The team is comprised of complementary functions: Government Pricing Operations, Compliance, and State Price Transparency. This position will collaborate closely with the Managed Markets Specialty Pharmacy and Payer Field teams, Accounting, Legal, Finance, Global Information Systems, Government Affairs and Public Policy, OBIE, Treasury, Regulatory, Quality, and Pharmaceutical Operations. This role will demonstrate a level of detail, strategic understanding of Vertex business priorities, and executive presence.

Key Duties and Responsibilities:

• Serve as subject matter expert on Government Pricing calculations, methodologies, reporting obligations and Bonafide Service Assessments.
• Oversees and approves all Government Pricing (AMP, BP, ASP, NonFAMP and 340B) calculations, documentation, and reasonable assumptions, ensuring accuracy and compliance to regulations.
• Leads analytics and scenario planning efforts that proactively evaluates changes to Government (Medicaid, FSS, Medicare and 340B) programs considerations for in-line and launch products
• Supportcontract development efforts and collaborate with business partners with contract negotiations; ensures operational viability of rebate and payment processes contemplated by contract terms.
• Oversee state price transparency reporting
• Tracks state regulations and forecast assumptions; measures financial impacts to GTN
• Partners with GIS to ensure timely and compliant upgrades to Revitas modules.
• Sponsors or leads complex, cross-functional initiatives
• Leads, mentors, and develops team members to strengthen team expertise and performance
• Lead and oversees external audits and SOX compliance activities
• Lead and support implementation of regulatory changes
• Partner with legal and compliance to ensure operational alignment with current regulatory requirements.
• Oversee Bona Fide Service Fee assessments.

Knowledge and Skills:

• Experience with forecasting, modeling and estimation of financial impacts to GTN
• Demonstrated knowledge of US payer landscape and public policy developments
• Strong written, communication and presentation skills
• Experience leading people/teams with excellent cross-functional leadership and collaboration skills
• Experience in leading contracting strategy, contract management and contract operations a plus
• Advanced understanding of commercial and government payers
• Familiarity with distributors, 3PLs, limited distribution networks and specialty products
• Dedication to cross-functional partnership and building/maintaining positive relationships across teams
• Familiarity with distribution practices in assigned geographic region(s)
• An advanced understanding of FSS and CMS statutory programs and price calculations (NFAMP, IFF, AMP, BP, URA), State Price Reporting requirements, the 340B Program, Coverage Gap Discount Program and Tricare.
• Familiarity with chargebacks processes and membership management
• Experience with Revitas or Model N systems
• Knowledge of GXP

Education and Experience:

• Bachelor's degree required
• 12+ years of professional experience in pharma/biotech industry/ relevant consulting environment, including 5 years of supervisory/management experience, or the equivalent combination of education and experience

Pay Range:

$232,000 - $348,000

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. From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a 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.

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]