June 20th, 2022 Access & Reimbursement

Senior Director Pricing, Contracting, and Analytics

San Diego, California, United States

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Please be aware that Acadia has a mandatory COVID-19 vaccination policy for all employees.

Position Summary:

Responsible for the management and execution of the commercial contracting, data analytics, and distributor operations, while leading all aspects of the third party-administrator (TPA) and pricing team to ensure compliance with all government price (GP) reporting and contracting obligations. Collaborates with cross-functional partners, including finance, compliance, legal, distribution team, patient support services, supply chain, account management team, and others!

Primary Responsibilities:

Pricing and Access

  • Leads and conducts pricing and payer research to support pipeline and product launches while understanding and leading all aspects of payer policies and trends that impact the therapeutic area.
  • Develops awareness of U.S. healthcare market and government policy changes from a pricing and reimbursement perspective and implications on all key Collaborators to help build & drive commercial strategies.
  • Responsible for leading and operating Pricing Committee (PC) and coordinating manufacturer pricing actions and reports.
  • Benchmarks historical launch and helps build in-market pricing decisions/actions to support decision-making with appropriate historical market and environmental context.

Government Pricing

  • Leading Government Price Reporting vendors and ensuring processes and procedures are well-documented.
  • Accountable for accurate and timely submissions of GP reporting obligations, including but not limited to: AMP, BP, FCP, 340B/PHS, ANFAMP, and NFAMP.

Access Strategy

  • Aiding to the development of analytical tools and models to assess deal vs. no-deal scenarios as it relates to contracting in the areas of (Commercial and Part D), Government (DoD, VA, State Medicaid), PBM, and long term care (LTC) markets.
  • Participates in the goal-setting process for market access performance and establishes defining metrics and processes for real-time measurement in collaboration with leadership to efficiently find opportunities for innovation.

Contracting

  • Leads developing and implementing the US contracting (payer, government, distribution) and the access strategy and engagement plan.
  • Participates with the team in identifying, analyzing, and defining pricing and contract strategy around: Medicare Part D bids, Commercial, Medicaid, Federal-VA/DoD, GPO, Long-Term Care, and Distribution
  • Participates in developing a strategy around government contracting (i.e. sub-ceiling analysis-VA, Medicaid supplemental rebate agreements).

Forecasting

  • Perform mid-quarter variance analysis to assess the accuracy of forecast and summarize key drivers for senior leadership.
  • Support the short-term and long-term forecasts and supports analysis and recommendation of both inline and upcoming launch indications/products.
  • Supports pricing, contracting, and related discount forecasting for all access and reimbursement segments.
  • Leads gross to net model calculations. 

Education/Experience/Skills:

  • Bachelor's degree in finance, health care, business administration or related; Master's degree preferred. An equivalent combination of relevant education and experience may be considered.
  • Requires 10+ years of dynamically responsible experience within managed markets, access, and healthcare policy-related functions in industry or a consulting role with 5+years directly in a leadership role.

Demonstrated Experience:

  • Shown success in developing and applying strategy through the understanding of the market and industry supporting both in-line and launch of new products, exceeding formulary access and market share goals!
  • In-depth experience of reimbursement, clinical coding/terminology, managed care, and healthcare policy with Strong analytical abilities and project planning skills.
  • Proficient at crafting and delivering a clear vision among team members efficiently aligning resources and activities to achieve functional area and/or organization-wide goals.
  • Expertise in building business models, influence/impact, and decision drivers of U.S. government and commercial payers and PBM’s as well as channel customers (i.e. pharmacy and distribution, etc.)
  • Understanding of reimbursement methodologies applied by commercial and government payers under pharmacy benefits

Scope:

Establishes strategic plans for designated function(s). The individual will have direct report(s) and heads up establishing strategy and goals as well as mentor, developing, and guiding the team. Develops methods, techniques, and evaluation criteria for projects, programs, and people. Works on complicated issues where analysis of situations or data requires an in-depth knowledge of related organization-wide objectives. Erroneous decisions will have a serious impact on the overall success of the functional area and may impact the long-term advancement of the Company. Ability to travel up to 10% of the time.

#LI-REMOTE #LI-MH1

What we offer you:

  • Competitive base, bonus, new hire and ongoing equity packages
  • Medical, dental, and vision insurance
  • 401(k) Plan with a fully vested company match 1:1 up to 5%
  • Employee Stock Purchase Plan with a 2-year purchase price lock-in
  • 15+ vacation days
  • 14 paid holidays plus one floating holiday of your choice, including office closure between December 24th and January 1st
  • 10 days of paid sick time
  • Paid parental leave
  • Tuition assistance

EEO Statement:

Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every single one of the qualifications in the exact way they are described in job postings. We are committed to building a diverse, equitable, inclusive, and innovative company and we are looking for the BEST candidate for the job. That candidate may be one who comes from a less traditional background or may meet the qualifications in a different way. We would strongly encourage you to apply – especially if the reason you are the best candidate isn’t exactly as we describe it here.

It is the policy of Acadia to provide equal employment opportunities to all employees and employment applicants without regard to considerations of race, including related to hairstyle, color, religion or religious creed, sexual orientation, gender, gender identity, gender expression, gender transition, country of origin, ancestry, citizenship, age, physical or mental disability, genetic information, legally-protected medical condition or information, marital status, domestic partner status, family care status, military caregiver status, veteran or military status (including reserve status, National Guard status, and military service or obligation), status as a victim of domestic violence, sexual assault or stalking, enrollment in a public assistance program, or any basis protected under federal, state or local law.

As an equal opportunity employer, Acadia is committed to a diverse workforce. If you are a qualified individual with a disability or a disabled veteran, you have the right to request a reasonable accommodation. Furthermore, you may request additional support if you are unable or limited in your ability to use or access Acadia’s career website due to your disability, along with any accommodations throughout the interview process. To request or inquire about your reasonable accommodation, please complete our Reasonable Accommodation Request Form or contact us at [email protected] or 858-261-2923.

Please note that reasonable accommodations granted throughout the recruiting process are not guaranteed to be the same accommodation given if hired. A new request will need to be submitted for any ADA accommodations after starting employment.