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