Senior Manager, Government Pricing

POSITION SUMMARY

The Senior Manager, Federal Government Price Reporting & Compliance role within the US Market Access Department is a new position within in the US Payer and Market Access Organization.

This position will manage contractual obligations for programs administered by Centers for Medicare and Medicaid Services (CMS), Public Health Services 340B drug discount program and Federal Supply Schedule, Department of Veteran Affairs & Department of Defense programs. This position will support Government Pricing operations, including 3PL data validation used for all Government Pricing Calculations, analysis of pricing calculation drivers, support of system/reporting enhancements, as well as product launch activities.

JOB FUNCTIONS/RESPONSIBILITIES 

• Administers activities related to Mirum compliance with all government mandated contracting and price administration, including all state related activities. This includes including management of pricing calculations, reporting and certification requirements, trading partner management and eligibility, launch pricing, refunds, and related financial analysis


• Responsible for contract compliance with the Federal Supply Schedule VA and DoD contracts, including quarterly and annual price calculations (NFAMP, FCP), contract solicitations and maintenance, new product pricing submissions, RFM’s, Public Law submissions, state pricing transparency submissions, Tracking Customer monitoring, and annual SAM.gov certification


• Support contracting strategy analyses for the FSS segment, including the impact of TPRs, BPAs, national contracts etc.


• Assists in the development of policies, procedures and calculation methodologies supporting all government and state pricing calculations to ensure ongoing compliance with external and internal requirements and guidance including new law and regulations


• Assists in the implementation of system & process improvements across all the various calculations and within the integrated IT data systems. Provides guidance and oversight to the Data Technology Engineering (DTE) team for related testing


• Reconciles third party and internal transactional data including sales, chargebacks, credits, fees, and other applicable discounts. Collaborates with Trade and Distribution, Accounting and the contracted specialty pharmacy/HUB for timely resolution of any data processing errors, reconciling items and/or adjustments. Coordinates resolution of data scrubs and/or validations


• Assesses data adjustments to government pricing data. Maintains detailed support for all required data modifications


• Analyzes calculation results to help provide insight into key result drivers and variances to government pricing forecasting assumptions


• Collaborates with various departments to resolve source system data issues identified in data reconciliation and validation processes prior to calculations being processed and work to resolve to ensure that systemic issues are fully resolved


• Coordinates and systematically documents government pricing adjustments to data as required


• Validate all chargeback pricing and eligibility


• Calculate and submit timely Quarterly PHS pricing to HRSA-OPAIS


• Collaborate with Rebates and Chargebacks Team to communicate pricing to all distribution partners on a timely basis


• Calculate 340B liability and refund due to the Government due to launch pricing and/or Medicaid AMP/URA restatement


• Calculate and submit timely Provisional, Temporary, Permanent, Quarterly and Annual NFAMP/FCP to VA


• Validates Tricare rebates prior to payment


• Lead and perform all Public Law calculations and submissions including coordination within USMA Payer Account team


• Take a lead role in coordinating the FSS Solicitation submission every 5 years


• Initiate and manage the annual FSS FAR compliance review with all stakeholders for SAM.gov certification


• Lead and/or support identification of process improvement opportunities


• Supports ad-hoc pipeline planning and G2N/contracting scenario planning calculation activities and projects


• Maintains an awareness of constantly changing government regulatory landscape and assist in assessing impact to Mirum


• Ensures audit preparedness

QUALIFICATIONS

Education/Experience:

• 4-6 years of experience in Government Pricing and Contract management


• Bachelor’s Degree required


• Knowledge of U.S. Government pricing statutes and regulations including knowledge of Medicaid, Medicare, VA Healthcare Act and Public Health Services Act


• Ability to establish and maintain strong working relationships with varying levels of government representatives (VA Contracting Officers, Office of Inspector General, etc.)


• Analytical and problem-solving skills


• Attention to detail and a high degree of accuracy are necessary to ensure compliance with timelines, internal policies, laws and regulations


• Strong Excel and Word skills are required


• A self-starter: ability to work independently


• Effective written and oral communication skills


• Ability to develop and communicate potential enhancements to operating processes and procedures


• Demonstrate compliance, company values and required competencies on a consistent basis

Preferred Experience:

• Involvement in launch preparation or commercialization of a rare disease therapy


• Experience with Inflation Reduction Act (IRA) compliance, inflation penalties, and CMS inflation rebate modeling


• Government and state pricing transparency calculation and reporting requirements


• Knowledge of class-of-trade strategy, chargeback validation, and specialty distribution models

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