Director, Government Pricing Operations (Remote)

Job Description

Job Description :

Vertex Pharmaceuticals Inc. Position Description

Job Title : Director, Government Pricing Operations

Department : U.S. Market Access - Access Operations & Analytics

Location : Remote Eligible

Reports To : Senior Director, Price Reporting

Job Description :

The Director, Government Pricing Operations is a key leadership role within Vertex's U.S. Market Access- Access Operations and Analytics team. This individual will lead government pricing (GP) analysis, calculations, and reporting, ensuring compliance with federal and state requirements. The role is also integral to the company's readiness for product launches across multiple therapeutic areas and the evolving complexity of pricing regulations.

This individual will manage a team of GP analysts, collaborate cross-functionally, and serve as a subject matter expert in government pricing methodologies, operations and systems.

Key Responsibilities :

Government Pricing Operations & Compliance

• Lead the execution of GP calculations and submissions for all federal programs, including Medicaid, Medicare, 340B, and VA / FSS.
• Ensure accurate and timely calculation of all mandatory government pricing reports, including AMP, BP, ASP, nFAMP, PHS / 340B, and FCPs.
• Oversee system reconciliations between the government pricing platform and general ledger.
• Oversee pricing compliance activities, including monthly and quarterly submissions to CMS, HRSA, and FSS, as well as annual processes for Public Law and SAM.gov.
• Knowledge of bundling, discount reallocation and price protection, including calculation impacts.
• Understands the end-to-end requirements and data sources needed for GP calculation processes, and is experienced in validation, trouble-shooting data issue from multiple sources / systems. Manages any data issue resolution timely.
• Knowledgeable on bundling, discount reallocation, Bonafide services fees, and price protection impacts.
• Maintains controls and documentation to support SOX compliance and audit readiness.
• Interpret and implement updates to CMS guidance, federal regulations, and industry standards.

Leadership & Team Management

Cross-Functional Collaboration

Process Improvement & Strategic Planning

Qualifications :

Additional Information :

Pay Range : $164,000 - $246,000

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 ApplicationAssistance@vrtx.com