Head of Govt Pricing & Reimbursement

Full Time
Atlanta, GA
Posted
Job description

Make your mark for patients


We are looking for a Head of Government Pricing & Reimbursement to join us in our Contracts & Pricing team based in Atlanta, GA or remote.


About the role

The Head of Gov’t Pricing & Reimbursement (GP&R) is responsible for all aspects of UCB Government Pricing Calculations and Reimbursement processes and serves as primary channel of communication in the area of GP&R between UCB and states or government agencies.


Who you’ll work with

The Head of GP&R leads two managers with their respective teams and is responsible for assuring calculations and payments are accurate and on time. In addition, the Head of GP&R is responsible for communicating results, trends and analysis to senior leadership within UCB including changes proposed or implemented in the external landscape (new guidance / regulations) for gov’t programs.


What you’ll do

  • All Gov’t pricing calculations: Medicaid (AMP, BP, URA), 340b (AMP, URA, CP), Medicare Part B (ASP), Federal Supply Schedule (NFAMP, FCP, Tracking Customers).
  • State Price Transparency reporting: Price changes, Product launches
  • All Gov’t programs reimbursements: Medicaid (Medi, MCO, ADAP, SPAP, Supplementals), Medicare Coverage Gap, Tricare, FSS IFF. This responsibility includes updates in Medicaid due to restatements and reimbursement to 340b entities due to overcharges as a result of restatements or other factors.
  • Oversight of Supplemental Medicaid proposals, analysis, approvals, and submissions during the bid process.
  • Impact analysis due to internal changes (WAC changes, contract price changes) as well as external changes (CMS, VA guidance updates and proposals).
  • Ensuring the GP&R team is properly trained on UCB SOPs and systems.
  • Partner with UCB legal (and outside counsel) to ensure appropriate interpretation of guidelines and proposals from both internal and external sources.
  • Coordinate with Legal, Compliance and State Government Relations team to monitor and respond to state price transparency reporting requirements.
  • Monitoring legislation and Pricing & Reimbursement trends and assess strategic and operational implications.
  • Leading the implementation of system & process improvements across the various calculations and within the integrated Model N system as appropriate as well as providing guidance and oversight to the team for related testing.
  • Adherence to all applicable laws, regulations, corporate and business unit standards and requirements


Interested? For this role we’re looking for the following education, experience and skills

  • Bachelor’s Degree, Master’s Degree preferred
  • 5+ years of experience in a leadership position in pharmaceutical Government Pricing Reimbursement
  • 15+ plus years of relevant government pricing, business operations and/or finance experience
  • Thorough knowledge of the different state and federal government agencies that purchase pharmaceutical/biotechnology or related industry products
  • Thorough knowledge of the current policies and guidelines that affect government programs, pricing and payment adjustments (e.g., Medicare, Medicaid)
  • Proven success in managing a team
  • Proven success in developing and implementing process improvement strategies with knowledge and ability to implement effective internal control


Are you ready to ‘go beyond’ to create value and make your mark for patients? If this sounds like you, then we would love to hear from you!

About us
UCB is a global biopharmaceutical company, focusing on neurology and immunology. We are around 8,500 people in all four corners of the globe, inspired by patients and driven by science.

Why work for us?
At UCB, we don’t just complete tasks, we create value. We aren’t afraid to push forward, collaborate, and innovate to make our mark for patients. We have a caring, supportive culture where everyone feels included, respected and has equitable opportunities to do their best work. We ‘go beyond’ to create value for our patients, and always with a human focus, whether that’s on our patients, our employees or our planet. Working for us, you will discover a place where you can grow, and have the freedom to carve your own career path to achieve your full potential.

Learn more about sustainability at UCB and how it is integrated into our business approach.

UCB and its subsidiaries encourage diversity and inclusion in the workplace; we are an Equal Opportunity Employer. We do not discriminate on the basis of race/colour/religion/sex/national origin/veteran/disability/age/sexual orientation/gender identity.

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