Sr. Director, Strategic Pricing & Contracting

Company

Veloxis Pharmaceuticals, Inc.

This position is responsible for oversight and management of pricing, contracting, government price reporting, and gross-to-net (GTN) strategies for the company’s products. The incumbent leads contract negotiations, pricing analysis, account management, and policy interpretation, ensuring compliance with all applicable regulations and company policies. This role has high organizational visibility with significant impact on performance outcomes and requires a deep understanding of pricing methodologies, market dynamics, compliance requirements, and effective negotiation skills.

• Develop and implement pricing strategies for the company’s products considering market competition, product lifecycle, reimbursement policies, and compliance with government pricing guidelines (e.g., fair market value).
• Create comprehensive assessments of all pricing decisions, contract strategies, and Gross-to-Net impacts for existing and prospective products, including financial forecast modeling and impact analysis for presentation to the Pricing Committee and executive leadership.
• Develop loss‑of‑exclusivity and lifecycle strategies, including generic mitigation, deal structuring, pharmacy channel and discounting strategies to proactively manage generic entry and MAC pricing impacts.
• Chair the Pricing Committee and maintain and operationalize the Committee governance SOP.
• Ensure compliance with federal and state regulations, including MDRP, CMS, 340B, and government price reporting requirements.
• Own 340B program integrity, including Medicaid and managed‑care rebate duplicate discount dispute operations, third‑party vendor relationships, Medicaid dispute accrual reconciliation, and program design.
• Work with internal stakeholders on contract negotiation strategies with health care providers, payers, GPOs, PBMs, Medicare PartD plan sponsors, government agencies, managed‑care organizations, and other stakeholders.
• Lead pricing and GTN work streams for business development opportunities, integrations, and coordinate international pricing methodologies with the parent organization.
• Monitor and analyze pricing trends, competitive pricing strategies, market access opportunities, and government pricing standards to make strategic decisions and recommendations.
• Proactively monitor and communicate changes in government policies, regulations, pricing guidelines, and legislation that may impact company pricing and contracts.
• Work closely with Medical Affairs, Marketing, Commercial Operations, Field Sales, Ethics and Compliance, and Legal departments to align business objectives and pricing/contracting strategies.
• Oversee contract execution with healthcare organizations, wholesalers, and distributors to ensure timely and compliant execution of contractual obligations.
• Lead IRA implementation across PartB and PartD, including Medicare rebate negotiations with plans/PBMs (e.g., ESI, Optum), GLOBE/GUARD execution, internal pricing risk modeling, and strategies to align with and mitigate legislative changes impacting pricing and discounts.
• Oversee all data and analysis related to pricing, contracts, and reimbursement, including contract modeling and analytics to support Pricing Committee decision‑making and ensure compliance.
• Manage third‑party government pricing and analytics vendor relationships, lead vendor transitions and platform migrations.
• Monitor the performance of service providers for government pricing calculations, dispute resolution platforms, state transparency filing vendors, and managed‑market/Medicaid rebate processing to ensure accurate and timely government pricing calculations and reporting.
• Assess risks and develop mitigation solutions for potential government pricing compliance violations and/or pricing disputes.
• Identify and implement improvements and efficiencies with existing processes and as additional products are added.
• Ensure compliance with State Drug Pricing Transparency regulations and reporting.

• BS / BA in business, healthcare administration, finance, or another related discipline.
• 10+ years’ experience in pharmaceutical pricing and…