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Job Description

Manager, Government Pricing

Takeda Pharmaceutical

Exton, PA

About the role:

Are you looking for a patient-focused, innovation-driven company that will inspire you and empower you to shine? Join us as the Manager, Government Pricing. As the Manager, Government Pricing, you will lead development, implementation and management of processes, programs and policies to ensure that Takeda's government pricing and rebate submissions are compliant with all Federal and State regulations. Ensures timely and accurate filing of all government reports to avoid significant monetary penalties assessed by various government agencies for late or inaccurate reporting.

How you will contribute:

• Key tasks for this position include financial/business analytical support to Price Forecasting, Finance, and Managed Markets, as well as collaborating with legal to ensure the accuracy and integrity of Takeda's government reporting obligations.

• Support pricing matrices, modeling and reporting for federal health care programs with the highest efficiency and compliance while adhering to strict timelines, accuracy targets, laws and regulations.

• Advises Senior Director of Contracts, Senior Director/Director of Government Pricing, and sales/marketing counterparts about the impact/risk of strategies and trends on government liability and compliance. Consults with Legal department on changes to policies and procedures as well as calculation methodologies.

• This leadership position is also responsible for the training and mentoring of government analysts and also requires an in-depth understanding of Takeda's commercial discount/rebate agreements and contract strategies to allow for the proper treatment in each stated price reporting methodology.

• Directly oversee the statutory calculations to ensure compliance with the requirements of Federal/State healthcare programs and regulations impacting USBU Finance, Contracts and Pricing. The regulations related to the following programs:

  • Medicaid Drug Rebate Program (MDRP) through Health and Human Services, Centers for Medicare and Medicaid Services

  •  Public Health Service (PHS) Program through Health and Human Services, Office of Pharmacy Affairs

  • State Supplemental Rebate Agreements through individual state Medicaid Programs

  • State Funded Pharmacy Assistance Programs (SPAPs)

  • Medicare Part B Program through Health and Human Services, Centers for Medicare and Medicaid Services.

• Direct the development of required computer systems, software, internal policies and procedures necessary to managed Takeda's contracts with managed markets customers. Ensure any system changes required due to changes in statute are sufficiently tested prior to implementation in Production.

• Provide strategic guidance on the contractual development of price protection, bundling, stocking discounts, etc., to mitigate impact on AMP/BP and resulting unit rebate amounts used in state claims. Assist with additional GP calculations when necessary,

• Plays a leadership role in providing expert validation and review processes to ensure cross-team consistencies and coaches the team on how to process claims, analyze data under variance pricing matrices.

Minimum Requirements/Qualifications:

• Bachelor's degree minimum requirement, Masters degree preferred

• 6+ years of experience in the pharmaceutical industry, preference for Government Pricing, Managed Markets, Audit and/or Finance.

• Anticipates and prepares for specific future opportunities or obstacles, calculating appropriate associated risks

• Ability to think through how decisions will impact Takeda, customer and stakeholders prior to execution.

• Comprehensive understanding of the pharmaceutical industry, government programs, rebates and calculations, finance & systems.

• Thorough knowledge of MDRP based calculations (AMP, BP, ASP, PHS), the Federal Supply Schedule (FSS), Non-Federal Average Manufacture Price (NFAMP), and Federal Ceiling Price (FCP) calculations.

• Specific knowledge and familiarity with the OBRA 1993, the Balanced Budget Act of 1999, the Medicare Modernization Act of 2005, the Veterans Health Care Act of 1992, the Deficit Reduction Act of 2007 (DRA), and the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act (HCERA), together called the Affordable Care Act. 

• Extensive knowledge of government pricing applications, chargeback and rebating systems and commercial discounting strategies to ensure leadership is aware of overall impact to the MRP.

• Possess an innate ability to interact with internal and external customers in a professional manner building a synergistic relationship that creates a win-win atmosphere. 

• Strong data and analytic skills.

• Experience in implementing and upgrading systems.

• Ability to interpret and operationalize legislation and guidance from government entities

More about us:

At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work.

Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world.

This position is currently classified as "hybrid" in accordance with Takeda's Hybrid and Remote Work policy.

Takeda Compensation and Benefits Summary

We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices.

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EEO Statement

Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

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Job Exempt