Job Description
DIRECTOR, PRICING & CONTRACTING
Intellia Therapeutics - 3.3 Cambridge, MA Job Details $220,554 - $269,566 a year 2 hours ago Benefits Free parking Commuter assistance Disability insurance Health insurance Dental insurance Flexible spending account Vision insurance 401(k) matching Life insurance Qualifications New product launch strategy Microsoft Outlook Financial model construction Medicare Financial model development Word processing Drug regulation Visio DoD experience Bachelor's degree Medicare regulations Continuous improvement Pharmaceutical company experience Presentation creation Medicaid regulations Medicaid Legal compliance Cross-functional communication Data analysis software Full Job Description Why Join Intellia? Our mission is to develop curative genome editing treatments that can positively transform the lives of people living with severe and life-threatening diseases. Beyond our science, we live our four core values: One, Explore, Disrupt, Deliver and feel strongly that you can achieve more at Intellia. We have a single-minded determination to excel and succeed together. We believe in the power of curiosity and pushing boundaries. We welcome challenging thoughts and imagination to develop innovative solutions. And we know that patients are counting on us to make the promise a reality, so we must maintain high standards and get it done. We want all of our people to go beyond what is possible. We aren't constrained by typical end rails, and we aren't out to just "treat" people. We're all in this for something more. We're driven to cure and motivated for change. Just imagine the possibilities of what we can do together. AS THE DIRECTOR, PRICING & CONTRACTING AT INTELLIA THERAPEUTICS, INC., YOU WILL PLAY A PIVOTAL ROLE IN DEVELOPING AND EXECUTING THE OPERATIONS OF OUR PRICING, CONTRACTING, AND MARKET ACCESS STRATEGIES AS WE BRING OUR CRISPR-BASED THERAPIES TO MARKET. THIS IS A CAREER-DEFINING OPPORTUNITY TO PARTICIPATE IN THE FIRST-EVER COMMERCIALIZATION OF AN IN-VIVO, ONE-TIME CRISPR-BASED THERAPY. THIS ROLE REQUIRES AN EXPERIENCED AND MOTIVATED INDIVIDUAL WITH A STRONG BACKGROUND WORKING WITH OUTPATIENT, MEDICAL BENEFIT REIMBURSED DRUGS
(E.G. SPECIALTY THERAPIES, BIOLOGICS, OR CELL & GENE THERAPIES
). THE PRIMARY PURPOSE OF THE ROLE IS TO OWN AND DRIVE PRICING AND CONTRACTING OPERATIONS FOR LAUNCH READINESS AND POST-LAUNCH ACTIVITIES, INCLUDING
PRICING AND CONTRACTING STRATEGY AND MATERIAL DEVELOPMENT AND WORKFLOW
; CONTRACT DEVELOPMENT, NEGOTIATION, REVIEW AND TRACKING
; REVENUE MANAGEMENT OPERATIONS
; AND STATE PRICE TRANSPARENCY REPORTING. THE IDEAL CANDIDATE WILL BRING THOUGHT LEADERSHIP AND DEMONSTRATED EXPERIENCE BUILDING THESE PROCESSES FROM THE GROUND UP. ADDITIONALLY, THE INDIVIDUAL SHOULD HAVE DEEP EXPERIENCE WITH GOVERNMENT PRICING, EXCEL-BASED ANALYTICAL MODELING, AND CONTRACTING. THIS IS A HIGHLY COLLABORATIVE, LEADERSHIP-ORIENTED ROLE. THE INDIVIDUAL WILL COLLABORATE AND COORDINATE WITH THE RELEVANT CROSS-FUNCTIONAL TEAMS INCLUDING
(BUT NOT LIMITED TO
), FINANCE, HEOR, TRADE AND ACCOUNTS, FORECASTING, COMMERCIAL OPERATIONS, AND LEGAL. THE INDIVIDUAL MUST THRIVE IN A FAST-PACED, BUILD-FROM-SCRATCH ENVIRONMENT AS WE GROW INTO A COMMERCIAL ORGANIZATION IN ANTICIPATION OF OUR FIRST LAUNCH. THE ROLE WILL REPORT TO THE SENIOR DIRECTOR OF ACCESS STRATEGY, PRICING AND CONTRACTING, MARKET ACCESS. DUTIES/RESPONSIBILITIES PRICING AND CONTRACTING MATERIAL DEVELOPMENT AND WORKFLOW MANAGEMENT
IN-LINE WITH DEFINED STRATEGIES
DEVELOP PRICING AND CONTRACTING MATERIALS AND TRAINING TO SUPPORT PAYER ACCOUNT TEAMS CONTRIBUTE TO AND INFORM PRICING STRATEGY, LEVERAGING DATA-DRIVEN INSIGHTS, COMPETITIVE LANDSCAPE ANALYSIS, AND PRICING RESEARCH. CONTRACT DEVELOPMENT, REVIEW AND TRACKING
EVALUATE AND, AS APPLICABLE, SUPPORT THE DESIGN AND IMPLEMENTATION OF VALUE-BASED OR OUTCOMES-BASED CONTRACTING STRATEGIES THAT ALIGN THERAPY VALUE WITH REAL-WORLD OUTCOMES LEAD BUSINESS CASE DEVELOPMENT WITH NATIONAL ACCOUNT DIRECTORS INCLUDING ANALYTICAL MODELING TO ASSESS THE FINANCIAL IMPACT OF POTENTIAL OFFERS AND DEVELOP SUPPORTING OFFER JUSTIFICATION COMMUNICATE RESULTS OF OFFER MODELING TO VET THE POTENTIAL OFFER WITHIN THE MARKET ACCESS TEAM REVIEW AND PROVIDE GUIDANCE AND RECOMMENDATIONS ON CONTRACT LANGUAGE
(CONTRACTUAL LANGUAGE, TERMS, CONDITIONS, PROPOSALS
) FOR BUSINESS APPLICABILITY AND PATIENT ACCESS
(RISK TO INTELLIA, MANAGEMENT WITHIN GUIDELINES, CROSS-AGREEMENT IMPLICATIONS, ETC.
) TO SUPPORT NEGOTIATIONS LEAD NEGOTIATION AND RED-LINING PROCESSES INTERNALLY AND EXTERNALLY TRACK, REPORT ON, AND MANAGE CONTRACT LIFECYCLE STATUS PERFORM LOOKBACK ANALYSIS TO MEASURE CONTRACT PERFORMANCE AGAINST ORIGINAL BASE CASE ASSUMPTIONS. REVENUE MANAGEMENT OPERATIONS
OWN THE RELATIONSHIP WITH OUR 3RD PARTY VENDOR FOR DEVELOPMENT OF ALL ASPECTS OF REVENUE MANAGEMENT OPERATIONS PRE-AND POST LAUNCH DEVELOP AND MAINTAIN SOPS AND POLICIES
(IN PARTNERSHIP WITH EXTERNAL COLLABORATORS
) FOR REVENUE MANAGEMENT OPERATIONS FOR GP METHODOLOGY, REBATE AND FEE PROCESSING, FSS, GROSS-TO-NET ENSURE ACCURATE SYSTEM CONFIGURATION
(AT PDUFA) FOR RELATED PRODUCT AND KEY ATTRIBUTES FOR GOVERNMENT PROGRAMS
(MARKET ENTRY DATE, FIRST SALE DATE, ETC
) MANAGE AND ANALYZE ALL ASPECTS OF GOVERNMENT PRICE REPORTING IN COMPLIANCE WITH MEDICAID, MEDICARE, PHS/340B, TRICARE, AND FEDERAL
(VA/DOD) REQUIREMENTS INCLUDING
INITIAL REVIEW OF DATA AND TRENDS PRE-CALCULATION REVIEW AND ANALYSIS OF CALCULATED GOVERNMENT PRICES PRIOR APPROVALS SUPPORT THE INTERNAL APPROVAL PROCESS FOR GOVERNMENT PRICES PRIOR TO SUBMISSION TO GOVERNMENT AGENCIES SUBMIT REQUIRED QUARTERLY AMP REPORTS TO TEXAS
(THROUGH THE VDP FOR TX HHS
); AND ANY OTHER MANDATORY STATES OVERSEE CONTRACT SET-UP AND RELATED PAYMENT PROCESSING ENSURE CONTRACTS ARE SET-UP IN 3RD PARTY SYSTEM REVIEW SUBMITTED CLAIMS DATA
(PRIOR TO ADJUDICATION
) FOR COMPLIANCE AND VERIFICATION VERIFY ANY OFF-INVOICE DISCOUNTS
(IF APPLICABLE
) WORK WITH 3RD PARTY VENDOR AND INTERNAL PARTNERS THROUGH THE ADJUDICATION PROCESS TO GENERATE PAYMENT PACKAGES FOR REBATES AND FEES
(COMMERCIAL, MEDICAID, MEDICARE, FSS, TRICARE) IDENTIFY AND WORK WITH 3RD PARTY VENDOR AND ANY OTHER TEAMS TO RESOLVE DISCREPANCIES AND/OR CLAIMS DISPUTES PRIOR TO FINALIZING PRICES AND PAYMENT PACKAGES FOR APPROVAL PROACTIVELY REVIEW CLAIMS AND 340B TRANSACTIONS FOR DIVERSION AND/OR DUPLICATE DISCOUNTS BUILD PRICING AND CONTRACTING MODELS AND CONDUCT SCENARIO PLANNING
(REBATES, WAC/ASP DELTAS, SHARE SHIFTS
). STATE PRICE TRANSPARENCY REPORTING
DEVELOP, OWN, AND MAINTAIN SOPS AND POLICIES FOR STATE PRICE TRANSPARENCY REPORTING DEVELOP, MANAGE, AND TRACK STATE PRICE TRANSPARENCY REQUIREMENTS CREATE REQUIRED SUBMISSIONS
(AS APPLICABLE PER STATE
) PER QUARTERLY AND ANNUAL REPORTING NEEDS, SUBMIT IN ADVANCE OF SUBMISSION DATE REVIEW IMPACTS OF PRICE ON STATE PRICE TRANSPARENCY REPORTING REQUIREMENTS MANAGE STATE RELATED REGISTRATIONS AND FEE
PAYMENTS, (INCLUDING PDABS) COMPENDIA DEVELOPMENT & SUBMISSIONS
LEAD THE DEVELOPMENT AND MAINTENANCE OF DRUG COMPENDIA SUBMISSIONS TO KEY DATABASES
(E.G., MEDISPAN, RED BOOK, GOLD STANDARD
), ENSURING ACCURATE AND TIMELY PRODUCT LISTINGS TO SUPPORT MARKET ACCESS AND REIMBURSEMENT OVERSEE COMPENDIA DATA INTEGRITY ACROSS ALL PRODUCT LISTINGS, PARTNERING CROSS-FUNCTIONALLY WITH MEDICAL AFFAIRS, REGULATORY, AND COMMERCIAL TEAMS TO ENSURE ALIGNMENT WITH APPROVED LABELING AND PRICING STATE LICENSING
PARTNER WITH SUPPLY CHAIN TO SUPPORT THE STATE LICENSING PROCESS TO ENSURE THE COMPANY MAINTAINS ALL REQUIRED PERMITS AND LICENSES TO DISTRIBUTE AND SELL PHARMACEUTICAL PRODUCTS ACROSS ALL APPLICABLE STATES CODING APPLICATIONS
SUPPORT THE DEVELOPMENT AND SUBMISSION OF APPLICATIONS FOR APPROPRIATE BILLING AND REIMBURSEMENT CODES
(E.G., NDC, HCPCS, J-CODES) TO SUPPORT PRODUCT ACCESS ACROSS COMMERCIAL, MEDICARE, AND MEDICAID CHANNELS. REQUIREMENTS SKILLS/ABILITIES STRONG UNDERSTANDING OF TRADITIONAL AND INNOVATIVE CONTRACTING STRATEGIES
(INCLUDING OUTCOMES- AND VALUE-BASED STRATEGIES AS NEEDED
) KNOWLEDGE AND EXPERIENCE IN GP AND RELATED PROGRAMS FOR MEDICAID, MEDICARE, FEDERAL SUPPLY SCHEDULE/TRICARE AND 340B/PHS
(INCLUDING UNDERSTANDING OF REGULATIONS IN EFFECT AND PROPOSED REGULATIONS
) AND THE POTENTIAL IMPACTS TO OUR BUSINESS HIGH PROFICIENCY IN MS OFFICE SOFTWARE
(WORD, EXCEL, OUTLOOK, VISIO, POWERPOINT) DEMONSTRATED EXPERIENCE DEVELOPING ANALYTICAL MODELS TO ANALYZE CONTRACT OFFERS AND STRATEGIES EXCELLENT AND CONFIDENT PRESENTATION AND COMMUNICATION SKILLS CAPACITY TO BUILD TRUSTED RELATIONSHIPS AND DRIVE STRATEGIC ALIGNMENT ACROSS TEAMS PROVEN ABILITY TO COLLABORATE CROSS-FUNCTIONALLY AND INFLUENCE SENIOR-LEVEL DECISION-MAKING EXPERIENCE LAUNCHING NOVEL THERAPIES WITH EXPERIENCE WITH MEDICAL BENEFIT, OUTPATIENT REIMBURSEMENT ABILITY TO WORK EFFECTIVELY IN A FAST-PACED, GROWTH-ORIENTED ENVIRONMENT WITH A COMMITMENT TO ADDRESSING THE UNIQUE CHALLENGES OF GENE EDITING THERAPIES DESIRE TO LEARN AND EXPAND RESPONSIBILITIES AS NECESSARY IN A FAST-PACED ENVIRONMENT THAT IS MOVING TOWARDS COMMERCIALIZATION COMMITMENT TO COMPLIANCE, OPERATIONAL EXCELLENCE, AND CONTINUOUS IMPROVEMENT EDUCATION / CERTIFICATIONS BACHELOR'S DEGREE REQUIRED
; ADVANCED DEGREE IN BUSINESS, ECONOMICS, FINANCE, OR A RELATED FIELD PREFERRED. EXPERIENCE 8-10+ YEARS IN PHARMACEUTICAL OR BIOTECH INDUSTRY, WITH A MINIMUM OF 6 YEARS IN PRICING, MARKET ACCESS, OR CONTRACTING, PREFERABLY IN SPECIALTY OR GENE THERAPIES
#LI-KO1 #LI-Hybrid EEOC Statement:
Intellia believes in a diverse environment, and is committed to equal employment opportunity for all its employees and qualified applicants. We do not discriminate in recruitment, hiring, training, promotion or any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status. Intellia will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law. Applications are accepted on a rolling basis, and will continue to be accepted until the position is filled at which point the position will be taken down. The base salary for this position is expected to range between $220,554.00 - $269,566.00 USD per year. The salary offered is determined based on a range of factors including, but not limited to, relevant education and training, overall related experience, specialized, rare or in-demand skill sets, internal comparators and other business needs. Upon joining Intellia, your salary will be reviewed periodically and additional factors such as time in role and performance will be considered. Intellia may change the published salary range based on company and market factors. Additional compensation includes a performance-based annual cash bonus, a new hire equity grant, and eligibility to be considered for annual equity awards the value of which are determined annually at the Company's discretion. EEOC Statement:
Intellia believes in a diverse environment, and is committed to equal employment opportunity for all its employees and qualified applicants. We do not discriminate in recruitment, hiring, training, promotion or any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status. Intellia will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.
