Associate Director, Government Pricing

POSITION SUMMARY

This role in the US Payer and Market Access organization owns Mirum's federal and state government price reporting and compliance. This position will manage contractual and reporting obligations for programs administered by Centers for Medicare and Medicaid Services (CMS), Public Health Services (PHS) 340B drug discount program and Federal Supply Schedule (FSS), Department of Veteran Affairs (VA) & Department of Defense (DoD) programs. This position will support Government Pricing operations, including third party logistics (3PL) data validation used for all Government Pricing Calculations, analysis of pricing calculation drivers, support of system/reporting enhancements, support of gross-to-net (GTN) forecasting, as well as product launch activities.

JOB FUNCTIONS/RESPONSIBILITIES

Administers activities related to Mirum compliance with all government mandated contracting and price administration, including all state related activities. This includes management of pricing calculations, reporting and certification requirements, trading partner management and eligibility, launch pricing, refunds, and related financial analysis.

 Government Price Calculations & Reporting

• Lead calculation, certification, and timely, accurate and compliant submission of government prices (AMP, Best Price, ASP, URA (Medicaid Drug Rebate Program), 340B, NFAMP, FCP) across federal and state programs
• Calculate and submit quarterly PHS prices to HRSA-OPAIS, and Provisional, Temporary, Permanent, Quarterly, and Annual NFAMP/FCP to the VA
• Calculate 340B liabilities and refunds resulting from launch pricing or AMP/URA restatements
• Lead state price transparency submissions
• Analyze results to explain variances and key drivers, including against government pricing forecast assumptions
• Maintain government pricing methodologies, assumptions, calculation documentation, and supporting procedures. Coordinate and systematically document government pricing adjustments to data as required
• Assist in the development of policies, procedures and calculation methodologies supporting all government and state pricing calculations to ensure ongoing compliance with external and internal requirements and guidance including new law and regulations

 Federal Contracts (FSS, VA, DoD)

• Manage FSS, VA, and DoD contract compliance, including new product pricing submissions, contract maintenance, RFMs, tracking customer monitoring, and Tricare rebate validation
• Lead and perform all public law calculations and submissions, coordinating with the USMA Payer Account team
• Coordinate every five-year FSS solicitation and annual FAR compliance review for SAM.gov certification
• Support FSS contracting strategy, including impact of TPRs, BPAs, and national contracts

Data Integrity & Reconciliation

• Maintain master data used in all government pricing calculations. Assesses data adjustments to government pricing data. Maintains detailed support for all required data modifications
• Reconcile 3PL and internal transactional data, including sales, chargebacks, credits, fees, and discounts
• Validate chargeback pricing and eligibility, and partner with the Rebates & Chargebacks team to communicate pricing to distribution partners
• Work with various departments including Trade & Distribution, Accounting, the specialty pharmacy/HUB, and source system owners to resolve data errors and systemic issues, reconciling and documenting adjustments and validations and ensure that systemic issues are fully resolved

Gross-to-Net Forecasting & Strategic Analysis

• Own the GTN forecasting process with Finance and Business Analytics, including model maintenance, assumptions, version control, scenario analyses, and routine updates
• Evaluate government pricing and GTN impacts of commercial contracting, pricing, channel strategy, patient support programs, distribution arrangements, and business development initiatives
• Prepare GTN analyses, net revenue impacts, and sensitivities for launch readiness, AOP, LRP, quarterly forecasts, and monthly business reviews

Compliance, Policy & Process Improvement

• Develop and maintain government pricing policies, procedures, methodologies, and documentation
• Monitor regulatory changes (e.g., IRA, MFN, CMS guidance), assess impact to Mirum
• Ensure ongoing audit readiness
• Identify and implement process and system improvements across all calculations and within integrated IT data systems, and guide the Data Technology Engineering (DTE) team on related testing

QUALIFICATIONS

Education /Experience:

• 6-8 years of experience in Government Pricing and Contract management
• Bachelor’s Degree required
• Knowledge of U.S. Government pricing statutes and regulations including knowledge of Medicaid, Medicare, VA Healthcare Act and Public Health Services Act
• Ability to establish and maintain strong working relationships with varying levels of government representatives (VA Contracting Officers, Office of Inspector General, etc.)
• Analytical and problem-solving skills
• Attention to detail and a high degree of accuracy are necessary to ensure compliance with timelines, internal policies, laws and regulations
• Strong Excel and Word skills are required
• A self-starter: ability to work independently
• Effective written and oral communication skills
• Ability to develop and communicate potential enhancements to operating processes and procedures
• Demonstrate compliance, company values and required competencies on a consistent basis

Preferred Experience:

• Involvement in launch preparation or commercialization of a rare disease therapy
• Experience with Inflation Reduction Act (IRA) compliance, inflation penalties, and CMS inflation rebate modeling
• Government and state pricing transparency calculation and reporting requirements
• Knowledge of class-of-trade strategy, chargeback validation, and specialty distribution models

The salary range for this position is $190,000 to $210,000 USD. Compensation will be determined based on several factors including, but not limited to; skill set, years of experience, and the employee’s geographic location. Please note that the required compensation details listed in US role postings reflect the base salary only, and do not include bonus, equity, or benefits unless otherwise provided.

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