Associate Director, Government Pricing

Axsome Therapeutics, Inc. is a biopharmaceutical company developing and delivering novel therapies for the management of central nervous system (CNS) disorders. The Axsome team is a lean, dynamic group of individuals committed to addressing unmet needs for patients with CNS disorders. Axsome is based in New York City.

About This Role:

Axsome Therapeutics is seeking a Associate Director, Government Pricing and Contracting to oversee all aspects of Government Pricing, State Price Transparency Reporting and Medicaid Operations. The Associate Director, Government Pricing will be responsible for ensuring compliance with federal and state price reporting regulations, reviewing pricing strategies, ensuring the accuracy and timeliness of Medicaid rebate payments, and collaborating with internal teams to support business objectives. This position reports to the Senior Director, Pricing and Contract Strategy.

This role is based at Axsome’s HQ in New York City with an on-site requirement of at least three days per week. We are unable to consider candidates who are looking for fully remote roles. 

Job Responsibilities and Duties include, but are not limited to, the following:

• Government Pricing Management
  • Ensure accurate and timely submission of pricing data in compliance with federal and state price transparency regulations
• Regulatory Compliance
  • Maintain up-to-date knowledge of government pricing and state price transparency regulations and policies. Ensure adherence to all legal and regulatory requirements
• Medicaid Rebates
  • Ensure appropriate and timely payment of Medicaid rebates
  • Ensure appropriate execution and payment of approved and finalized Medicaid supplemental and SPAP contracts
• Data Analysis and Reporting
  • Analyze pricing data, trends, and prepare and review government pricing reports
• Cross-Functional Collaboration
  • Work closely with finance, legal, and market access teams to support pricing strategies and address issues
  • Provide guidance on pricing matters and regulatory requirements
• Process Improvement
  • Identify and implement process improvements to enhance efficiency and accuracy in pricing and reporting. Develop and maintain documentation for pricing procedures and controls
• Third Party Processor Management
  • Manage ongoing TPP relationships, resolve specific issues, and review and approve TPP billings
• Price Calculation and Reporting
  • Calculate and file appropriate prices for federal drug programs (BP, AMP, PHS/340B, NFAMP, FCP/FSS, IFF, URA)
  • Knowledge of and ability to handle complex pricing concepts such as discount reallocation, pro-ration, and smoothing
• Team Liaison
  • Provide business guidance across teams related to the life sciences commercial and regulatory landscape
• Compliance Oversight
  • Ensure adherence to compliance requirements and conduct risk mitigation activities. Manage internal and external audits/reviews and Sox compliance supervision
• Monitoring Regulations
  • Actively monitor government pricing regulations related to payer, IDN, policy, competitor, and market conditions to inform critical decisions and potential impacts to reimbursement and federal pricing
• Contract Assistance
  • Assist with contract reviews, assessing contractual terms, performing Bona Fide Service Fee tests, Class of Trade Assessment, and other government pricing analysis
• Analytics and Reporting
  • Create analytics, graphs, and slides showing policy impacts on government pricing data. Present findings to Executive Leadership
• FSS Contract Compliance
  • Ensure contractual obligations under the Federal Supply Schedule (FSS) contract are met through continuous monitoring of obligations with Federal Acquisition Regulations (FARs) and the Veterans Health Care Act
• Gross to Net Forecasting
  • Provide excellent insights to Gross to Net forecasting accuracy and business decisions
• Policy and Procedure Development
  • Establish and maintain policies, procedures, and standards in support of Sarbanes-Oxley (SOX) requirements, internal/external financial reporting processes, and government regulations
  • Stay abreast of government and state rules and guidance changes
• Stakeholder Collaboration