Associate Director, Government Pricing Operations (Remote)

Job Description

Job Description:

The Associate Director, Government Pricing Operations is a key leadership role within Vertex’s U.S. Market Access- Access Operations and Analytics team. This individual will lead government pricing (GP) analysis, calculations, and reporting, ensuring compliance with federal and state requirements. The role is integral to the company’s readiness for product launches across multiple therapeutic areas and the evolving complexity of pricing regulations. This individual will manage a team of GP analysts, collaborate cross-functionally, and serve as a subject matter expert in government pricing methodologies, operations and systems.  

Key Responsibilities:

Government Pricing Operations & Compliance

• Lead the execution of GP calculations and submissions for all federal programs, including Medicaid, Medicare, 340B, and VA/FSS.

• Ensure accurate and timely calculation of all mandatory government pricing reports, including AMP, BP, ASP, nFAMP, PHS/340B, and FCP.

• Oversee pricing compliance activities, including monthly and quarterly submissions to CMS, HRSA, and FSS.

• Understands required data sources for GP calculations and experience in validation, trouble-shooting data issue from multiple sources/systems. Manages any issue resolution timely.

• Knowledgeable on bundling, discount reallocation, Bona Fide Services Fees, and price protection impacts.

• Maintain controls and documentation to support SOX compliance and audit readiness.

• Interpret and implement updates to CMS guidance, federal regulations, and industry standards.

Leadership & Team Management

• Manage and mentor a team of three government pricing analysts, ensuring high performance and accountability.

• Review and approve pricing calculations, analyses, and reports to ensure accuracy and compliance.

• Provide guidance on complex data or operational issues and escalate when necessary.

• Keep the team informed of internal and external developments impacting government pricing strategies and execution.

Cross-Functional Collaboration

• Partner with internal stakeholders (e.g., Accounting, Trade Operations, Chargebacks & Rebates, Legal, and Data & Technology Engineering) to integrate pricing data and ensure consistent operations.

• Support commercialization and launch readiness for new products by aligning pricing systems and reporting frameworks.

• Collaborate with DTE implementation teams to design, test, and deploy IT solutions supporting pricing calculations and reporting.

Process Improvement & Strategic Planning

• Develop, implement, and maintain policies, SOPs, and control frameworks to ensure efficient and compliant pricing operations.

• Recommend and drive process improvements, system enhancements, and automation to optimize pricing operations.

• Participate in special projects, audits, and assessments as a key representative for Government Pricing.

Qualifications:

• Bachelor’s degree in Finance, Accounting, Information Systems, Economics, Law, or a related field required; MBA preferred.

• Minimum of 8 years of direct experience in government pricing, financial operations, or pricing compliance for state and federal healthcare programs.

• Experience with rare disease therapy launches and commercialization is highly desirable.

• Strong knowledge of government programs including Medicaid, PHS/340B, FSS, Medicare, and state price transparency.

• Proficiency with Model N or similar pricing software required.

• Advanced analytical, problem-solving, project management and Excel skills.

• Excellent written and verbal communication skills.

• Proven ability to work cross-functionally and influence without authority.

• Detail-oriented, organized, and capable of managing multiple priorities in a fast-paced environment.

• Experience working with internal and external auditors, and managing SOX-related processes

Additional Information:

• This role may require occasional travel for conferences, training, or team meetings.

• Participation in relevant industry seminars and continued education is expected to stay up to date o