Note: The job is a remote job and is open to candidates in USA. Fresenius Medical Care is seeking a Senior Manager for Government Operations and Pricing Strategy Analytics. This role involves serving as a strategic partner across various teams to ensure alignment on pricing strategy and data integrity, while also developing and implementing pricing strategies that comply with regulatory requirements and market dynamics.
Responsibilities
- Serve as a strategic partner to Contract Operations, Commercial FP&A, GTN, Managed Markets, Marketing, Finance, Legal, Regulatory, Procurement, and Commercial teams to ensure alignment on pricing strategy, data integrity, and system accuracy
- Represent Government Pricing in cross-functional forums, including pricing committees and strategic initiatives
- Provide government pricing impact assessments to support GTN modeling, forecasting, accruals, bid evaluations, and product launches
- Develop and implement pricing strategies aligned with business objectives, regulatory requirements, and evolving market dynamics
- Development of price strategies and scenario planning, compliance with various government price reporting requirements as well as Commercial contract requirements, and gross -to-net forecasting
- Design and maintain complex financial pricing models to monitor performance against claims data and identify opportunities for cost savings, margin improvement, and contractual compliance
- Apply advanced mathematical, statistical, and economic methodologies to analyze cost drivers and profitability across the pharmacy supply chain, recommending and implementing enhancements to pricing models
- Evaluate and approve customer pricing requests, considering product strategy, market conditions, customer relationships, and financial impact
- Lead pricing analysis for RFPs and bids, ensuring alignment with overall sales and profitability objectives
- Identify pricing and contracting opportunities across customer segments to optimize financial performance
- Support ongoing assessment of commercial agreements and their impact on government pricing
- Lead communications with pricing service vendors and oversee the establishment of Payor Price list
- Ensure compliance with government pricing regulations, including monitoring Care Enablement (CE) payer arrangements (e.g., GPO, distribution, specialty pharmacy fees)
- Provide guidance on healthcare policy, reimbursement trends, and regulatory changes impacting pricing and market access
- Support rebate dispute resolution and manage agency-related communications as needed
- Analyze commercial contracts to assess and model downstream government pricing implications
- Support reimbursement strategy development, payor policy evaluation, and contract assessments
- Ensure contracting practices and guidelines adhere to regulatory and compliance standards
- Review reimbursement requests and evaluate contract terms for accuracy and alignment
- Maintain and optimize pricing, contracting, and rebate systems to ensure accuracy, integrity, and compliance
- Support chargeback processes, class-of-trade validations, and compliance monitoring activities
- Develop and deliver dashboards, KPIs, and performance reporting to inform decision-making
- Maintain documentation, ensure SOX compliance, and drive continuous process improvements
Skills
- Bachelor's Degree required or equivalent work experience
- 8+ years' related experience
- Understanding of US reimbursement across major payer segments
- High proficiency in MS Excel and experience with tools like SQL, SAS, Tableau, or BI software
- Highly organized, able to meet deadlines, and work independently
- Strong communication skillset with keen attention to detail
- Strong analytical and problem-solving, ability to analyze large datasets to identify trends and financial opportunities
- Ability to work both independently and in a team environment
- Self-starter who can be effective with minimal supervision
- Ability to grasp concepts and ideas quickly and thrive in a fast-paced environment
- Strong analytical, problem-solving, and data interpretation skills; proficiency in Access Database
- Experience SAP preferred
Benefits
- Medical, dental, and vision insurance
- A 401(k) with company match
- Paid time off
- Parental leave
- Potential for performance-based bonuses depending on company and individual performance
Company Overview