[Remote] Sr Mgr Government Operations and Pricing Strategy Analytics

Note: The job is a remote job and is open to candidates in USA. Fresenius Medical Care is a leading provider in the healthcare industry, and they are 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 compliance, while also developing and implementing pricing strategies that meet business objectives and regulatory requirements.

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