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Associate Director, Pricing and Contracting

Associate Director, Pricing and Contracting

Intellia TherapeuticsCambridge, MA, US
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Associate Director, Pricing & Contracting

As the Associate Director, Pricing & Contracting at Intellia Therapeutics, Inc., you will play a pivotal role in supporting and executing the operations of our pricing, contracting, and market access strategies as we bring our CRISPR-based therapies to market. This is a career-defining opportunity to participate in the first-ever commercialization of an in-vivo, one-time CRISPR-based therapy.

This role requires a motivated individual with experience working with outpatient, medical benefit reimbursed drugs (e.g. specialty therapies, biologics, or cell & gene therapies). The primary purpose of the role is to support the operational day-to-day market access activities of launch readiness and post-launch operations, including : pricing and contracting material development and workflow; contract development, review and tracking; revenue management operations; and state price transparency reporting. Thought leadership and experience in building these processes is preferred. Additionally, the individual should have deep experience with Government Pricing, creating Excel-based models for analysis and experience with commercial contracting.

This is a highly collaborative role with room for growth. The individual will coordinate the relevant cross-functional teams including (but not limited to), Finance, HEOR, Trade and Accounts, Forecasting, Commercial Operations, and Legal. The individual must thrive in a fast-paced, build-from-scratch environment as we grow into a commercial organization in anticipation of our first launch.

The role will report to the Senior Director of Pricing and Contracting, Market Access.

Responsibilities :

Pricing and Contracting Material Development and Workflow Management :

  • Support the development of site-of-care materials related to letter of medical necessity, letter of appeals, billing and coding, ordering instructions (if specific by channel), and related office training.
  • Develop trade-related materials to support pricing and distribution network information.
  • Develop pricing and contracting materials to support payer account teams.
  • Manage all of the above through the medical, legal and promotional review process to finalize materials.
  • Develop other materials as necessary (e.g. training).

Contract Development, Review and Tracking :

  • Support business case development with National Account Directors including analytical modeling to assess the financial impact of potential offers and develop supporting offer justification.
  • Communicate results of offer modeling to vet the potential offer within the Market Access team.
  • Review and provide guidance and recommendations on contract language (contractual language, terms, conditions, proposals) for business applicability and patient access (risk to Intellia, management within guidelines, cross-agreement implications, etc.) to support negotiations.
  • Support negotiation and red-lining processes internally and externally.
  • Track and report on contract lifecycle status.
  • Perform lookback analysis to measure contract performance (current-state key drivers vs. original business case assumptions).
  • Revenue Management Operations :

  • Work with our 3rd party vendor for development of all aspects of revenue management operations pre-launch.
  • Develop SOPs and policies (in partnership with external collaborators) for revenue management operations for GP methodology, Rebate and Fee Processing, FSS, Gross-to-Net.
  • Support the development of these SOPs and policies as they translate to outsourced services for calculating GP.
  • Maintain and update the related SOPs as business operations require.
  • Work with our 3rd party vendor for management of all aspects of revenue management operations pre- and post-launch including :
  • Additional system configuration (at PDUFA) for related product and related key attributes for government programs (Market Entry Date, First Sale Date, etc.).
  • Government Price Reporting :
  • Manage and analyze all aspects of government price reporting in compliance with Medicaid, Medicare, PHS / 340B, Tricare and Federal (VA / DOD) requirements.
  • Initial review of data and trends pre-calculation.
  • Review and analysis of calculated government prices prior approvals.
  • Support the internal approval process for government prices prior to submission to government agencies.
  • Submit required quarterly AMP reports to Texas (through the VDP for TX HHS); and any other mandatory states.
  • Contract set-up and related payment processing :
  • Ensure contracts are set-up in 3rd party system.
  • Review submitted claims data (prior to adjudication) for compliance and verification
  • Verify any off-invoice discounts (if applicable).
  • Work with 3rd party vendor and internal partners through the adjudication process to generate payment packages for rebates and fees (Commercial, Medicaid, Medicare, FSS, Tricare).
  • Identify and work with 3rd party vendor and any other teams to resolve discrepancies and / or claims disputes prior to finalizing prices and payment packages for approval.
  • Proactively review claims and 340B transactions for diversion and / or duplicate discounts.
  • Build pricing and contracting models and conduct scenario planning (rebates, WAC / ASP deltas, share shifts).
  • State Price Transparency Reporting :

  • Develop SOPs and policies for State Price Transparency Reporting.
  • Maintain and update the related SOPs as business operations require.
  • Develop manage and track State Price Transparency requirements.
  • Create required submissions (as applicable per state) per quarterly and annual reporting needs, submit in advance of submission date.
  • Review impacts of price on State Price Transparency reporting requirements.
  • Manage state related registrations and fee payments, (including PDABs).
  • About You :

  • Strong understanding of traditional and innovative contracting strategies (including outcomes- and value-based strategies as needed).
  • Knowledge and experience in GP and related programs for Medicaid, Medicare, Federal Supply Schedule / Tricare and 340B / PHS (including understanding of regulations in effect and proposed regulations) and the potential impacts to our business.
  • High proficiency in MS Office software (Word, Excel, Outlook, Visio, PowerPoint).
  • Demonstrated experience developing analytical models to analyze contract offers and strategies.
  • Excellent and confident presentation and communication skills.
  • Capacity to build trusted relationships and drive strategic alignment across teams.
  • Proven ability to collaborate cross-functionally and influence senior-level decision-making.
  • Experience launching novel therapies with experience with medical benefit, outpatient reimbursement.
  • Ability to work effectively in a fast-paced, growth-oriented environment with a commitment to addressing the unique challenges of gene editing therapies.
  • Desire to learn and expand responsibilities as necessary in a fast-paced environment that is moving towards commercialization.
  • Commitment to compliance, operational excellence, and continuous improvement.
  • Bachelor's degree required; advanced degree in Business, Economics, Finance, or a related field preferred.
  • 6-8+ years in pharmaceutical or biotech industry, with a minimum of 5 years in pricing, market access, or contracting, preferably in specialty or gene therapies.
  • Applications are accepted on a rolling basis, and will continue to be accepted until the position is filled at which point the position will be taken down.

    The base salary for this position is expected to range between $176,900.00 - $216,300.00 USD per year. The salary offered is determined based on a range of factors including, but not limited to, relevant education and training, overall related experience, specialized, rare or in-demand skill sets, internal comparators and other business needs. Upon joining Intellia, your salary will be reviewed periodically and additional factors such as time in role and performance will be considered. Intellia may change the published salary range based on company and market factors.

    Additional compensation includes a performance-based annual cash bonus, a new hire equity grant, and eligibility to be considered for annual equity awards the value of which are determined annually at the Company's discretion.

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