Head of Strategy & Policy

The Director, Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing analysis of government policy and evaluating pricing strategy impact on pipeline and in-market portfolio products. In addition, this role directs all contract operations including being responsible for Gross to Net (GTN) forecasting, government price reporting, and rebate invoice validation and payment operations.

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This role leads an operations team and oversees a third-party vendor, while working cross functionally to ensure accomplishment of business objectives and compliance with all relevant policies and procedures.

Strategy & Analysis :

Supports development of market access strategies for in-market and pipeline products.

Partners with Insights & Analytics team to assess impact of payer access controls and price on in-market products and pre-market products.

Works closely with Government Affairs to model / assess policy scenarios and evaluate the financial impact to Otsuka.

Contract Operations :

Oversees Government Pricing operations including the third-party vendor to ensure all calculations and processes are performed according to approved policy and procedures. Ensures all deadlines are met and delivers effective overall operations.

Reviews Government Pricing policy, SOP’s and SOX compliance documents on an on-going basis and updates as necessary.

Establishes KPIs to track the performance of operations.

Leads a team to achieve agreed to goals and ensures compliance with policies.

Develops and improves team skill sets through formalized training as well as through formal and informal feedback : ensures continuing education in customer and market knowledge and supports team members in career development.

Ethics and Compliance :

Upholds all ethics and compliance policies and ensures those around him / her do the same.

A minimum of 10+ years of pharmaceutical industry, Market Access, or payer experience

Thorough understanding and knowledge of US healthcare economics and the drivers of pharmaceutical demand, including pricing and reimbursement

Deep understanding of US pharmaceutical value chain and its business processes

Extensive experience in healthcare contracting and in-depth understanding of GPO / PBM / National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing market landscape

In-depth knowledge of patient access, launch excellence, marketing and business processes

Strong financial acumen, forecasting, and modeling abilities

Proven ability to navigate complex customers

Demonstrates high degree of emotional intelligence, adaptability, and creativity in solution-oriented ideation – results-oriented, fails fast to learn faster, and embodies an agile, growth mindset

Proficient in Microsoft Office, particularly PowerPoint and Excel

Bachelor’s degree or equivalent education / degree required, MBA or equivalent preferred