Director, Government Pricing & Contract Operations

Vera Therapeutics is a biotechnology company focused on developing treatments for serious immunological diseases. Vera Therapeutics’ mission is to advance treatments that target the source of disease in order to change the standard of care for patients. Vera Therapeutics’ lead product candidate is atacicept, a fusion protein self-administered at home as a subcutaneous once weekly injection that blocks both B-cell Activating Factor (BAFF) and A Proliferation-Inducing Ligand (APRIL), which stimulate B cells to produce autoantibodies contributing to certain autoimmune diseases, including IgA nephropathy (IgAN) and lupus nephritis. Beyond IgAN, Vera Therapeutics is evaluating additional diseases where the reduction of autoantibodies by atacicept may prove clinically meaningful. In addition, Vera Therapeutics holds an exclusive license agreement with Stanford University for a novel, next generation fusion protein targeting BAFF and APRIL, known as VT-109, with wide therapeutic potential across the spectrum of B-cell–mediated diseases. Vera Therapeutics is also evaluating the development of MAU868, a monoclonal antibody designed to neutralize infection with BK virus, which can have devastating consequences in kidney transplant recipients. Vera Therapeutics retains all global developmental and commercial rights to atacicept, VT-109, and MAU868. For more information, please visit www.veratx.com.

Our values are the cornerstone of our culture. Our values inspire us every day and guide everything we do—from how we hire great people, to advancing our mission together, to achieving our ultimate goal to improve medical treatment for patients suffering from immunological diseases.

Position Summary:

The Director, Government Pricing & Contract Operations will report to the Executive Director, Pricing, Contracting & Government and will be responsible for all government price reporting and contract operations related to managed care rebates (commercial and government); the role will also be responsible for related policies. Working with the Market Access team and key personnel, including Finance and Legal, the Director, Government Pricing and Contract Operations 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 role is accountable for strategic and functional leadership of a team responsible for accurate and timely chargeback, Managed Care Commercial, Medicaid, Tricare, Medicare Part D (and 340B) rebate processing and payments, data stewardship and compliance in connection with the team's financial reporting (GTN, projections and budgets) as well as all aspects with evaluating implications of and reporting Managed Care data required for U.S. and Puerto Rico government pricing calculations. This individual will manage a team of GP, commercial/government rebate and chargeback resources, as well as collaborate cross-functionally, and serve as a subject matter expert in these areas.

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, including drafting of policies and documentation supporting government pricing calculations, rebate processes and others as needed.
• Interpret and implement updates to CMS guidance, federal regulations, and industry standards.
• Implement and executive 340B restatements and refund processes as needed.

Managed Care Rebate Operations

• Lead and develop a team responsible for systems and processes that collect, process, monitor and use Managed Care data for financial, business or government pricing calculation purposes including but not limited to rebate payments, GTN, projections, budgets, AMP, ASP, BP estimate, BP true-up, BP modeling of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics
• Partner with other functions to assist them in understanding all potential implications of various rebate deal structures
• Develop and maintain processes to estimate implications of contingent and portfolio rebate deal structures to inform business, financial and government pricing calculation
• Review and approve the monthly and quarterly Managed Care processes that support government pricing calculations including collaboration with legal colleagues to monitor the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and considered
• Lead team and work collaboratively with other internal and external partners on PBM conflict/dispute resolution
• Provide oversight for various aspects of external vendor contract negotiations, service level performance, system enhancements, system controls, and issue resolution
• Ensure maintenance of appropriate departmental SOPs and work with internal and external auditors and team to ensure SOX compliance of rebate processing and appropriate categorization of Managed Care data for financial forecasting and government pricing calculations
• Provide oversight for team and coordinate with Finance for Manufacturer Discount Program (formerly Coverage Gap Discount Program) administration and payment responsibilities
• Champion process improvement initiatives as required
• Lead the team in the implementation and testing of Managed Care rebate systems and interfaces
• Lead and assist with special projects as required (IRA, Legal requests, dispute resolutions, etc.)
• Drive digital transformation by identifying opportunities to automate pricing processes and implement scalable digital tools
• Champion process innovation by evaluating current pricing practices and recommending digital enhancements to improve efficiency and accuracy

Leadership & Team Management

• Manage and mentor a team of 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, Market Access, 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 IT 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.
• Strong expertise in working with large and complex data sets.
• 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.

Notice to Recruiters/Staffing Agencies

Recruiters and staffing agencies should not contact Vera Therapeutics through this page. All recruitment vendors (search firms, recruitment agencies, and staffing companies) are prohibited from contacting our hiring manager(s), executive team members, or employees.

We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file.

Vera Therapeutics’ receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Vera Therapeutics and such organization and will be considered unsolicited and Vera Therapeutics will not be responsible for related fees.

Fraud Alert

To all candidates: your personal information and online safety are a top priority for us. At Vera Therapeutics, recruiters only direct candidates to apply through our official career page at https://veratx.com/careers/.

Recruiters will always contact you using the domain of veratx.com. We will never request payments, ask for financial account information or sensitive information like social security numbers. If you are unsure if a message is from Vera Therapeutics, please email human resources.