Associate Director Drug Pricing

Job Summary

Seeking a self-motivated Associate Director, Drug Pricing to work remotely, who will manage prescription drug pricing accuracy and claims adjudication outcomes, ensuring compliance with regulatory standards while collaborating with various teams to validate pricing strategies and resolve discrepancies.

Key responsibilities:

• Own end-to-end accountability for drug pricing accuracy and claims adjudication outcomes, including financial modeling and ongoing monitoring
• Develop and maintain financial models to support drug pricing strategies and reimbursement methodologies
• Identify and resolve claims pricing discrepancies and ensure adherence to state and federal regulatory requirements

Required qualifications:

• 7+ years of experience in pharmaceutical pricing, claims adjudication, healthcare financial modeling, or PBM operations
• Solid analytical skills with experience in financial model validation and pricing audits
• Proven ability to interpret contracts and understand reimbursement methodologies
• Experience diagnosing anomalies in claims or data workflows
• Excellent written and verbal communication skills for diverse audiences