Summary: Commercial & Federal Government Contracting / Pricing Analytics & Operations professional with 8+ years of experience in biopharmaceutical and 10+ years in finance sectors, heavily analytic-based proficiency. Strong skills in developing key contract performance metrics, sales, chargeback, rebate and market share analysis as well as channel management. Project management experience includes software implementations of iMANY/Revitas, Nexxus Mobile Intelligence and SAP.
Experience: Array BioPharma Inc., Boulder, CO 03/17 – Present
Senior Manager, Pricing & Contract Administration – Government, GPO, Specialty Pharmacy
Review and approve Government pricing calculation methodologies and reasonable assumptions for AMP, BP, URA, PHS, FCP, N-FAMP and IFF in oral oncolytic space for new-to-market melanoma products
Review OIG guidance and reports as well as Federal and State policy initiatives and prepare summaries for management and various stakeholders
Assist in the development of Pricing Committee Charter and provide administrative functions to the Committee
Work with internal stakeholders to develop standard pricing terms and conditions for contracting
Work with external vendors to ensure correct Government pricing calculation set-up, monthly and quarterly calculations and timely filing post-launch
Review pharma contracts and bids to ensure GP compliance with BFSF/FMV definitions, BP implications, or potential triggers to government contracts by commercial sales practices
Manage government contracts – TRICARE, CGDP, Medicaid, FSS including submitting pricing modifications, ensure contract compliance with annual subcontracting plans and SAM certifications, prepare CSP documentation for contract renewal negotiations, monitor Tracking Customer pricing
Prepare GP pricing trend analyses, develop and maintain historical pricing analysis database
Develop analytics and forecasting models for SP, SD, 3PL and Patient Services fees
Register entity and products and maintain such with industry price compendia
Review/edit MSL, Field Sales, Market Access and disease-state training guides and materials
Fresenius Medical Care North America, Waltham, MA 10/15 – 03/17
Senior Analyst, Government Pricing
Complete monthly, quarterly / annual standard and 5i calculations for four products (AMP, BP, URA, PHS, FCP, N-FAMP, ASP, IFF)
Manage VA/FSS contract including submitting pricing modifications, ensure contract compliance with annual subcontracting plans and SAM certifications, prepare CSP documentation for contract renewal negotiations, monitor Tracking Customer pricing
Prepare GP pricing trend analyses, develop and maintain historical pricing analysis database
Review pharma contracts and bids to ensure GP compliance with BFSF/FMV definitions, BP implications, or potential triggers to government contracts by commercial sales practices
Draft reasonable assumptions documentation based on MDRP Final released February 2016
Review all new and account updates to ensure proper Class of Trade assignment; quarterly PHS eligibility review for all customers
Assist in the development of GP 101 and Final Rule Impact trainings for other areas of the business (Contracting, Managed Markets, Data Administration, Finance)
Review OIG guidance and reports as well as Federal and State policy initiatives and prepare summaries for management and various stakeholders
Maintain and update pricing with industry compendiums
Draft department SOPs and work instructions; update policies as needed
Heavy involvement in the successful Nexxus MI system implementation – data preparation, data loading, implementation documentation, system testing, act as interim system administrator/configurator and provide technical support post-Go Live
IMS Health, Parsippany, NJ 5/15 – 10/15
Consultant (Working from client site in Bridgewater, NJ)
Reviewed GPO/Institutional, Wholesaler and Specialty contracts and modeled key rationales in the Revitas Flex environment
Created mock data including Product Master, Trading Partner and utilization submissions for adjudication
Calculated expected adjudication results and provided documentation supporting said results
Reviewed contract-set up with the business to ensure correct contract interpretation and accurate set-up in the training environment
Alliance Life Sciences Consulting, Somerset, NJ 5/14 – 5/15
Consultant (Working from client site in Weston, MA)
Validated and processed all specialty pharmacy invoices (service and data fees) utilizing Revitas CARS
Set up new specialty pharmacy contracts in Revitas CARS, including Trading Partner creation in Master Data Management (MDM)
Managed communications to vendors, account managers and internal staff regarding specialty pharmacy invoicing
Developed and maintained payment tracker including trending, budgeting, forecasting and accruals
Provided quarterly TRICARE invoice reconciliation; produced RQU files and assisted with BP review
Drafted and maintained contract operations policies, procedures and work instructions
Aegerion Pharmaceuticals, Cambridge, MA 12/13 – 5/14
Government Reporting and Revenue Analyst
Coordinated TRICARE and Department of Veterans Affairs contracts
Developed Medicaid invoice validation, processing and claims dispute workflows; managed end-to-end process
Researched and validated sales transactions; created payer and Class Of Trade mapping
Developed Government Pricing documentation – calculation methodologies (AMP, BP, URA, NFAMP) and commercial policies
Assisted in the accrual and forecasting process for Medicaid, TRICARE and Medicaid Part D utilization
Created standardized reporting tools to provide trend analysis for use by the Finance and Commercial teams
Vertex Pharmaceuticals, Cambridge, MA 02/10 – 11/13
Analyst – Pricing and Contract Administration 04/12 – 11/13
Analyzed pricing and contract terms to support price change recommendations for Commercial and Medicaid (FFS/Managed/Supplementals)
Provided payer mix, market share, market segment, contract performance, Investor Relations and Gross-to-Net reporting
Developed enhanced reporting utilizing Revitas BI system. Advanced Excel skills for market share analysis and payer mix; experience with IMS, Xponent and Wolters Kluwer data and translation impact
Participated as a core team member during the iMANY system upgrade project; provided support during design, development and implementation phases; assisted in the creation and editing of test scripts; lead reporting and analytics implementation
Coordinated work statements with consultants, managed on/off-boarding for department; managed $1M department budget
Worked with the Managed Markets Account Teams, Contract Managers and Accounting to support forecasts and accruals
Operations Coordinator II – Pricing and Contract Administration 03/11 – 04/12
Created and compiled materials to support the VA OIG pre-award audit and contracting effort
Provided support to large-scale system implementation of iMANY modules – GP and CARS
Created initial contract strategy, contracting templates with discount ranges for Commercial and Government segments with concept of Commercial Customer Exception Committee to review potential contract offerings
Drafted and maintained all department policies and SOPs
Provided department-wide HR support by planning headcount, writing job descriptions, reviewing resumes and scheduling and participating in interviews
Administrative Associate III – Human Resources 02/10 – 03/11
Assisted in the on-boarding of the Commercial Team (100+ hires in 6 months)
Co-lead the redesign of the Managed Markets and Contracting Teams On-boarding program. Coordinated
all logistics for weekly On-boarding sessions. Assisted with design and delivery of a team communications training session
Developed and delivered department-wide Excel training (Basic to Advanced)
Partnered with Team Lead to implement Skill Set Development strategy
Acted as System Administrator for the LPI Online Pilot Program for 360 degree feedback
Produced quarterly updates and competitive analysis for “Best Lists” for industry acknowledgments leading to industry awards
Education: Master of Public Health Expected Graduation 2020
Simmons College
BA, Communication and Culture December 2008
City University of New York – School of Professional Studies, Dean’s List GPA: 3.4
AA, Liberal Arts January 2004
Kingsborough Community College, Dean’s List GPA: 3.4
Skills: iMANY/Revitas (GP, BI, Medicaid and CARS); ICS Chargeback System; CMS Systems (DDR, SAM, EUA); Nexxus Mobile Intelligence (MI) CRM Tool; Lotus Notes; MS Office Suite – Outlook, Word, Excel, PowerPoint, Publisher, Access; Salesforce; Website development utilizing Wordpress