Government Pricing & Rebate Operations Lead
US/FL
Full-time
Permanent employee
Job Purpose
The Government Pricing & Rebate Operations Lead is responsible for establishing, managing, and overseeing all systems and operational processes related to government pricing as well as rebate administration and processing, and state-level price reporting. This role will lead the design and implementation of the revenue management infrastructure required for compliant price reporting and rebate processing. The individual will manage vendor relationships and serve as the operational interface with finance, legal, and access strategy. As a key function within the broader market access team, this role ensures accurate and compliant execution of all post-commercial government pricing obligations.
Your profile
Major Accountabilities
Job Requirements
Education:
- Pre-Launch (T–24 to Launch)
- Vendor and platform selection : Select and oversee vendors supporting GP operations (e.g., Eversana, Integrichain, Riparian), contracting, onboarding and SLA definition
- GP readiness: Prepare for participation in the Medicaid Drug Rebate Program (MDRP), including AMP, BP, and URA calculations
- 340B program setup: Support setup and compliance for 340B eligibility and ceiling price establishment
- State price transparency: Develop systems and processes for managing state-level price disclosure requirements (e.g., CA, OR, NV, VT)
- Operational documentation: Build and document SOPs for all pricing data flows, government submissions, and rebate calculations
- Finance partnership: Work closely with finance to align on GP assumptions in GTN forecasting and revenue recognition
- Systems integration: Ensure integration of GP and rebate systems with finance, ERP, trade, and chargeback systems
- Testing & validation: Conduct end-to-end user testing of government pricing systems, rebate workflows, and validation mechanisms
- Training & compliance: Provide internal training on GP policies and ensure compliance controls are embedded in launch operations
- Post-Launch (T+0 to T+12 Months)
- CMS submissions: Oversee timely and accurate submission of AMP, BP, and URA values to CMS and other government entities
- Rebate validation: Manage Commercial, Medicaid and Medicare rebate operations including invoice validation, dispute resolution, and payment processing
- 340B compliance: Monitor 340B chargeback transactions and support audit readiness for covered entity pricing integrity
- State reporting: Ensure ongoing compliance with state-level price transparency and reporting obligations
- Vendor oversight: Lead operational oversight of GP and rebate vendors, ensuring KPIs, SLA performance, and issue resolution
- Data governance: Maintain audit trail, version control, and validation protocols for all pricing and rebate data
- Revenue integrity: Partner with finance and pricing leads to reconcile GTN assumptions with actual rebate and chargeback activity
- Lifecycle expansion: Support operational readiness for new indications, formulations, or label expansions impacting GP or rebate terms
Job Requirements
Education:
- Bachelor’s degree required
- Advanced degree (MSc, MBA, PhD, PharmD, or MD) strongly preferred
- 7+ years of experience in U.S. government pricing, rebate operations, or pharma revenue management
- Experience managing vendors and outsourced providers of rebate processing and GP compliance (e.g., Eversana, Integrichain, Riparian)
- Strong understanding of AMP, BP, URA, 340B, and Medicaid/Medicare Part D pricing and rebate mechanics
- Familiarity with state transparency laws and operational requirements for compliant disclosure
- Excellent project management and documentation skills, including SOP development and audit preparation
- Strong cross-functional collaboration with finance, legal, pricing, trade, and IT stakeholders
- Detail-oriented and process-driven mindset, with strong data and analytical capability
- Ability to work in a launch environment and build processes from the ground up
Why us?
An exciting job opportunity awaits you!
MoonLake is a dynamic and innovative company pushing the boundaries of possibility, and we are looking for passionate individuals to join our stellar team.
What we offer:
Learning Environment: An opportunity to learn and grow alongside experienced professionals in a supportive and innovative biotech environment.
Impactful Work: Contribute to ground-breaking projects that have the potential to transform global healthcare.
Flexibility and Balance: Enjoy a healthy work-life balance while making meaningful contributions to our team.
Career Growth: A clear path for career progression, with the chance to take on more responsibilities as you develop your skills.
MoonLake is a dynamic and innovative company pushing the boundaries of possibility, and we are looking for passionate individuals to join our stellar team.
What we offer:
Learning Environment: An opportunity to learn and grow alongside experienced professionals in a supportive and innovative biotech environment.
Impactful Work: Contribute to ground-breaking projects that have the potential to transform global healthcare.
Flexibility and Balance: Enjoy a healthy work-life balance while making meaningful contributions to our team.
Career Growth: A clear path for career progression, with the chance to take on more responsibilities as you develop your skills.
About us
MoonLake Immunotherapeutics is a clinical-stage biopharmaceutical company unlocking the potential of sonelokimab, a novel investigational Nanobody® for the treatment of the inflammatory disease, to revolutionize outcomes for patients.
We continue to make significant progress in our Global Clinical Development Programs. The company’s focus is on inflammatory diseases with a major unmet need, including hidradenitis suppurativa and psoriatic arthritis – conditions affecting millions of people worldwide with a large need for improved treatment options. MoonLake was founded in 2021 and is headquarted in Zug, with hubs in Cambridge & Porto.
Further information is available at www.moonlaketx.com