Provided strategic and operational support to life science product and service companies, ranging from "Big Pharma"/“Big Biotech" to pre-commercial start-ups. Enhanced clients' performance by determining pathways to improved access, responsible pricing, and internal efficiencies, while ensuring adherence to relevant compliance norms. Project focuses included:• Payer access and contracting strategies for commercial, Medicaid, and Medicare markets.• Contracting strategies for other… Show more Provided strategic and operational support to life science product and service companies, ranging from "Big Pharma"/“Big Biotech" to pre-commercial start-ups. Enhanced clients' performance by determining pathways to improved access, responsible pricing, and internal efficiencies, while ensuring adherence to relevant compliance norms. Project focuses included:• Payer access and contracting strategies for commercial, Medicaid, and Medicare markets.• Contracting strategies for other market segments, including provider (hospital/GPO, long-term care, physician), integrated delivery network (IDN), and trade channels.• Government pricing, contracting, and bids.• Process development, governance, and documentation for commercial/government pricing and contract management. Show less

Started up and built firm’s first centralized pricing and contract management organization. Oversaw numerous aspects of strategic migration to pharmacy-benefit business model. Reconfigured selected distributor contracts to add new Rx-package product, resulting in a multi-million dollar sales increase. Directed a comprehensive strategic pricing assessment leading to key new pricing guidelines for all customer classes. Instituted company’s first contracts with national PBMs.

Oversaw all responsibilities on government pricing programs for Core Imaging business unit of GE Healthcare's Life Sciences sector. Included all price-reporting, analytical, and governance requirements, and related operational support. Led extensive recalculation project of historic government pricing submissions/payments, including methodology development, financial impacts, liaison role with consultants and outside counsel, and updates/recommendations to senior management. Business unit… Show more Oversaw all responsibilities on government pricing programs for Core Imaging business unit of GE Healthcare's Life Sciences sector. Included all price-reporting, analytical, and governance requirements, and related operational support. Led extensive recalculation project of historic government pricing submissions/payments, including methodology development, financial impacts, liaison role with consultants and outside counsel, and updates/recommendations to senior management. Business unit manufactures and markets over 100 contrast media and imaging agent products. Show less

Coordinated commercial pricing and contract development. Ensured compliance with numerous new Affordable Care Act requirements and other federal/state rules and regulations for government pricing. Monitored policy developments for risks/opportunities on pricing and reimbursement for sales base of $900M and late-stage compounds with projected peak sales of $2.5B; facilitated appropriate contract, operational, training, compliance, and lobbying solutions. Forecasted financial impacts for… Show more Coordinated commercial pricing and contract development. Ensured compliance with numerous new Affordable Care Act requirements and other federal/state rules and regulations for government pricing. Monitored policy developments for risks/opportunities on pricing and reimbursement for sales base of $900M and late-stage compounds with projected peak sales of $2.5B; facilitated appropriate contract, operational, training, compliance, and lobbying solutions. Forecasted financial impacts for government and commercial pricing actions. Company was acquired by Merck & Company. Show less

Oversaw commercial and government pricing/contracting, wholesaler account management, third-party logistics (3PL) partner relationship, and forecasting/approval of revenue accruals (gross to net). Enhanced best practices and drove efficiencies for commercial/government pricing and 3PL partner processes. Negotiated new drug wholesaler and 3PL partner agreements, realizing multi-million dollar savings in annual service fees.

Launched company’s contracting, strategic pricing, and government pricing initiatives for two $20M products and high-potential, late-stage compound. Developed, and negotiated approval by Center for Medicare/Medicaid Services (CMS) for new ASP methodology on largest current product, avoiding potential 40% reduction in Medicare Part B reimbursement. Evaluated and managed reimbursement risk factors for current and prospective products. Instituted new contractual relationships with specialty… Show more Launched company’s contracting, strategic pricing, and government pricing initiatives for two $20M products and high-potential, late-stage compound. Developed, and negotiated approval by Center for Medicare/Medicaid Services (CMS) for new ASP methodology on largest current product, avoiding potential 40% reduction in Medicare Part B reimbursement. Evaluated and managed reimbursement risk factors for current and prospective products. Instituted new contractual relationships with specialty pharmacy, specialty distributor, and GPO customers that contributed to a $20M annual sales increase. Company was acquired by Endo Pharmaceuticals. Show less

Directed all commercial and government pricing/contracting functions for two products with $80M in combined annual revenues. Championed and implemented contracting strategies that drove increased sales in commercial managed care, Medicare Part D, state Medicaid, and FSS segments. Adapted government pricing methodologies to major federal rules changes.

Started up commercial and government pricing/contracting functions, and completed key trade, commercial, and government agreements for launch of company’s first product (Factive). Addressed key aspects of launch, including price determination, wholesaler/pharmacy stocking incentive program, customer targeting, and contract administration processes.

Launched and expanded pricing and contracting functions and related contract administration support, for newly-acquired Abbott Diabetes Care division. Organized and led multi-functional team that planned and executed innovative pricing and distribution proposals, winning key contract awards with managed care, mail order/DME, post-acute care, state Medicaid, FSS, and trade customers.