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Drug Pricing and Business Architect Lead - SME
CGI Fairfax, VA
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Drug Pricing and Business Architect Lead - SME

CGI
Fairfax, VA
Expired: February 20, 2024 Applications are no longer accepted.
  • Full-Time
Drug Pricing and Business Architect Lead - SME

Category: Architecture

Main location: United States, Virginia, Fairfax

Position ID:J0224-1460

Employment Type: Full Time

Position Description:

CGI Federal Inc. is seeking a Drug Pricing and Business Architect Lead to support a project within its Health and Human Services (HSS) Practice. This role will lead strategic initiatives for the CMS IRA program. The successful candidate will lead a team, oversee business operations, and participate in solutioning across a broad range of healthcare functions. This includes diverse settings such as Part D and Part B Medicare & Medicaid programs, Drug Manufacturers, PBMs, and Retail Pharmacy/Dispensers. The role involves assessments for the development and implementation of strategic drug pricing and negotiation approaches for the Federal government.

***Candidates within a 50 miles radius of a CGI Federal office will have to report to the office 2 days per week***

Your future duties and responsibilities:
• Devise and implement drug pricing and payer coverage contracting solutioning strategies to meet the legislative drug price reduction mandates of the Inflation Reduction Act (IRA) of 2022.
• Collaborate with experts and business leaders, leading both quantitative and qualitative pricing/contracting analyses to support the drug pricing/rebate ecosystem.
• Collect, analyze, and integrate cross-functional information from various sources to aid in scenario-planning and customer insight generation.
• Understand the U.S. healthcare market, Medicare Part B and Part D process and data flows, and pharmacy reimbursement processes.
• Work with the solicitation response team to build the business architecture model that will drive the development of information technology/systems that align, and expand, IRA drug pricing mandates and metric objectives.
• Regularly engage with senior leadership to translate strategy into action and communicate the results in a timely manner through disciplined management and performance measurement.

Required qualifications to be successful in this role:
• 5+ years of experience in a related field. In lieu of a degree, 7+ years of experience in a related field is acceptable.
• Direct experience leading and implementing pharmacy programs, specifically Medicare Prescription Part B and Part D Drug Program.
• Knowledge and experience with Medicare and the pharmaceutical/drug supply chain.
• In-depth understanding of the current relationships and interactions between drug manufacturers, wholesalers, plan administrators/plans, PBMs, pharmacies/other dispensing entities, and beneficiaries.
• Proven ability to combine vision, creativity, and innovation to solve problems with strong business acumen, well-developed management, and leadership qualities.
• Ability to interpret policy and propose business solutions/initiatives related to the Inflation Reduction Act of 2022 and interpret the IRA requirements for implementation.
• Deep understanding of traditional and innovative approaches to pricing, contracting, and reimbursement across drug manufacturers, payers, PBMs, group purchasing organizations, integrated delivery networks, wholesalers, and dispensers.
• Familiarity with operating regulations in commercial and government segments across payer and practice settings.
• Experience in US pharmaceutical and biopharma pricing, contracting, and reimbursement strategies with commercial and medical payers.
• Ability to work on cross-functional teams with demonstrated ability to influence colleagues through a consultative process.
• Executive-level experience managing analytic, pricing, and contracting dynamics.
• Strong aptitude for hypothesis-driven analytics and outstanding problem-solving skills.
• Previous experience leading an analytics function within the Pharma or Bio Pharma industry preferred.
• Excellent communication and collaboration skills to work with various stakeholders, teams, sponsors, members, vendors, senior management, providers, and pharmacists.
• Experience related to the management and delivery of programs, projects, and work efforts in a portfolio-based environment.
• Strong analytical problem-solving skills and excellent interpersonal skills.
• Ability to effectively communicate both verbally and in writing with customers, team members, and management.
• Proactive and self-starting, with the ability to work independently and in a team environment.
• Exceptional attention to detail.

CGI is required by law in some jurisdictions to include a reasonable estimate of the compensation range for this role. The determination of this range includes various factors not limited to: skill set level; experience and training; and licensure and certifications. CGI typically does not hire individuals at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $106,200 - $185,800.

#CGIFederalJob
#HSS
#DICE
#LI-RJ1

Skills:
  • Business Architecture
  • Business Process Analysis
  • Use Case Development


What you can expect from us:

Insights you can act on

While technology is at the heart of our clients' digital transformation, we understand that people are at the heart of business success.

When you join CGI, you become a trusted advisor, collaborating with colleagues and clients to bring forward actionable insights that deliver meaningful and sustainable outcomes. We call our employees "members" because they are CGI shareholders and owners and owners who enjoy working and growing together to build a company we are proud of. This has been our Dream since 1976, and it has brought us to where we are today - one of the world's largest independent providers of IT and business consulting services.

At CGI, we recognize the richness that diversity brings. We strive to create a work culture where all belong and collaborate with clients in building more inclusive communities. As an equal-opportunity employer, we want to empower all our members to succeed and grow. If you require an accommodation at any point during the recruitment process, please let us know. We will be happy to assist.

Ready to become part of our success story? Join CGI - where your ideas and actions make a difference.

Qualified applicants will receive consideration for employment without regard to their race, ethnicity, ancestry, color, sex, religion, creed, age, national origin, citizenship status, disability, pregnancy, medical condition, military and veteran status, marital status, sexual orientation or perceived sexual orientation, gender, gender identity, and gender expression, familial status, political affiliation, genetic information, height, weight, or any other legally protected status or characteristics.

CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply for a job in the U.S., please email the CGI U.S. Employment Compliance mailbox at US_Employment_Compliance@cgi.com. You will need to reference the Position ID of the position in which you are interested. Your message will be routed to the appropriate recruiter who will assist you. Please note, this email address is only to be used for those individuals who need an accommodation to apply for a job. Emails for any other reason or those that do not include a Position ID will not be returned.

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All CGI offers of employment in the U.S. are contingent upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific assignment and/or level of US government security clearance held. CGI will consider for employment qualified applicants with arrests and conviction records in accordance with all local regulations and ordinances.

CGI will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish information.

Address

CGI

Fairfax, VA
USA

Industry

Business

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