Job Abstract

Key Role:

Develop and execute strategies for pricing prescription drugs and negotiating payer coverage to comply with the drug price reduction requirements outlined in the Inflation Reduction Act (IRA). Engage with professionals and industry executives, overseeing comprehensive pricing and contracting analyses to bolster the drug pricing and rebate framework. Collaborate with professionals and industry executives, spearheading comprehensive pricing and contracting analyses encompassing both quantitative and qualitative aspects to bolster the drug pricing and rebate environment. Gather, examine, and incorporate cross-departmental data from diverse sources to assist in the process of scenario-planning and the generation of customer insights. Provide increased insight into the U.S healthcare market, the processes of Medicare Part B and Part D, the flow of data, and the processes involved in pharmacy reimbursement. Gather, examine, and verify Part D and Part B claims for negotiated medications and ascertain reimbursements and rebates associated with negotiated Maximum Fair Price (MFP). Collaborate with subject matter experts from various domains to develop a business architecture framework that is in line with the IRA drug pricing regulations and performance goals. Leverage broad expertise in driving enhancements for more effective management and tracking of claims and reimbursements throughout the entire payer and healthcare system. Consistently collaborate with top management to convert strategic plans into tangible results. Conduct targeted implementation of improvement opportunities to effectively oversee and monitor claims and reimbursements throughout the entire ecosystem by providing thought leadership. Consistently collaborate with top-level executives to convert strategy into implementation. Effectively convey outcomes promptly by employing structured management and performance evaluation. Due to the nature of work performed within this facility, U.S. citizenship is required.

Basic Qualifications:

• 5+ years of experience with work directly related to drug pricing patterns and their relationship to economic trends

• Experience leading and implementing pharmacy programs, specifically Medicare Prescription Part B and Part D Drug Program

• Experience with Medicare and the pharmaceutical drug supply chain

• Experience with processing and validating claims from dispensers for selected drugs with an MFP, such as confirming the NDC or HCPCS for the selected drug, confirming the dispenser, checking for duplicates, checking for 340B status, checking for claims adjustments, and validation exercises

• Knowledge of the relationships and interactions between drug manufacturers, wholesalers, plan administrators and plans, PBMs, pharmacies and dispensing entities, and beneficiaries

• 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 and initiatives related to the Inflation Reduction Act of 2022 and interpret the IRA requirements for implementation

• Ability to develop and perform quality assurance and validation exercises related to Part B and Part D IRA drug pricing and rebates activities to encompass drug manufacturer, wholesaler, PBM, dispenser, TPA, and health plans ecosystem

• Bachelor's degree

Additional Qualifications:

• Experience with delivering technical assistance to a wide range of stakeholders and using a variety of delivery techniques

• Experience in facilitating large meetings with both internal and external audiences

• Experience with the federal procurement and proposal process

• Ability to effectively communicate both verbally and in writing with customers, team members, and management

• Ability to be a proactive self-starter and work independently and in a team environment

• Ability to pay strict attention to detail

• Possession of excellent communication and collaboration skills to work with various stakeholders, teams, sponsors, members, vendors, senior management, providers, and pharmacists

• Possession of excellent analytical, problem-solving, and interpersonal skills

• PMP Certification is a plus

Create Your Career:

Grow With Us

Your growth matters to us—that’s why we offer a variety of ways for you to develop your career. With professional and leadership development opportunities like upskilling programs, tuition reimbursement, mentoring, and firm-sponsored networking, you can chart a unique and fulfilling career path on your own terms.

A Place Where You Belong

Diverse perspectives cultivate collective ingenuity. Booz Allen’s culture of respect, equity, and opportunity means that, here, you are free to bring your whole self to work. With an array of business resource groups and other opportunities for connection, you’ll build your community in no time.

Support Your Well-Being

Our comprehensive benefits package includes wellness programs with HSA contributions, paid holidays, paid parental leave, a generous 401(k) match, and more. With these benefits, plus the option for flexible schedules and remote and hybrid locations, we’ll support you as you pursue a balanced, fulfilling life—at work and at home.

Your Candidate Journey

At Booz Allen, we know our people are what propel us forward, and we value relationships most of all. Here, we’ve compiled a list of resources so you’ll know what to expect as we forge a connection with you during your journey as a candidate with us.

Compensation

At Booz Allen, we celebrate your contributions, provide you with opportunities and choices, and support your total well-being. Our offerings include health, life, disability, financial, and retirement benefits, as well as paid leave, professional development, tuition assistance, work-life programs, and dependent care. Our recognition awards program acknowledges employees for exceptional performance and superior demonstration of our values. Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible to participate in Booz Allen’s benefit programs. Individuals that do not meet the threshold are only eligible for select offerings, not inclusive of health benefits. We encourage you to learn more about our total benefits by visiting the Resource page on our Careers site and reviewing Our Employee Benefits page.

Work Model
Our people-first culture prioritizes the benefits of flexibility and collaboration, whether that happens in person or remotely.

• If this position is listed as remote or hybrid, you’ll periodically work from a Booz Allen or client site facility.
• If this position is listed as onsite, you’ll work with colleagues and clients in person, as needed for the specific role.

EEO Commitment

We’re an equal employment opportunity/affirmative action employer that empowers our people to fearlessly drive change – no matter their race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law.