Senior Manager / Associate Director, Gross-to-Net & Revenue Planning

About the role

Responsibilities

• Own the monthly and quarterly gross-to-net accrual and reserve process end to end, including distribution and title fees, specialty pharmacy fees and prompt-pay discounts, Medicaid rebates, 340B, FSS/VA pricing, chargebacks, and other revenue deductions as the channel develops
• Establish and maintain accrual rate methodology and assumption documentation for a newly launched product with limited claims history
• Execute rate true-ups as actual claims and utilization data mature, and explain the resulting variances
• Build and maintain reserve roll-forwards, reserve-to-payment reconciliations, and rate variance analyses
• Serve as the finance owner of third-party government pricing calculations — AMP, Best Price, non-FAMP, Medicaid unit rebate amount, and 340B ceiling price — validating vendor output in partnership with Market Access and supporting executive certification
• Monitor payer mix, channel dynamics, and reimbursement developments, and translate them into forecast and reserve implications
• Partner with Commercial Operations & Strategy on the revenue forecast build, from treatment-center-level demand through gross sales to net revenue
• Support the modeling of drivers specific to cell therapy, including authorized treatment center activation and ramp, referral-to-infusion conversion, manufacturing capacity and slot constraints, donor eligibility yield, and vein-to-vein timing
• Work with Commercial Operations & Strategy to deliver the monthly latest estimate, quarterly reforecast, annual budget, and long-range plan inputs for revenue and gross-to-net
• Produce variance analysis and written commentary for executives and Board reporting
• Partner with Commercial and Market Access to align demand assumptions with field intelligence and account activation plans
• Partner with Commercial, Market Access, Patient Services, and Medical Affairs on budget, latest estimate, and long-range planning for commercial operating expenses
• Own budget-versus-actual reporting, accrual review, and variance commentary for commercial functions
• Track headcount and program spend against plan, and support functional leaders in managing their budgets
• Partner with Accounting on the revenue close, including journal entries, account reconciliations, flux analysis, and cut-off
• Ensure compliance with GAAP, ASC 606, SOX (as applicable), and internal controls
• Build and maintain audit-ready documentation and control narratives for gross-to-net and revenue processes
• Serve as a primary point of contact for external auditors on gross-to-net methodology and revenue forecasting assumptions
• Contribute analysis and peer benchmarking to technical accounting positions on revenue deductions and other ASC 606 matters
• Own the flow of finance data from third-party logistics, specialty pharmacy, and distribution partners into forecast and accrual models
• Support implementation and maintenance of ERP and planning systems as they relate to revenue and gross-to-net
• Drive automation and reporting improvements as transaction volume grows
• Support gross-to-net and revenue process design for ex-US markets as they are added

Requirements

• • Bachelor's degree in Finance, Accounting, Economics, or related field • 7+ years of progressive biopharmaceutical finance experience, including direct, hands-on ownership of gross-to-net • Demonstrated experience building gross-to-net accrual methodology from first principles, rather than solely operating an established revenue management system • Strong understanding of US GAAP and ASC 606 as applied to pharmaceutical revenue and revenue deductions • Working knowledge of US government pricing programs — Medicaid, 340B, FSS/VA — and how they interact with commercial channel terms • Experience partnering across Accounting, Market Access, Commercial, and external auditors • Strong analytical and problem-solving skills, with sound judgment in the absence of established precedent • High attention to detail and accuracy and ability to manage multiple priorities in a fast-paced environment