Prescription Drug Policy and Pricing Analyst

Why RTI

RTI International is an independent, scientific research institute dedicated to improving the human condition. Our vision is to address the world’s most critical problems with technical and science‑based solutions in pursuit of a better future. Clients rely on us to answer questions that demand an objective and multidisciplinary approach – one that integrates expertise across social, statistical, data, and laboratory sciences, engineering, and other technical disciplines to solve the world’s most challenging problems.

We believe in the promise of science and technical solutions, and we push ourselves every day to deliver on that promise for the good of people, communities, and businesses in the US and around the world. If you are looking for the opportunity to make a real difference, RTI is the place for you.

RTI International’s Center for Health Care Financing and Payment Research is seeking a researcher with expertise in prescription drug policy, drug pricing, clinical evidence, and health services research to support health policy projects and initiatives.

The successful candidate will bring hands‑on experience with federal prescription drug pricing programs, manufacturer statutory price calculations, drug coverage and reimbursement, and will contribute to RTI’s growing portfolio of drug policy research and consulting for the Centers for Medicare and Medicaid Services (CMS) and other clients.

Candidates may choose to work remotely within the United States or out of the Research Triangle Park, NC office.

• Provide deep subject‑matter expertise on federal prescription drug pricing programs, including:
  • Medicaid Drug Rebate Program (MDRP): AMP, Best Price, URA calculations, supplemental rebates, state rebate operations.
  • 340B Drug Pricing Program
    : ceiling price methodology, covered entity eligibility, duplicate discount prevention, manufacturer and HRSA compliance requirements.
  • Medicare Part B drug reimbursement policies, including ASP methodology (e.g., eligible transactions, role of discounts and chargebacks) and biosimilar reimbursement.
  • Medicare Part D pricing and reimbursement, including pharmacy reimbursement, plan payments, and rebate dynamics.
  • VA/FSS and other federal pricing requirements, including non‑FAMP, federal ceiling price, etc.
• Interpret federal statutes, CMS and HRSA regulations, guidance, and rule making related to drug pricing, access, and reimbursement.
• Provide in‑depth knowledge of commercial drug contracting, formulary strategy, and/or PBM operations.
• Support the design and interpretation of studies on drug utilization patterns and outcomes in populations and subpopulations, including Medicare and Medicaid.
• Provide subject matter expertise on the development of value frameworks, formulary recommendations, and drug coverage and reimbursement policies of public and private payers.
• Collaborate with multidisciplinary teams, including economists, physicians, statisticians, policy analysts, and programmers, to produce high‑quality, policy‑relevant deliverables.
• Translate findings into clear reports, briefs, presentations, and publications for diverse stakeholders.

Minimum Qualifications:

• PhD and at least six years of relevant experience; or a Master’s degree and at least 10 years of relevant experience; or a Bachelor’s degree and at least 12 years of relevant experience.
• At least four years of experience in drug policy, government price reporting, health services research, healthcare consulting, managed care, or related work.
• Experience supporting federal contracting programs or working in a consulting environment.
• Experience with Medicare Part D and/or other prescription drug policies and programs, including Medicaid and 340B.
• Experience with domestic (United States) health policy.
• Familiarity with pharmacy claims, formulary design, quality measures (e.g., PQA, STAR ratings), and clinical drug evaluation.
• Ability to translate highly technical pricing concepts into clear, accessible explanations for federal audiences.
• Proven ability to collaborate across disciplines and manage multiple priorities in a fast‑paced environment.
• Proficiency with…