Head of US Gross to Net Finance
Cambridge, MassachusettsMorristown, New Jersey Regular Posted on Jan. 13, 2026 Closing on Feb. 06, 2026 Salary Range USD 210,000.00 - 350,000.00
Job Title: US Head of Gross-to-Net
Location: Cambridge, MA, Morristown, NJ
About the Job
Ready to push the limits of what’s possible? Join Sanofi in one of our corporate functions and you can play a vital part in the performance of our entire business while helping to make an impact on millions around the world.
The US Head of Gross-to-Net (GTN) is a strategic leadership role within Sanofi’s North America Finance organization, reporting to North America CFO, accountable for the integrity and strategic direction of GTN forecasting, reporting, and reserve governance. This leader provides financial stewardship over gross-to-net outcomes and related net sales close processes, ensuring disciplined governance, strong controls, and executive-ready insights that shape pricing, market access, and commercial strategy.
GTN is one of the largest and most complex drivers of U.S. net sales and cash, and this role plays a critical part in translating market and policy dynamics into financial performance. You will partner closely in partnership with Finance Business Partners, Market Access, and other critical stakeholders to align assumptions, resolve variances, and strengthen forecast accuracy and transparency.
The role plays a key part in Sanofi’s Finance transformation agenda by modernizing how GTN insights are generated and consumed. This includes advancing automation, advanced analytics, and AI-enabled forecasting and scenario modeling to surface risks earlier, accelerate decision-making, and improve planning confidence while maintaining appropriate governance and controls.
This position also sits on the North America finance leadership team and will contribute toward North America One Finance (NA1F) talent development, corporate initiatives and culture.
About Sanofi:
We’re an R&D-driven, AI-powered biopharma company committed to improving people’s lives and delivering compelling growth. Our deep understanding of the immune system – and innovative pipeline – enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people’s lives.
Main Responsibilities:
Provide financial stewardship over $45B+ in gross sales, ensuring alignment between accounting, forecasting, performance analytics, and cash flow implications.
Lead and develop a high-performing organization of ~15 team members with ~6 direct reports, including clear decision rights, escalation paths, and succession planning.
Lead GTN reserve governance: Own quarterly GTN reserve analysis and adequacy reviews, ensuring reserves are accurate, risks/opportunities are identified early, and key assumptions and rates are well captured.
Own GTN forecasting cadence: Lead GTN forecasting and actuals processes in partnership with GBUs, Finance Business Partners, Market Access; drive alignment, transparency, and forecast accuracy.
Deliver decision-shaping insights: Provide financial insights on GTN programs, payer/channel mix, product launches, and contract structures to support leadership decisions.
Evaluate pricing and access impacts: Assess the financial impact of pricing strategies, market access programs, and payer negotiations; translate assumptions into clear implications for profitability and performance.
Lead cross-functional alignment: Lead cross-functional sessions to align assumptions, resolve variances, and improve forecast accuracy.
Ensure close, controls, and audit readiness: Oversee governance of net sales close activities and supporting GTN processes; serve as the senior point of contact for internal/external audits and ensure strong evidence and remediation discipline.
Lead and develop the CoE: Drive process improvements, automation, and AI-enabled forecasting and scenario modeling (e.g., early-warning indicators and anomaly detection) to increase speed, transparency, and consistency across forecasting, reserves, and close.
About You
QUALIFICATIONS
Minimum 10+ years relevant Accounting/Finance/Industry experience
B.A/B.S. Accounting/Finance, or related field; CPA and/or MBA preferred
Pharma/biotech experience required
Experience leading GTN/revenue forecasting and reserves governance in a complex organization
Ability to influence, drive and manage innovation
Exhibits political and interpersonal savvy
Sees the “big picture” and reads emerging trends and patterns very effectively
Demonstrates strategic agility
Able to effectively manage competing priorities with consideration to the highest level of business impact and maintain control over multiple priorities simultaneously
Builds strong and effective teams, encourages others to develop new or higher levels of skills and knowledge
Possesses a strong sense of urgency
Generally remains calm and collected regardless of pressure
Consistently demonstrates an entrepreneurial spirit and fosters a culture of innovation.
Challenges the status quo and applies a thoughtful risk taking approach
KEY STAKEHOLDER INTERACTIONS
Finance Business Partners (SPC/GenMed/Vaccines), Brand teams, Market Access (Contracting, Pricing, Analytics), Trade, Treasury, Accounting & Reporting, Demand Forecasting, Corporate Affairs, Internal Audit, External Auditors.
Why Choose Us?
Bring the miracles of science to life alongside a supportive, future-focused team.
Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally.
Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.
Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave.
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
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All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs, and additional benefits information can be found here.
Pursue Progress. Discover Extraordinary.
Join Sanofi and step into a new era of science - where your growth can be just as transformative as the work we do. We invest in you to reach further, think faster, and do what’s never-been-done-before. You’ll help push boundaries, challenge convention, and build smarter solutions that reach the communities we serve. Ready to chase the miracles of science and improve people’s lives? Let’s Pursue Progress and Discover Extraordinary – together.
At Sanofi, we provide equal opportunities to all regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, protected veteran status or other characteristics protected by law.
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