Senior Manager, Obesity Coverage and Value Strategy

This is a fully remote position, open to applicants in United States.

📋 Description

• Take charge of the U.S. payer coverage and value-marketing strategy for obesity and related conditions.

• Lead a comprehensive U.S. coverage strategy across commercial, Medicare, and Medicaid sectors.

• Establish coverage and utilization-management positions, including formulary tier, prior authorization, step therapy, reauthorization, quantity limits, and clinical criteria.

• Manage prior-authorization and utilization-management analysis.

• Provide validated coverage and utilization-management assumptions to the Pricing Lead for gross-to-net and contract modeling.

• Collaborate with Pricing, Contracting, Insights, and field access teams on coverage strategies, contracting goals, pull-through plans, and escalation priorities.

• Direct the U.S. payer value narrative and tailor value communication for specific customers.

• Create and oversee payer-facing materials and field resources, including value dossiers, payer presentations, objection handlers, coverage resources, FAQs, training content, and account-planning tools.

• Conduct payer, employer, and market research and translate findings into prioritized actions.

• Partner with HEOR, Real World Evidence, Medical, and Global Value and Access on evidence priorities and dissemination.

• Monitor coverage performance and access KPIs by segment and customer, mobilizing partners to address priority gaps.

• Shape value evidence and coverage implications for employer and consumer pathways upon request.

• Collaborate with Brand and Patient Access & Reimbursement on affordability, access education, and patient transitions.

• Present coverage, evidence, and value recommendations to the Director and at launch or governance forums.

⛳️ Requirements

• Doctorate degree with 2 years of experience in market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics, or sales and marketing operations; OR

• Master’s degree with 4 years of relevant experience; OR

• Bachelor’s degree with 6 years of relevant experience; OR

• Associate’s degree with 10 years of relevant experience; OR

• High school diploma or GED with 12 years of relevant experience.

• Preferred experience in payer marketing, coverage strategy, managed markets, HEOR or value communication, patient access, or within a payer, PBM, or employer setting.

• Launch experience in chronic, primary care, or cardiometabolic markets is preferred.

• Strong understanding of U.S. pharmacy and medical benefits, formulary decision-making, prior authorization, step therapy, reauthorization, benefit design, and access operations.

• Ability to analyze clinical trials, real-world evidence, and health-economic analyses and apply this knowledge to payer coverage and utilization-management decisions.

• Experience in creating compliant payer or access materials and equipping customer-facing teams through training and pull-through tools.

• Excellent strategic thinking, synthesis, facilitation, writing, and presentation skills.

• Capability to independently lead a defined strategic workstream and influence within a matrixed launch environment.

🏝️ Benefits

• Health and welfare plans for staff and their eligible dependents.

• Retirement and Savings Plan with generous company contributions.

• Group medical, dental, and vision coverage.

• Life and disability insurance.

• Flexible spending accounts.

• Discretionary annual bonus program.

• Stock-based long-term incentives.

• Award-winning time-off plans.

• Flexible work models where possible.

• Career development opportunities.

• Financial plans that provide opportunities to save for retirement or other goals.

• Work/life balance.