Senior Manager – Value & Access Insights, Medical Benefit Products

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

📋 Description

• Oversee analytics for managed care and organized clientele.

• Develop strategies for payers and providers concerning the medical benefit portfolio.

• Provide integrated analyses and insights to teams handling coverage and pricing.

• Track, diagnose, and tackle payer-related obstacles and challenges.

• Collaborate with US Payer Marketing, Pricing/Contracting, and Brand Marketing teams.

• Establish and prioritize analytics and insights plans that support the value and access strategy.

• Analyze datasets from the pharmaceutical ecosystem, including medical and pharmacy claims, prescriptions, outlets, and chargeback data.

• Supervise and deliver managed markets analysis, including formulary positioning, utilization management controls, customer segmentation, and assessment of control/sophistication.

• Prepare, refine, and present periodic reports monitoring product and portfolio performance.

• Implement analytics plans utilizing patient-level claims, payer claims, formulary coverage, and specialty pharmacy data.

• Constructively challenge teams with disconfirming information and promote innovative problem-solving.

• Foster relationships with cross-functional partners and provide continuous support.

• Conduct longitudinal patient-level analysis, time-series modeling, customer segmentation, and issue diagnostics.

• Create data analytics models that yield strategic, actionable business insights.

• Report to the Director of Value & Access Analytics and Insights.

⛳️ Requirements

• Doctorate degree with 2 years of business experience OR Master’s degree with 4 years of business experience OR Bachelor’s degree with 6 years of business experience OR Associate’s degree with 10 years of business experience OR High school diploma / GED with 12 years of business experience.

• Practical experience in analytics concerning products with Medical benefit and Pharmacy benefit utilization.

• Previous work experience with buy-and-bill products and familiarity with provider reimbursement/NCR analytics.

• Prior background in contracts and pricing, direct payer engagements, or value marketing.

• Fundamental understanding of the US payer landscape and the U.S. healthcare market.

• Excellent conceptual problem-solving capabilities.

• Outstanding written and oral communication skills, along with executive presence.

• Strong command over complexity and ambiguity.

• Proven leadership abilities with the capacity to influence diverse styles.

• Over 5 years of experience in healthcare within the biopharmaceutical sector, healthcare, and/or strategy consulting, particularly concerning coverage, access, and reimbursement drivers.

• High level of analytical and problem-solving proficiency.

• Solid understanding of business strategies.

• Proficient in SQL, R, Python, and Microsoft Excel.

• Sponsorship for this position is not guaranteed.

🏝️ Benefits

• A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions.

• Group medical, dental, and vision coverage.

• Life and disability insurance.

• Flexible spending accounts.

• A discretionary annual bonus program.

• Stock-based long-term incentives.

• Award-winning time-off plans.

• Flexible work models where applicable.

• Career development opportunities.

• Support for work/life balance.