Director, Payer Contract Analytics - Immunology
Mettawa, IL, United States Hybrid
$160,500–$305,000 a yearJobFig found this opening at its original source and checks that it remains available.
About the role
As a people leader of the Payer Contract Analytics team, you will greatly influence securing market access across all therapeutic areas and payer channels by executing contracting strategies and leading all deal model analytics. You will partner with Business Evolution Strategy Development (BESD) functions to build and scale deal analytics that reflect emerging market access and distribution models. You will play a key role in modernizing the overall Payer Contract Analytics (PCA) function through process and analytical methodology improvements and AI-guided initiatives. In this role, you will closely collaborate with internal stakeholders from Finance, Forecasting, BTS, Legal, Payer Strategy, Pricing as well as field-based Account Managers to establish approved contracting terms that maximize brand net sales. With a focus on all traditional payer channels as well as emerging disruptive channels, you will ensure that pricing and contracting strategies are executed through sophisticated Bayesian and other advanced simulation techniques. You will also lead a team of contract analytics talent, embed analytical capabilities to extend team member capabilities, enable organizational learning to ensure the development of access strategies that align with overall commercial goals of each brand. The role requires strong real-world data modeling skills and subject matter expertise within the overall U.S. market access environment and an in-depth understanding of the continuously evolving payer reimbursement landscape. This position requires strong leadership and influencing skills required to obtain optimal access for AbbVie’s medicines at key National PBM’s and Payers such as Caremark, Express Scripts, and Optum. Together, ~80% of US Net Sales each year are the result of formulary placements and restrictions across these 3 customers.
What you'll bring
- Strong business and financial acumen – prior experience in Contracting with an emphasis on actuarial modeling, scenario planning, and/or financial analysis are core competencies sought for this position.
- Requires the ability to work in a matrixed environment while demonstrating and aligning to AbbVie’s cross-functional ways of working.
- Strong knowledge of channel dynamics/healthcare policy changes and possesses the ability to translate this understanding into actionable strategies using advanced analytics methods.
- Working knowledge of enterprise BI visualization tools to extract/analyze data and communicate a value story through insights.
- Experience managing and analyzing patient claims data (e.g. IQVIA LAAD, Symphony Health data, MMIT formulary status data) for Pharmacy channel products.
- Robust understanding of pharmacy channel stakeholder economics, including Payers, Pharmacy benefit managers (PBMs), and Group Purchasing Organizations (GPOs).
- Ability to develop insights and communicate complex information synthesized into concise and impactful talking points to effectively influence executive level decisions.
- Experience influencing contract strategy decisions through rigorous data-driven drug pricing and utilization studies.
- 10+ years of work experience in management consulting, data/financial analysis type of roles, 5+ years of Market Access Payer Analytics, evaluating pricing strategies, or network contracting experience.
- 5+ years of direct People Leadership experience.
- Bachelors degree required/ Masters degree preferred in one of the following fields: Computer Science, Engineering, Statistics, Economics, Actuarial Science, Decision Sciences, Operations Research, Health Economics, Finance, Applied Mathematics, or highly related field of quantitative study.