Avalere Health is seeking a Principal level candidate to join our Market Access & Reimbursement practice. The team focuses on a wide range of areas, such as coverage, coding, and payment across commercial and public payers; pricing and contracting; distributors and specialty pharmacies; field team design and deployment; and patient support services. We assess how our clients’ products fit within the emerging coverage and reimbursement landscape and help our clients optimize market access for their products though deep subject matter expertise and understanding of their business issues.

We design strategic and tactical plans to maximize adoption and uptake by payers, providers, and patients throughout the product lifecycle by integrating policy and healthcare market dynamics into the business planning cycle. We work on a team basis with complementary scientific, technical, and regulatory expertise in the pre-approval and post-market spaces.

Ideally, this role would be located in Washington DC or San Francisco Bay Area, but remote work will be considered.

Responsibilities

  • Developing and securing business within the life science space
  • Managing a portfolio of clients to ensure that all of Avalere’s knowledge and expertise are available to meet client needs
  • Conceptualizing the scope of projects for clients, assembling a cross-functional team, and overseeing the team from project initiation through to client delivery
  • Serving as a subject matter expert on reimbursement and market access-related issues impacting the pharmaceutical, biotech, and medical device industries
  • Creating both strategic and tactical recommendations for clients to ensure optimal market access for client products
  • Solving complex client issues in a timely and appropriate manner with minimal management oversight and attention to resources
  • Proactively seeking and obtaining speaking engagements with clients, policy makers, and thought leaders in order to generate public recognition for Avalere and result in new business and revenue generation
  • Mentoring, supervising, and training staff members within the Reimbursement Practice and across the firm
  • All candidates to comply with all security policies/procedures
  • Maintain compliance with Inovalon’s policies, procedures and mission statement
  • Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
  • Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company
  • Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function
  • We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such

Qualifications

  • Advanced degree in health policy, public policy, healthcare management, public health, public administration, health economics, business administration, law or a relevant discipline with 8 years of relevant experience OR an undergraduate degree in the same or similar areas with 11+ years of relevant experience
  • Examples of relevant work experience include: consulting firms, payers/PBMs, diagnostics and/or pharmaceutical manufacturers, clinical laboratories with specialty in molecular diagnostics, and the healthcare industry at large
  • Prior consulting experience strongly preferred
  • Prior market access strategy and pricing strongly preferred
  • 3-5 years in access, formulary and coverage strategy
  • 3-5 years reimbursement-specific policy experience
  • 2 years of project team leadership experience
  • 5 years of management/supervisory experience with excellent leadership/mentoring skills in developing staff
  • Exceptional problem-solving and analytic skills with the ability to apply knowledge outside of one’s immediate functional area
  • Advanced proficiency in the Microsoft Office suite
  • Solid writing skills as a foundation for professional business communication

 Additional Skills and Competencies:

  • 10 - 15 years relevant experience is preferred
  • Ability to establish personal credibility as a strategic and reimbursement expert with clients
  • Significant and sustained project management experience that includes interacting with and presenting to senior-level executives and/or health policy leaders
  • Proven situational leadership skills and the ability to motivate and generate enthusiasm with individuals across all levels of the organization
  • Exemplary interpersonal skills that translate into positive relationships with colleagues and clients
  • Solid communication skills including the ability to concisely explain complicated concepts to executives within and outside of the firm
  • Experience analyzing policy proposals, legislation, and/or federal regulation and conveying findings to clients and the public
  • Ability to analyze and understand health policy trends from the perspective of multiple stakeholders and translate related business implications
  • Commitment to working in a team environment with an emphasis on collaboration and maintaining positive relationships with colleagues and clients
  • Exceptional problem-solving and analytic skills with the ability to apply knowledge outside of one’s immediate functional area

Avalere is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

By embracing diversity, equity and inclusion we enhance our work environment and drive business success. Avalere strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Consistent with our safety protocols, the Company will require a vaccination attestation for fully office-based and hybrid (office/remote) positions. Positions designated as fully remote are exempt from attestation requirements unless and until such time as an in-office presence is required.

 

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