Lead the design and execution of analytics frameworks evaluating quality of access, formulary performance, and payer utilization across all segments
Analyze payer coverage policies, step edits, prior authorization requirements, and reimbursement trends to identify access opportunities and barriers
Monitor pull-through effectiveness, quantifying access-driven utilization across national and regional accounts
Develop and maintain dashboards, scorecards, and executive-level reporting to track payer performance, formulary wins/losses, and core access KPIs
Lead analytic preparation for Monthly and Quarterly Business Reviews (MBRs/QBRs), including performance summaries, coverage updates, and strategic recommendations
Partner with Market Access leadership to model and forecast the impact of access changes, formulary updates, contracting strategies, and share shifts
Provide insights to Payer Account, Trade, Patient Services, and Field Access teams that support access optimization and patient affordability initiatives
Serve as a subject matter expert on payer, formulary, coverage, and claims utilization data, including developing sound business rule logic, ensuring consistent data definitions, and conducting QC testing to validate accuracy and reliability
Conduct ad hoc analyses to diagnose access challenges, support contracting decisions, and respond to field inquiries
Manage relationships with data and consulting vendors, including scope alignment, deliverable oversight, and budget management

Requirements

Bachelor’s degree, advanced degree preferred, in Business or related field required
8 - 10 years of progressive experience in Market Access, Payer Analytics, or Commercial Analytics or equivalent experience
Proven ability to analyze payer, formulary, and claims data to identify trends, measure performance, and drive access strategy
Working knowledge of IQVIA LAAD, MMIT, Payer Spine, Copay data and Access pull-thru application
Expertise with data visualization and analytics tools (e.g., Tableau, Power BI, Snowflake, SQL, Excel)
In-depth understanding of payer contracting, coverage determination, medical and pharmacy policies
Strong knowledge of pharmaceutical compliance standards, including HIPAA and manufacturer data privacy regulations
Demonstrated success translating complex analytics into actionable business insights for senior stakeholders
Excellent collaboration, communication, and presentation skills; ability to influence and align across cross-functional teams
Strong project management and organizational skills; ability to manage multiple priorities in a fast-paced environment
Willingness to travel up to 20% domestically

Benefits

401(k) plan with generous employer match
12 weeks of paid parental leave
Up to 12 weeks of living organ and bone marrow leave
Equity incentive plans
Health plans (medical, prescription drug, dental, and vision)
Life insurance and disability
Flexible time off
Annual Winter Holiday shut down
At least 11 paid holidays

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data analysispayer analyticsformulary performanceclaims data analysisdata visualizationanalytics frameworksbusiness rule logicQC testingaccess strategycontracting strategies

Soft Skills

collaborationcommunicationpresentation skillsinfluenceorganizational skillsproject managementability to manage multiple prioritiesstrategic recommendationsrelationship managementinsight translation