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Clinical Director, Payer-Focused Consulting
LockwoodClinical Director advising pharmaceutical manufacturers and payers on drug value, formulary strategy, and coverage management. Leading payer research, advisory boards, client materials, and business development for APS.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in drug information and payer management, with a strong focus on formulary development, coverage management, and benefit design. Proficient in preparing comprehensive reports and presentations that articulate drug value propositions and payer coverage practices.
Highest-signal resume keywords
PharmD DegreeDrug Information ExperiencePayer Coverage ManagementFormulary DevelopmentExcellent Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Drug MonographsClass ReviewsCoverage CriteriaClinical PoliciesBenefit DesignP&T Committee ProcessesCoverage ReviewAppeal ProcessesPayer ResearchCommercial Viability Analysis
Soft Skills
Excellent Time ManagementCollaborationFacilitation SkillsDedication to Life-Long LearningClient Interaction
Tools & Technologies
Microsoft WordPowerPointVirtual Advisory Boards
Industry Keywords
Payer OrganizationsMedicareHealth PlanPBMDrug Marketplace TrendsPrior AuthorizationsStep-Therapy EditsClient Value PropositionCoverage Management PracticesBenefit Allocation
About the role
Key responsibilities & impact- Provide expert opinions to APS and its clients regarding the clinical value of drugs to payers and how they will be perceived and managed by payers
- Support APS and its clients with broad-based drug information expertise across all therapeutic areas
- Conduct drug information and other research to understand how payer lines of business will perceive and manage new drugs and indications
- Advise staff and clients on payer rationales and approaches for Prior Authorizations, step-therapy edits, and other coverage rules
- Prepare Word documents, PowerPoint slides, and other materials describing commercial viability, competition, and likely payer coverage practices
- Plan, conduct, and summarize payer research
- Help plan, develop, and moderate virtual and in-person payer advisory boards
- Review and improve client value proposition and preapproval information exchange presentations
- Interact with current and prospective clients and demonstrate APS drug and drug therapy expertise
- Assist with statements of work and participate in client presentations to win new business
- Keep current with clinical drug-marketplace trends and payer formulary and coverage management practices
- Collaborate with the APS Chief Clinical Officer and VP of Clinical Services
- Work as a critical member of the APS, Nexus, and affiliated company teams
Requirements
What you’ll need- PharmD degree or equivalent e.g., BS pharmacy with advanced degree
- At least 5 to 10-years of experience in a managerial/supervisory drug information position with a payer, i.e., health plan or PBM, in the areas of formulary development, coverage management, and benefit design
- Comprehensive understanding of current payer organizations and payer regulatory landscape in Commercial and Medicare
- Drug information experience with payers in developing drug monographs, class reviews, drug formularies, coverage criteria, appeals criteria, clinical policies, etc.
- Experience with the Commercial and Medicare lines of business
- Experience in benefit design, coverage determination, benefit allocation, coverage review and appeal processes, etc.
- Experience in P&T committee processes
- Excellent written and verbal communication skills
- Dedication to life-long learning and development
- Ability to facilitate/moderate virtual or in person payer advisory boards and payer advisory panels
- Ability to collaborate and support other clinical and non-clinical experts within APS and other Lockwood companies to jointly achieve company and client objectives
- Excellent time management skills and ability to meet agreed upon deadlines
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Lockwood Website LinkedIn All Job Openings 501 - 1000 employees 🏥 Healthcare 💼 Consulting 📣 Marketing Healthcare
- Consulting
- Marketing Lockwood is a company specializing in medical and market access communications, collaborating with healthcare clients to strategize and execute effective communications. The company works closely with clients' medical affairs teams from Phase 2 onwards to shape scientific strategies and support commercialization efforts. Lockwood's divisions include medical affairs, commercial development, publications, and market access, delivering high-quality, evidence-based initiatives. Their team includes numerous staff members with advanced scientific or medical degrees, allowing them to provide insights that inform compelling stories. Lockwood is committed to scientific accuracy, innovation, and long-term client partnerships while fostering a supportive culture for their employees. Clinical Director, Payer-Focused Consulting Job not on LinkedIn 🔥 1 minute ago 🇺🇸 United States – Remote ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director 🦅 H1B Visa Sponsor 👻 Ghost score 10% Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Provide expert opinions to APS and its clients regarding the clinical value of drugs to payers and how they will be perceived and managed by payers
- Support APS and its clients with broad-based drug information expertise across all therapeutic areas
- Conduct drug information and other research to understand how payer lines of business will perceive and manage new drugs and indications
- Advise staff and clients on payer rationales and approaches for Prior Authorizations, step-therapy edits, and other coverage rules
- Prepare Word documents, PowerPoint slides, and other materials describing commercial viability, competition, and likely payer coverage practices
- Plan, conduct, and summarize payer research
- Help plan, develop, and moderate virtual and in-person payer advisory boards
- Review and improve client value proposition and preapproval information exchange presentations
- Interact with current and prospective clients and demonstrate APS drug and drug therapy expertise
- Assist with statements of work and participate in client presentations to win new business
- Keep current with clinical drug-marketplace trends and payer formulary and coverage management practices
- Collaborate with the APS Chief Clinical Officer and VP of Clinical Services
- Work as a critical member of the APS, Nexus, and affiliated company teams 🎯 Requirements
- PharmD degree or equivalent e.g., BS pharmacy with advanced degree
- At least 5 to 10-years of experience in a managerial/supervisory drug information position with a payer, i.e., health plan or PBM, in the areas of formulary development, coverage management, and benefit design
- Comprehensive understanding of current payer organizations and payer regulatory landscape in Commercial and Medicare
- Drug information experience with payers in developing drug monographs, class reviews, drug formularies, coverage criteria, appeals criteria, clinical policies, etc.
- Experience with the Commercial and Medicare lines of business
- Experience in benefit design, coverage determination, benefit allocation, coverage review and appeal processes, etc.
- Experience in P&T committee processes
- Excellent written and verbal communication skills
- Dedication to life-long learning and development
- Ability to facilitate/moderate virtual or in person payer advisory boards and payer advisory panels
- Ability to collaborate and support other clinical and non-clinical experts within APS and other Lockwood companies to jointly achieve company and client objectives
- Excellent time management skills and ability to meet agreed upon deadlines Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Scientific Director, Medical Communications 🔥 13 hours ago Precision Medicine Group 1001 - 5000 💼 Consulting 🏥 Healthcare 📦 Logistics Website LinkedIn All Job Openings Scientific Director leading evidence-based medical communications for pharmaceutical and biotech clients. Guiding scientific strategy, content quality, regulatory review, and medical writing teams. 🇺🇸 United States – Remote 💵 $125k - $155k / year 💰 $35.2M Venture Round on 2021-03 ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director 🦅 H1B Visa Sponsor Medical Director 🔥 16 hours ago WellSky 1001 - 5000 🏥 Healthcare 💼 Consulting 📦 Logistics Website LinkedIn All Job Openings Medical Director guiding WellSky’s intelligent care technology programs. Providing medical review, clinical leadership, and care coordination across acute and post-acute services. 🇺🇸 United States – Remote 💰 Private Equity Round on 2020-07 ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director 🦅 H1B Visa Sponsor Field Medical Director – Solid Tumor, Breast and Lung 🔥 22 hours ago BeOne Medicines 10,000+ employees 🧬 Biotechnology 🏥 Healthcare 💊 Pharmaceuticals Website LinkedIn All Job Openings Field Medical Director advancing BeOne’s affordable oncology pipeline for breast and lung cancers. Building clinical partnerships and supporting Medical Affairs across the South Central territory. 🇺🇸 United States – Remote 💵 $215.4k - $275.4k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Medical Director – Post Acute 🔥 22 hours ago The Cigna Group 10,000+ employees 🏥 Healthcare ⚕️ Healthcare Insurance 💊 Pharmaceuticals Website LinkedIn All Job Openings Medical Director conducting evidence-based medical necessity reviews for EviCore, part of The Cigna Group’s healthcare services business. Consulting providers and guiding patient care decisions remotely. 🇺🇸 United States – Remote 💵 $207.8k - $346.3k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Medical Director 🔥 23 hours ago The Cigna Group 10,000+ employees 🏥 Healthcare 🛡️ Insurance Website LinkedIn All Job Openings Medical Director conducting evidence-based medical necessity reviews for Evernorth Health Services. Consulting providers and guiding appropriate patient treatments through clinical decision-making. 🇺🇸 United States – Remote 💵 $207.8k - $346.3k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director View More Medical Director Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass Resume Review AI Apply Copilot OpenClaw job finder API docs Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs