Associate Principal, Market Access, Strategic Pricing & Contractin

United by one profound purpose: to reach EVERY PATIENT POSSIBLE. At Avalere Health, we ensure every patient is identified, treated, supported, and cared for. Equally. Our Advisory, Medical, and Marketing teams come together – powerfully and intentionally – to forge unconventional connections, building a future where healthcare is not a barrier and no patient is left behind. 

Skills, Experience, and Other Job-Related Requirements

Education Requirements

 Advanced or undergraduate degree in health policy, public policy, healthcare management, public health, public administration, economics, health economics, business administration, accounting, law or a relevant discipline

 

Experience Requirements

Minimal Experience

 5+ years of relevant work experience

 Examples of relevant work experience include consulting firms, payers/PBMs, diagnostics and/or pharmaceutical manufacturers, HHS, CMS, 340B providers, and the healthcare industry at large

 3+ years in access, formulary, and coverage strategy;

 3+ years in reimbursement-specific policy;

 2 years of project team leadership experience; 5 years of management/supervisory experience;

 

Preferred Experience

 8+ years of relevant work experience; Consulting experience;

 Market access strategy and strategic pricing experience;

Significant and sustained project management experience that includes interacting with and presenting to senior-level executives and/or health policy leaders;

 Experience analyzing policy proposals, legislation, and/or federal regulation and conveying findings to clients and the public.

 

Skill/Knowledge Requirements

Minimal Skills/Knowledge

 Excellent leadership/mentoring skills in developing staff;

 Exceptional problem-solving and analytic skills with the ability to apply and advanced proficiency in the Microsoft Office suite;

 Solid writing skills as a foundation for professional business communication;

 Proficiency in government pricing, government price reporting, drug pricing strategy, and Lexicon

 

Preferred Skills/Knowledge

Ability to establish personal credibility as a strategic and pricing expert with clients;

 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;

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 Health is seeking an Associate Principal-level candidate to join our Market Access 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; and much more. We assess how our clients’ products fit within the dynamic coverage, pricing, and reimbursement landscape and help our clients optimize market access for their products though deep subject matter expertise and understanding of their business issues.

Duties and Responsibilities

 Develop and secure business within the life science space with a focus on strategic pricing and contracting, government pricing, government reporting with deep expertise and understanding of CMS, Medicare, and Medicaid pricing and policy and have the ability to quantitatively forecast for commercial buying centers

Manage a portfolio of clients to ensure that all Avalere’s knowledge and expertise are available to meet client needs with a $500K annual sales target;

 Conceptualize the scope of projects for clients, assemble a cross-functional team, and oversee the team from project initiation through to client delivery;

Serve as a subject matter expert on government pricing and government reporting including all aspects of ASP (Average Sales Price), AMP (Average Manufacturer Price) and Best Price calculations

 Serve as subject matter expert on 340B and related programs (Prime Vendor Program), and other government pricing programs including pricing benchmarks such as WAC, ceiling price, Unit Rebate Amount (URA), etc.

 Create both strategic and tactical recommendations to ensure optimal market access for client products through guiding and assessing strategies for product launch price, value-based pricing and modeling GTN (Gross to Net) forecasting;

 Solve complex client issues in a timely and appropriate manner with minimal management oversight and attention to resources;

 Generate public recognition for Avalere’s pricing capabilities and result in new business and revenue generation through publication of thought leadership and/or public speaking engagements; and

 Mentor, supervise, and train staff members within the Market Access practice and across the firm.

We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.