Manager, Payer Analytics – Operations

Role Overview

• Analyze payer coverage, reimbursement, and policy dynamics across Commercial, Medicare, and Medicaid channels
• Assess access barriers (e.g., prior authorizations, step edits, denials) and quantify impact to patient access
• Generate insights from claims, hub, and patient services data to identify trends in utilization and adherence
• Monitor and report on key performance indicators such as time-to-fill, approval rates, and therapy persistence
• Develop and deliver recurring insights to inform Patient Access strategy and leadership decision-making
• Translate complex datasets into clear, actionable recommendations for cross-functional stakeholders
• Identify risks and opportunities related to payer performance and patient access
• Own and evolve dashboards supporting payer performance, field reimbursement, and patient access
• Partner with IT and data engineering teams to enhance reporting capabilities, automation, and ensure data accuracy, consistency, and usability across systems
• Serve as the primary point of contact for external data vendors (e.g., claims aggregators, data providers)
• Support payer contracting strategy through data-driven insights and scenario analyses
• Evaluate impact of payer agreements on access, utilization, and financial performance
• Partner with Pricing & Contracting to inform decision-making for both in-line and pipeline products
• Contribute to business planning cycles, including quarterly reviews and long-range planning
• Act as a strategic thought partner to cross-functional stakeholders
• Lead multiple analytical projects by implementing solutions, ensuring progress per timelines and scope, and coordinating readout of results
• Demonstrate strong biopharma understanding and business intelligence to present data

Requirements

• Bachelor’s degree required
• Masters / MBA preferred
• 5+ years of relevant work experience in an analyst capacity in the pharmaceutical industry
• Expertise in analytics, particularly in technical data curation, integration across multiple data sets, data structuring, and data manipulation skills
• Strong understanding of pharmaceutical data with demonstrated experience in specialty pharmacy, hub, claims, and industry data sources (e.g., IQVIA, Symphony)
• Expert level user and modeler within MS Excel application
• Alteryx and/or SAS/Power BI experience a plus
• Strong PowerPoint and presentation skills preferred
• Excellent analytical reasoning and problem-solving capabilities
• Excellent interpersonal and collaborative skills
• Excellent communication and presentation skills
• Strong organizational and time management skills
• Ability to travel 10% to 20% domestic and internationally

Benefits

• premium health
• financial
• work-life and well-being offerings for eligible employees and dependents
• wellness and employee support programs
• life insurance
• disability
• retirement plans with employer match
• generous paid time off