Associate Principal/Principal, Market Access, Government Pricing

Avalere Health is seeking an Associate Principal to join our Market Access practice.

The Market Access 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 government pricing, government reporting with deep expertise and understanding of CMS, Medicare, and Medicaid pricing and policy
  • Manage a portfolio of clients to ensure that all Avalere’s knowledge and expertise are available to meet client needs
  • 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 Average Sales Price, 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, and the Unit Rebate Amount
  • 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 gross-to-net) forecasting
  • Solve complex client issues in a timely and appropriate manner with minimal management oversight and attention to resources
  • Seek proactively and obtain speaking engagements with clients, policy makers, and thought leaders in order to generate public recognition for Avalere’s pricing capabilities and to result in new business and revenue generation
  • 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.

Skills, Experience, and Other Job-Related Requirements

Education Requirements

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

Skill Requirements

Minimum Skills/Knowledge

  • 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
  • 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

Experience Requirements

Minimum Experience

  • 8 years of relevant work experience; examples of relevant work experience include consulting firms, payers/PBMs, diagnostics and 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

  • 10 years of relevant work experience
  • Consulting experience
  • Market access strategy and pricing experience
  • Significant and sustained project management experience that includes interacting with and presenting to senior-level executives or health policy leaders
  • Experience analyzing policy proposals, legislation, or federal regulations and conveying the findings to clients and the public.

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.

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 the attestation requirement unless and until such time as an in-office presence is required.