Consultant/Associate Principal, Medicaid

Avalere Health is seeking a Consultant or Associate Principal with Medicaid and government pricing policy expertise to join our Policy practice.

Avalere Health is a strategic advisory company whose core purpose is to create innovative solutions to complex healthcare problems. Based in Washington, DC, the firm delivers actionable insights, business intelligence tools, and custom analytics for leaders in healthcare business and policy. Avalere’s experts span 230 staff drawn from Fortune 500 healthcare companies, the federal government (e.g., CMS, OMB, CBO, and the Congress), top consultancies, and nonprofits. The firm offers deep substance on the full range of healthcare business issues affecting the Fortune 500 healthcare companies. As an Inovalon company (Nasdaq: INOV), Avalere’s focus on strategy is supported by outstanding data analytics that generate unique insights and meaningful business improvement. Through events, publications, and interactive programs, Avalere insights are accessible to a broad range of customers.

The Policy practice focuses on a range of issues, including:

  • Ongoing federal and state health reform
  • Medicare reform policies and regulations
  • Medicaid and other state health policies
  • Drug pricing
  • Innovative approaches to financing drugs in public programs
  • Evolving benefit designs in public and private payers
  • Medicare Advantage and Part D policy and payment
  • Federal budget and deficit reduction issues

We rely on deep subject-matter expertise and understanding of the business issues facing our clients to assess how this changing policy landscape impacts the pharmaceutical industry, managed care plans, providers, pharmacies, and consumers. We provide analytic support and advisory services, including legislative strategy, regulatory analysis, and quantitative modeling of proposed and enacted policies to a wide range of clients across the healthcare industry.

Responsibilities

  • Serve as a key subject-matter expert on Medicaid and pharmaceutical government pricing policy-related issues faced by pharmaceutical companies and other stakeholders
  • Work with teams within the Policy practice and across the firm to solve complex client problems and engage clients with novel solutions and ideas
  • Create both strategic and tactical recommendations for clients depending on their policy and business needs
  • Help generate business with new clients and grow business with existing clients
  • Manage a portfolio of clients to identify and deliver on business opportunities and projects that dovetail with Avalere’s expertise and offerings, particularly around innovative pricing and contracting arrangements implicating Medicaid best price and other government price-related issues
  • Manage multiple clients, as well as short- and long-term deliverables, to ensure that all of Avalere’s knowledge and expertise are available to meet client needs
  • Solve complex client issues in a timely and appropriate manner with minimal management oversight and attention to resources
  • Conceptualize, design, and execute—from start to finish—a broad range of client projects involving diverse, cross-functional, cross-practice teams
  • Train, supervise, and mentor staff members within the practice and across the firm
  • Comply with all security policies and procedures

Skills, Experience, and Other Job-Related Requirements

Education Requirements

  • A graduate degree in health policy, public policy, healthcare management, public health, public administration, health economics, business administration, or a relevant discipline, or a law degree (JD). A combination of bachelor’s degree and in-depth relevant work experience is also acceptable.

Skill Requirements

  • Expertise in government pricing metrics and reporting requirements for pharmaceutical companies (e.g., Medicaid best price, AMP, ASP)
  • Understanding of the Medicaid Drug Rebate Program and the 340B drug discount program, as well as associated contracting mechanisms and program mechanics
  • Experience evaluating how pricing strategies or contractual arrangements interact with government pricing metrics. For instance, assessing feasibility of innovative contracting arrangements (e.g., value- or outcomes-based contracting) relative to Medicaid best price implications
  • Significant experience analyzing policy proposals, legislation, and regulation and conveying findings to clients and the public
  • Sophisticated understanding of the policy issues impacting the healthcare sector, business dynamics in the marketplace, and how federal and state policy impacts industry
  • 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
  • Commitment to working in a team environment with an emphasis on collaboration and maintaining positive relationships with colleagues and clients
  • Solid communication skills (written and verbal) including the ability to concisely explain complicated concepts to executives within and outside of the firm
  • High level of initiative coupled with quick learning ability

Experience Requirements

  • 5–10 years of relevant work experience, which may preferably include employment by a pharmaceutical company, law firm, or consulting firm specializing in these issues; industry experience is preferred
  • Prior experience should be focused on Medicaid, 340B, and government pricing-related issues and policies faced by life sciences companies.
  • Experience overseeing and directing the work of staff members
*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.