Principal, Healthcare Policy

Avalere is seeking a Principal to join our Policy Practice.

Principal, Healthcare Policy

About the Company
Avalere 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, product solutions, 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. Avalere’s focus on strategy is supported by a rigorous, in-house analytic research group that uses public and private data to generate quantitative insight. Through events, publications and interactive programs, Avalere insights are accessible to a broad range of customers.

Avalere is part of a parent company Avalere Health, a purposefully built commercialization partner for the biopharmaceutical, medical technology, and wellness industries. Its 1,500+ experts combine their knowledge and expertise across our core disciplines—Consulting; Medical; Policy, Access, Value, and Evidence; Marketing; and Digital Experience and Technology—to create the connections that make better health happen. Visit www.avalerehealth.com and follow Avalere Health on LinkedIn and Instagram.

About the Role

Avalere’s policy practice is seeking a Principal with a focus primarily on Part D and Medicare Advantage as well as broader drug pricing and insurance market policy. We are seeking a policy professional who loves to generate creative solutions to complex problems, thrives in a fast-paced environment, and is energized by working collaboratively with highly motivated and knowledgeable colleagues.

The policy practice focuses on a range of issues including ongoing federal and state discussion around drug pricing policy; Medicare Advantage and Part D policy and payment; evolving benefit designs and coverage in public and private payers; Medicaid; and other state health policies. 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, PBMs, 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.

What You Will Do

  • Serve as a subject matter expert on Medicare Part D and Medicare Advantage, as well as legislative and regulatory policy issues impacting the pharmaceutical/ biotech, health insurance, pharmacy and PBM industries.
  • Generate both strategic and tactical recommendations for clients that are responsive to their policy and business needs.
  • Conceptualize the scope of projects for clients, assemble cross-functional teams, and oversee the team from project initiation through to client delivery with minimal oversight.
  • Contribute to practice goal achievement around sales, revenue, and project management.
  • Create and execute on business development plans.
  • Participate in strategic and planning discussions across the firm to develop new business.
  • Supervise, train and mentor staff members within the practice and across the firm.

Skills, Experience, and Other Job-Related Requirements

Education Requirements

A degree in health policy, public policy, healthcare management, public health, public administration, economics, business administration, or a relevant discipline.

Skill Requirements

  • Significant experience analyzing policy proposals, legislation, and/or 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 the federal and state policy impacts the industry.
  • Experience overseeing and supervising work of staff members.
  • 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.
  • Outstanding problem-solving and analytic skills with the ability to apply knowledge outside of one’s immediate functional area.
  • Advanced Microsoft Office skills, including PowerPoint, Excel, and Word.

Experience Requirements

  • 10 + years of relevant work experience, which could include employment by a biotech or health insurance company, relevant trade group, advocacy organization, Capitol Hill, the Administration, or a professional advisory services firm thinking.
  • Prior experience in the financial services industry or a professional services firm thinking critically about and/or working on behalf of the healthcare industry is an appropriate substitute for direct industry experience.
  • Deep knowledge of Medicare Part D, Medicare Advantage, and drug pricing reform policy.
  • Prior project management experience.
  • Solid communication skills (written and verbal) including the ability to concisely explain complicated concepts to executives within and outside of the firm.

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.