Principal, Market Access & Reimbursement

Avalere Health is seeking a Principal level candidate to join our Market Access & Reimbursement 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 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; field team design and deployment; and patient support services. We assess how our clients’ products fit within the emerging coverage and reimbursement landscape and help our clients optimize market access for their products though deep subject matter expertise and understanding of their business issues.

We design strategic and tactical plans to maximize adoption and uptake by payers, providers, and patients throughout the product lifecycle by integrating policy and healthcare market dynamics into the business planning cycle. We work on a team basis with complementary scientific, technical, and regulatory expertise in the pre-approval and post-market spaces.

Responsibilities

  • Developing and securing business within the life science space
  • Managing a portfolio of clients to ensure that all of Avalere’s knowledge and expertise are available to meet client needs
  • Conceptualizing the scope of projects for clients, assembling a cross-functional team, and overseeing the team from project initiation through to client delivery
  • Serving as a subject matter expert on reimbursement and market access-related issues impacting the pharmaceutical, biotech, and medical device industries
  • Creating both strategic and tactical recommendations for clients to ensure optimal market access for client products
  • Solving complex client issues in a timely and appropriate manner with minimal management oversight and attention to resources
  • Proactively seeking and obtaining speaking engagements with clients, policy makers, and thought leaders in order to generate public recognition for Avalere and result in new business and revenue generation
  • Mentoring, supervising, and training staff members within the Reimbursement Practice and across the firm
  • Complying with all security policies and procedures

Skills, Experience, and Other Job-Related Requirements

Education Requirements

  • Advanced degree in health policy, public policy, healthcare management, public health, public administration, health economics, business administration, law, or a relevant discipline with 8 years of relevant experience or an undergraduate degree in the same or similar areas with at least 11 years of relevant experience; examples of relevant work experience include consulting firms, diagnostics or pharmaceutical manufacturers, clinical laboratories with specialty in molecular diagnostics, and the healthcare industry at large

Skill Requirements

  • Advanced proficiency in the Microsoft Office suite
  • Solid writing skills as a foundation for professional business communication
  • It is highly preferred that the candidate be local or willing to relocate to the Washington, DC, area
  • Ability to establish personal credibility as a strategic and reimbursement 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

  • 3–5 years of consulting experience
  • 3–5 years reimbursement-specific policy experience
  • 2 years of project team leadership experience
  • 5 years of management or supervisory experience with excellent leadership andmentoring skills in developing staff
  • 10–15 years relevant experience is preferred
  • Experience analyzing policy proposals, legislation, or federal regulation and conveying findings to clients and the public
  • Significant and sustained project management experience that includes interacting with and presenting to senior-level executives or health policy leaders
*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.