Principal, Market Access & Reimbursement

Avalere Health is seeking a Principal level candidate to join our Market Access & Reimbursement practice.

Avalere Health is a vibrant community of innovative thinkers dedicated to solving the challenges of the healthcare industry. We dig deep into the healthcare system and work closely with clients to develop practical solutions. As an Inovalon company, we prize insights and strategies driven by robust data to achieve meaningful results. At Avalere Health, we prize curiosity, resilience, a positive attitude, and an enthusiasm to embrace new challenges. Join us and get ready to make your mark on healthcare!

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; and much more. 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.

Principal Duties and Responsibilities

  • Develop and secure business within the life science space
  • 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 reimbursement and market access-related issues impacting the pharmaceutical, biotech, and medical device industries
  • Create both strategic and tactical recommendations for clients to ensure optimal market access for client products
  • 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 and result in new business and revenue generation
  • Mentor, supervise, and train staff members within the Reimbursement Practice and across the firm
  • Comply with all security policies/procedures
  • Maintain compliance with Inovalon’s policies, procedures, and mission statement
  • Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
  • Fulfill those responsibilities and duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the company
  • Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function

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

Preferred Skills/Knowledge

  • 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

Minimum Experience

  • 8 years of relevant work experience; examples of relevant work experience include consulting firms, payers/PBMs, diagnostics or pharmaceutical manufacturers, clinical laboratories with specialty in molecular diagnostics, 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 regulation and conveying findings to clients and the public

How to Apply

Applicants must be authorized to work for any employer in the US. Avalere Health is unable to sponsor or take over sponsorship of employment visas at this time.

*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.