Home-based, NC, US.
This position plays an integral role in developing, delivering. and selling data-driven solutions to clients as part of evolving our Reimbursement Policy Analytics offering. At Cencora, we are passionate about helping our clients anticipate reimbursement challenges and creating targeted reimbursement and health policy solutions that maximize patient access at every stage of the product life cycle.
Success as the Reimbursement Policy Analytics Lead will largely depend on the ability to perform the following functions holistically:
- Strong subject matter expertise in life sciences healthcare policy (eg, Medicare and Medicaid policy and regulations, Inflation Reduction Act, federal budget scoring models, alternative payment models, etc.)
- Familiarity with key data sources for healthcare analysis (eg, Medicare claims, Medicare Part D data, commercial claims data, Medical Expenditure Panel Survey data, Medicare Current Beneficiary Survey data)
- Experience working with patient advocacy and industry groups is preferred
- Quickly recognize and understand clients’ business questions
- Develop data-driven solutions and analysis frameworks that clearly answer those questions
- Execute analysis plans effectively and efficiently and be flexible enough to shift directions, if needed
- Interpret and summarize results accurately
- Quickly recognize and understand clients’ business questions
- Create story-based narratives that articulate how results directly inform product launch strategies or influence policy decision-makers
As a Reimbursement Policy Analytics Lead, a typical day might include:
- Overseeing and reviewing both qualitative and quantitative policy analyses
- Qualitative analyses include policy landscape assessments, legislative and regulatory summaries, comment letter creation, and resources for Government Affairs teams to influence policymakers
- Quantitative analyses include claims data analyses, Medicare payment system analyses, and budget score models to prioritize issues that influence client’s ability to operate effectively as an innovative company
- Monitoring policy strategies and initiatives that address key issues in healthcare environment, including pharmaceutical coverage/access and reimbursement, and provide strategic consulting services to clients to support clients’ business priorities
- Developing Excel-based reimbursement analyses and models and using prior SAS programming experience to either perform analyses or coach SAS coders through complex programming strategies
- Managing company’s data repository and coordinating across corporate units to maximize use of available data for client projects
- Identifying new data sources and meeting with data vendors to evaluate their data assets and use case scenarios for reimbursement and health policy projects
- Identifying how legislative and regulatory issues will affect clients and their portfolios, and using a variety of data sets, provide insights to internal team members and external clients regarding emerging policies to inform Cencora’s business development strategy
- Serving as a senior member of the Reimbursement Policy Analytics service offering as part of the Reimbursement & Policy Insights team
- Maintaining current, and developing new, client relationships around quantitative health policy analytics with a focus on pharmaceuticals
- Refining and further develop relevance and breadth of existing RPA offerings
- Collaborating with other Cencora service lines that include the HEOR, RWE, and economic modelling teams on data-driven projects and business development opportunities with reimbursement elements
- Securing opportunities and writing new business development proposals, and coordinate with cross-company team members for RFP responses and presentations
- Developing content marketing materials that highlight Cencora’s understanding of reimbursement, policy, and economics issues
- Training, supervising, and serving as coach/mentor to members of Reimbursement Policy Insights team, particularly those involved in analytics
Level of role is subject to change based on the experience of the candidate.
What your background should look like
Experience And Educational Requirements:
- Graduate degree in public policy, healthcare policy or law, or another related field
- Minimum of 8+ years relevant healthcare policy and reimbursement experience
- Quantitative analytical skills, including advanced knowledge of Microsoft Excel and SAS
- Deep understanding of core policy issues relevant to industry, including the Inflation Reduction Act, PBM transparency, 340B, etc.
- Robust expertise in Medicare payment policies, particularly related to pharmaceuticals and associated services, is strongly preferred
- Experience and comfort with existing Medicare and commercial data sets, including but not limited to medical claims, prescription drug claims, hospital chargemaster data, medical policy data, prescription formulary coverage data
- Experience in a wide range of topics, including coverage, coding, and payment across commercial and public payers, drug distribution and specialty pharmacy, and patient support services
- Ability to translate detailed technical information to others with limited experience in policy or quantitative analysis
- Excellent verbal and written communication skills and presentation skills to convey complex and changing legislation, regulations, and their impact
- Ability to travel 15% – 20%. Travel would be primarily for in-person meetings with policy clients in Washington, DC.
At Cencora, you’ll work with people displaying brilliant minds, diverse talents, and unrivaled passion to help patients gain access to life-changing therapies. For more than two decades, our team of leading value and patient access experts has transformed evidence, policy insights, and market intelligence into effective market and patient access strategies. Founded in the application of health economics and outcomes research along with reimbursement, we help clients effectively navigate today’s complex healthcare landscape.
Cencora offers opportunities to work remotely with no centralized location to commute to. All US-based team members are considered for open roles regardless of their geographical location and time zone. Our commitment to clients and to our team members truly makes the Consulting Services division of Cencora a special and unique organization. Explore a career that comes with a healthy dose of perks, benefits, and generous incentives — beyond standard health coverage and 401ks. If you’re looking for a challenging yet rewarding opportunity, you’ve come to the right place.
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
What Cencora offers
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.
Schedule
Full time
Affiliated Companies
Affiliated Companies: Xcenda, LLC
Equal Employment Opportunity
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email us. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
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