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Senior Research Scientist, Market Access Analytics

Home-based, Washington, DC, US.

Avalere’s Market Access Practice is seeking a Principal to support its analytics team. The Market Access analytics team conducts a variety of claims-based analyses, payer analytics, and modeling to help life sciences companies, health plans, providers, and other stakeholders quantitatively address a variety of business questions such as: 

•Identifying patient populations based on health conditions and product or service utilization to assess payer mix, patient characteristics, and market sizing research 

•Evaluating the impact of policy and market factors on patient access to therapy, manufacturer liability, and payer contracting and bid strategy 

•Developing forecasting models to evaluate impacts on reimbursement and manufacturer gross-to-net 

•Assessing payer and formulary coverage to support manufacturer launch planning 

•Quantifying the impact of alternative payment models to drive stakeholder engagement strategies 

•Conducting provider performance measurement to support health plan risk mitigation 

•Performing benchmarking analytics to inform provider negotiation of value-based arrangements with payers 

What you’ll do:

The candidate will have responsibility for 1) contributing to business development activities, (2) structuring statistical analytic plans for new analyses, 3) providing technical oversight of the junior team’s analytic work, 4) developing processes and best practices in partnership with colleagues across the organization, and 5) providing mentorship and learning opportunities to the analytics team. A successful candidate will have in-depth experience conducting and overseeing claims-based data analytics and modeling, is adept at driving analytics approaches and study designs, and has demonstrable experience mentoring and developing junior analysts. Preferably, this candidate will have market access or biopharma experience with a keen appreciation for the business questions market access, HEOR, and other biopharma buying centers seek to answer through data. 

Graduate-level degree in health economics, biostatistics, epidemiology, health services research, or other quantitative discipline preferred, or equivalent work experience. 

About you

•Expert knowledge of healthcare data, administrative claims data structure, and claims service settings.  Examples include: 

•Hands-on experience using Medicare data accessed through the CMS VRDC/Qualified Entity program, including Medicare Part A/B FFS claims, Part D prescription drug event (PDE) data, Medicare Advantage encounter data, and Medicare enrollment databases 

•Experience using secondary data sources to supplement claims analyses, such as survey data, drug databases, formulary coverage data, area-level social determinants of health or geographic factors 

•Experience using both payer-sourced (i.e., closed) claims or provider-sourced (i.e., open) claims datasets 

•At least 8 years of professional experience developing detailed, comprehensive analytic plans translating client business questions into concrete and documented analytic approaches or study designs  

•At least 5 years of experience designing and developing Excel-based forecasting models 

•At least 10 years of professional experience using SAS, SQL, or other comparable programming language to link, structure, and analyze healthcare data 

•Demonstrable experience developing robust QC processes to ensure accuracy and quality of data inputs, assumptions, and analysis outputs 

•Ability to efficiently synthesize and distill analytic results into strategic insights to drive client decision-making and planning 

People Leadership Experience 

•Demonstrated experience in process development and best practices, specifically in creating frameworks that enhance team collaboration and project execution 

•At least 8 years of experience mentoring or supervising employees, encompassing a variety of skillsets and disciplines 

•Demonstrable experience developing staffing plans and processes to align staff to projects based upon capacity, skill sets, and professional growth areas 

Business Development and Consulting Experience 

•Experience in healthcare consulting for or within biopharma companies or government agencies, to address a range of data-driven business applications and questions 

•Experience leading business development for analytic-focused work and drafting and reviewing proposals and statements of work, including specification of analytic approach and development of budget plan and timelines 

•Experience leading client pitches to present technical differentiation and capabilities in support of sales opportunities 

Experience Requirements 

•Background in market access or biopharma industry to demonstrate understanding of key business questions for customers 

•At least 10 years of professional experience focus on heath care analytics, market access, or other biopharma related role 

This job ad will be unpublished on 01/01/2025.

This job is posted by Avalere Health.

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