Health Policy Consulting Director (Evergreen search) @ AmerisourceBergen

Job Information

Job Description:

• 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 Health Policy Consulting Director, 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.

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.

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