Associate Director, Contract Analytics

Vertex Inc.Boston, MA
Hybrid

About The Position

Reporting to the Director, Deal Assessment, in the Market Access and Contracting Organization (MACO), this role will support contracting initiatives and pricing analytics across the company’s portfolio of products. This position will work closely with the Director of Contract Operations, Market Access Strategy, Gross-To-Net, and Payer Account teams to review new and existing contracting opportunities, present recommendations to senior leadership, and work cross-functionally to ensure organizational alignment. The ideal candidate will demonstrate excellent communication skills, collaboration, and the ability to quickly and effectively determine the value of potential contracting opportunities. This candidate will also need to be familiar with the PBM and Payer marketplaces as well as the impact that managed care agreements have on all stakeholders throughout the industry. This is a highly visible role that will be expected to build collaborative relationships with internal leadership, US Market Access, and Field Account stakeholders.

Requirements

  • Bachelor’s degree in a relevant field (e.g. finance, accounting, business administration).
  • Minimum of 7-10 years relevant experience in Strategic Pricing, Payer/Provider Contracting, HEOR, and/or GTN analytics within the Pharmaceutical or Healthcare Insurance Industry
  • Progressive business experience in either: Finance, Pricing, Payer Account Management, Government Pricing, Contracting Analytics, or other related areas
  • Proven ability to effectively influence others, without formal authority, based on analytical evidence.
  • Be self-motivated, requiring minimal supervision, and able to contribute as a team player.
  • Ability to multitask, shift gears and pivot when necessary, and be comfortable working under constant deadlines.
  • PC literacy required: MS Office skills (Outlook, Word, Excel, PowerPoint).
  • Understanding of key Payer and customer segments relevant to brand products and the US Reimbursement System across major Payer segments (Managed Care, Medicare, Medicaid, Federal).
  • Capable of fostering relationships, building alignment, negotiating and collaborating with home office and field teams to develop key assumptions, build tools, deliver financial models and impactful business insights to enable optimal decision-making.
  • Deep understanding of US Market Access environment, including payer landscape, role of PBMs (and PBM-GPOs), Hospital GPOs and IDNs, medical coverage policies, and reimbursement.
  • Knowledge of traditional and innovative contracting approaches.
  • Able to manage multiple projects concurrently and maintain organizational awareness to various projects and work streams.

Responsibilities

  • Lead internal cross-functional contract meetings including reviews of pre-deal and post-deal analytics, meeting logistics, record keeping and distribution of meeting summary.
  • Development of proactive ROI analyses for contracting opportunities and evaluation of performance on executed agreements
  • Concise presentations of complex analyses and recommendations for leadership in support of decision making around contracting opportunities
  • Ability to translate pricing strategy into prospective payer contracting concepts and archetypes for both leadership and operational stakeholders.
  • Ownership and maintenance of brand specific ROI models and contract assessment assumptions
  • Establish and maintain policies and applicable documentation (e.g., Contract Summary Report) in accordance with established departmental guidelines to support Sox compliance.
  • Support Payer Access, Data & Analytics Center of Excellence (COE), and GTN team by assessing impact to business due to formulary changes.
  • Maintain contract proposal tracker and identify key performance indicators (KPIs) to assess performance of Payer/Provider customer contracts.
  • Ensure successful contract data integration for new products and/or acquisitions.
  • Utilize analytics generated from IQVIA/Symphony, Payer Portal data, rebate/chargeback data extracts, and other ad-hoc data provisions.
  • Ad-hoc projects to support Market Access and Business Unit functions as needed.

Benefits

  • annual bonus
  • annual equity awards
  • overtime pay
  • medical benefits
  • dental benefits
  • vision benefits
  • generous paid time off
  • week-long company shutdown in the Summer
  • week-long company shutdown in the Winter
  • educational assistance programs
  • student loan repayment
  • generous commuting subsidy
  • matching charitable donations
  • 401(k)
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