Principal – Strategic Pricing/Market Access

Position Summary

  • Company is seeking a senior level hire with extensive prior experience and demonstrated success in the field of Strategic Pricing, Access and Reimbursement for pharma/biotech products with knowledge and appreciation of the importance of health economic considerations and the use of health economic models. 

    • Ideal candidate has 10+ years in the pharma/biotech industry with both prior relevant pricing/market access consulting experience and industry experience. Other relevant qualifications include: 

      • Relevant Master’s degree (MBA, MPH, MPP, Masters/PhD in Economics) 

      • EU experience valued 

  • The successful candidate will work closely with company’s Leadership Team, Senior Management Team and Strategies, Pricing, Access, Reimbursement & Contracting (SPARC) & HEOR teams to grow this important strategic capability 

  • In their role, this individual will help develop, drive and help direct execution of Strategic Pricing & Access projects – with a focus on the US 

Position Requirements 

  • Expert level knowledge in how drugs and biologics are strategically priced, to maximize / optimize financial goals for the manufacturer 

    • Appropriate balance between revenue maximization and access 

    • Identification of key inflection points to minimize risk to the business / franchise 

  • Expertise in payer and organized customer groups and ability to articulate key differences between Commercial, Medicare, Medicaid 

  • Demonstrated success in strategically pricing drugs and biologics in the US, and getting positive / desired coverage both on the Commercial and CMS side 

  • Deep understanding of price sensitivity of coverage and utilization controls payers adopt to manage costs / limit cost impact 

  • Solid understanding of how healthcare coverage, access and reimbursement works in the US and the interplay between various stakeholder types (e.g. national / regional MCOs, IDNs, PBMs, ACOs, etc.) 

  • Expertise in both medical benefit and pharmacy benefit coverage 

  • Familiarity with Ex-US drug pricing & reimbursement systems 

  • Demonstrated capabilities in value-based pricing and value determination 

  • Expertise in how market access teams work and perspective on how the role of market access is evolving for pharma and biotech 

  • Capabilities in payer research, access, evidence generation including primary market research with payers 

  • Understanding of evolving US Medicare & Medicaid landscape (e.g., MACRA, APMs) and implications for the biopharma industry 

  • Relevant contacts to drive business development in the SPARC area 

  • Comfort in addressing potentially sensitive recommendations with senior executives 

  • Excellent communication/interpersonal skills and ability to work effectively with others in and across the organization to accomplish team goals 

  • Ability to balance Company’s recommendation with needs and expectations of the company/client Additional Experience (Preferred) 

  • Experience with GPOs and Contract Design 

  • Comprehensive knowledge of government pricing calculations and reporting in the US (e.g., ASP, AMP, best price determination, etc.) 

  • HEOR experience especially on the economics of Access and Reimbursement e.g. CE modeling, BIM development, etc. 

  • Ability to drive business development for HEOR activities (e.g., publication, HTAs, BIM, AMCP dossier) • Submissions and value demonstration to institutions / influential bodies e.g. hospital systems / AMCP / ASCO 

  • Experience developing and/or implementing outcomes-based, innovative, or other value-based contracts in the US or abroad 

  • US/EU healthcare policy experience & connections with government payers / CMS etc. 

About the Company

Company is a trusted strategic partner, providing evidence-based solutions for the life sciences. With over 20 years of experience, we are committed to solving our clients’ most challenging problems through exceptional levels of service, powerful tools, and data-driven insights.