Position Summary:
We are seeking an Associate Director, Market Access Analytics, who will serve as a strategic analytics partner to the Market Access organization, playing a critical role in generating insights that support patient access and reimbursement for the company’s oncology portfolio. This role will focus on analyzing payer coverage, pathway positioning, provider reimbursement, patient access barriers, and market dynamics for an infused oncology therapy reimbursed under the medical benefit.
The individual will partner closely with Market Access, Sales Operations, Analytics & Insights, and Finance teams to develop reporting, dashboards, and advanced analytics that inform launch readiness and ongoing access strategy. The role will leverage a variety of data sources – including claims, remittance, 3PL data, payer policy data, and patient services data – to identify insights that improve access for oncology patients and support adoption across community and academic oncology providers.
Market Access & Reimbursement Analytics
- Lead analytics to evaluate account performance, market share, chargebacks, channel mix and pathway positioning.
- Analyze payer coverage policies, utilization management requirements, and reimbursement dynamics impacting access to the company’s oncology therapy.
- Monitor policy evolution and identify access risks and opportunities for the product.
- Evaluate reimbursement trends, patient services utilization, and claims approval rates.
Oncology Provider & Buy-and-Bill Economics
- Develop analytics related to oncology provider economics, including reimbursement benchmarks and buy-and-bill dynamics.
- Assess the impact of reimbursement methodologies such as ASP+, temporary and permanent J-codes, and pass-through status.
- Support analyses related to site-of-care dynamics across community oncology practices, hospital outpatient departments, and academic centers.
- Evaluate provider adoption drivers including reimbursement predictability, margin considerations, and operational barriers.
Data Strategy & Reporting
- Develop and maintain dashboards and reporting tools that provide ongoing visibility into payer coverage, account performance, patient access metrics, and market trends.
- Integrate multiple internal and external data sources (e.g., claims, 3PL, HUB, and syndicated datasets) to produce actionable insights.
- Partner with Sales Ops teams to ensure high-quality data governance, cataloging, and data readiness for market access analytics.
Strategic Insights & Decision Support
- Conduct ad hoc analyses to answer complex commercial questions and identify drivers of brand performance.
- Generate insights that inform pricing strategy, contracting scenarios, access strategy, and launch readiness planning.
- Support forecast assumptions and scenario modeling by integrating insights across patient, physician, and payer dynamics.
- Champion best practices in analytics methodology, data visualization, and insight communication.
Cross-Functional Collaboration
- Serve as the primary analytics partner for Market Access teams.
- Collaborate with Pricing & Contracting, HEOR, Patient Services, Trade & Distribution, Access Marketing and Market Access Field teams to generate insights supporting access strategy.