Responsibilities

• Develop and execute payer value strategies for UPLIZNA and assigned Oncology assets, integrating brand strategy, payer needs, competitive dynamics, reimbursement considerations, and evolving coverage policy.
• Build and maintain a deep understanding of medical policy, prior authorization, utilization management, buy-and-bill, specialty pharmacy and distribution, site-of-care, and reimbursement dynamics affecting physician-administered therapies.
• Lead U.S. payer-relevant RWE workstreams with HEOR, CfOR, Medical, Brand, and Insights; contribute payer perspective to study design and objectives to defend coverage, improve quality of coverage, and support appropriate patient identification and treatment.
• Translate clinical, pharmacoeconomic, real-world, and population-level evidence into differentiated payer value narratives and actionable implications for customer engagement.
• Identify payer evidence gaps and emerging customer needs and bring clear recommendations into cross-functional evidence-generation and brand-planning discussions.
• Partner with Market Access and MVPH colleagues to prepare for priority payer and health-system engagements, including customer-specific policy analysis, value messaging, objection handling, and strategic discussion support.
• Develop and execute payer-facing resources , including payer core visual aids (CVAs), economic tools, RWE communications, health care economic information (HCEI) and pre-approval information exchange (PIE) resources where appropriate, payer FAQs, training guides, burden-of-disease resources, and customer-specific materials.
• Lead materials through the Materials Approval and Compliance process and effectively train and support customer-facing teams on approved value resources.
• Leverage approved AI tools to accelerate payer policy review, insight synthesis, evidence assessment, strategic development, content creation, and project execution while maintaining appropriate human judgment and quality control.
• Identify and share new AI-enabled use cases that improve the efficiency or quality of Value Strategy & Marketing work, while adhering to company policies, data privacy, compliance, and review requirements.

Requirements

• Master’s degree & 6 years of directly related experience OR
• Bachelor’s degree & 8 years of directly related experience OR
• Associate’s degree & 10 years of directly related experience OR
• High school diploma / GED & 12 years of directly related experience

Preferred

• Direct experience working within or closely with a U.S. health plan, payer organization, medical-benefit manager, or payer-focused healthcare organization strongly preferred.
• Strong knowledge of U.S. medical-benefit reimbursement, medical policy, utilization management, and coverage decision making for physician-administered, infused, biologic, specialty, rare-disease, and/or oncology therapies.
• Experience with buy-and-bill, site-of-care dynamics, reimbursement pathways, and payer management of high-cost specialty therapies.
• Pharmaceutical/biotechnology market access, payer marketing, value strategy, or reimbursement experience valued but not required when accompanied by strong direct payer or medical-benefit expertise.
• Demonstrated ability to synthesize complex clinical, economic, real-world, and payer information into differentiated value strategies and clear customer communications.
• Experience interpreting payer coverage policies, claims or reimbursement data, utilization-management trends, or patient-access data to identify barriers and opportunities.
• Strong business acumen, analytical skills, strategic thinking, and ability to influence cross-functional partners in a matrixed environment.
• Demonstrated curiosity and aptitude for generative AI and emerging technologies, including the ability to rapidly learn and apply approved tools to solve business problems and improve the quality and speed of work.
• Strong written, verbal, and presentation skills; advanced degree such as PharmD, MBA, or another relevant healthcare or business degree preferred.