About this role
Accountabilities: Advise clients on market access, pricing, reimbursement, and contracting strategies, providing candid, evidence-informed perspectives on therapeutic value, competitive positioning, and commercial opportunities. Develop recommendations for pricing and contracting approaches, including gross-to-net (GTN) considerations, distribution models, patient services, and strategies that support access across retail and specialty products. Incorporate value-based principles into payer and manufacturer strategies, including value-based contracting frameworks and the operational capabilities required to implement and manage agreements. Identify practical, compliant solutions to access challenges involving payers, PBMs, employer groups, benefit consultants, group purchasing organizations (GPOs), health systems, integrated delivery networks (IDNs), distributors, wholesalers, and pharmacies. Assess the implications of reinsurance arrangements, legislative developments, government pricing requirements, and reimbursement policies for high-cost therapies and other pharmaceutical products. Collaborate with client teams across Pricing and Contracting, Payer Marketing, Market Access Field teams, Health Economics and Outcomes Research (HEOR), Medical Affairs, Legal, and Finance to align recommendations with brand objectives and implementation requirements. Use internal expertise, available data, and external stakeholder insights to strengthen strategic recommendations and deliverables. Lead expert contributions to client presentations, strategy sessions, payer roundtables, and status meetings, while reviewing and developing content that reflects real-world payer perspectives. Support engagements involving market access strategy, product profiling, payer assessments, formulary and product management, risk management, clinical and economic value, competitive positioning, and outcomes-based approaches. Provide guidance on HEOR relevance, payer perceptions of product value, reimbursement barriers, and the clinical and economic factors that influence adoption. Design or contribute to educational initiatives and training related to reinsurance, value-based contracting, and contract negotiations. Support business development by identifying target customers, developing engagement strategies, contributing to capability presentations, and helping consulting teams pursue new opportunities. Drive awareness and adoption of evidence and outcomes adjudication platforms and emerging data-driven solutions. Represent the organization at industry conferences, networking events, publications, and public forums, sharing relevant expertise and approved perspectives. Build and maintain relationships with payers, PBMs, reinsurers, and other stakeholders in coordination with internal talent and customer engagement teams. Provide feedback on service offerings, market positioning, and emerging client needs to support continued business growth. Requirements At least 10 years of experience in a healthcare customer-side environment, such as a payer organization, PBM, Medicare, Medicaid, reinsurer, integrated delivery network, or group purchasing organization. Extensive practical knowledge of the U.S. market access landscape, including payer and provider organizations, channel intermediaries, site-of-care economics, patient access, and pharmaceutical reimbursement dynamics. Demonstrated success in developing or supporting strategies that overcome reimbursement barriers and improve product access. Strong understanding of pharmaceutical distribution channels, including provider economics, buy-and-bill practices, and the requirements for successful launches of office-administered drugs. Proven experience with pricing and contracting strategies for retail and specialty products, as well as payer, IDN, and channel strategy development and execution. Knowledge of government pricing program regulations, requirements, and operational processes. Ability to evaluate therapeutic and competitive value, interpret market dynamics, and translate complex industry challenges into clear, practical recommendations. Excellent written and verbal communication skills, including the ability to develop concise, compelling presentations and communicate effectively with senior stakeholders. Strong relationship-building, collaboration, and customer engagement skills, with the confidence to contribute an independent, informed point of view. Ability to work independently and effectively in a virtual, cross-functional environment while managing multiple projects and competing deadlines. Strong organizational and time-management skills, rigorous attention to detail, and adaptability in a fast-paced, creative consulting environment. Proficiency in Microsoft Office applications. Willingness to travel up to 20% for client meetings, conferences, and company events. Flexibility to accommodate occasional extended hours, including some weekends, when client deadlines require it. Ability to work remotely from a home office within the United States and manage extended periods of computer-based work. Benefits Full-time, remote position based in the United States. Opportunity to influence market access and pricing strategies across the pharmaceutical and life sciences industries. Exposure to a diverse range of healthcare clients, product launches, therapeutic areas, and complex market access challenges. Opportunity to contribute to innovative evidence, outcomes, and value-based contracting solutions. Professional visibility through client engagements, industry conferences, networking events, publications, and other thought leadership activities. Collaborative, virtual working environment with opportunities to work across consulting, commercial, and healthcare subject-matter teams. Compensation: Salary details were not specified in the job description and should be confirmed during the recruitment process. Benefits relating to healthcare coverage, retirement plans, paid time off, and other employee perks were not detailed in the available posting and should be confirmed with the hiring team. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1
- LOCATION
- Remote · US, United States
- WORK MODE
- Remote
- JOB TYPE
- Full-time
- POSTED
- Oct 28, 2026
Source: Jobgether Careers