Apply on Employer Site

UBC · 1 day ago

Director, Payer Analyst - Patient Access

United States

Full-time

Remote

Director/Executive

7+ years exp

UBC is a leader in the pharmaceutical support industry, dedicated to empowering health solutions and improving patient outcomes. The Director, Payer Analyst will lead the strategic development of payer policy analytics, ensuring best practices and driving data-informed strategies to enhance UBC's access services.

BiotechnologyHealth CareLife ScienceMedical

Responsibilities

Establish and lead a new working committee for UBC Patient Access Services focused on developing and maintaining payer nuances using a robust suite of digital tools, AI and UBC wide expertise

Lead the analysis and interpretation of payer policies across commercial, Medicare, and Medicaid plans for both medical and pharmacy benefits. This includes detailed case reviews and data collection into the UBC proprietary application

Develop and maintain a payer policy intelligence framework to monitor changes in coverage criteria, prior authorization requirements, and reimbursement trends

Collaborate with internal and client stakeholders (e.g., Market Access, Reimbursement, Analytics, Clinical, and Regulatory teams) to translate payer insights into actionable strategies

Serve as the product owner for UBC’s proprietary payer management platform working closely with IT to define the roadmap and enhancements

Partner with UBC’s sales and business development team to create sales content, respond to RFPs and present UBC’s differentiated offering

Lead the design and implementation of dashboards and reporting tools to track payer policy impact and access metrics from a UBC wide and program specific perspective

Represent UBC in client QBRs to discuss payer-related discussions strategic guidance on market access and reimbursement optimization

Support training and education initiatives for internal teams on payer policy trends and implications

Qualification

Payer policy analysisMarket access strategyReimbursement strategyData visualization toolsTechnology product ownershipU.S. payer landscapeCross-functional collaborationAnalytical skillsCommunication skillsLeadership skills