Director, Payer Policy & Analytics - Patient Access at United Biosource Corporation

, , United States -

Full Time

Start Date

Immediate

Expiry Date

21 Jul, 26

Salary

0.0

Posted On

22 Apr, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payer policy analysis, Market access, Reimbursement strategy, Data visualization, Tableau, Power BI, Product ownership, Agile development, Cross-functional leadership, Strategic planning, Healthcare analytics, Pharmacy benefits, Medical benefits, Policy intelligence, Client management, Communication

Industry

Biotechnology Research

Description

As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC, we provide services to enhance the entire drug development process and commercialization lifecycle - from clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values of Respect, Accountability, Innovation, Quality, Integrity, and Collaboration. We believe in an inclusive workplace that fosters creativity. If you are seeking a career that will challenge, inspire, and reward you, join us at UBC! Position Title: Director, Payer Analyst Brief Description: The Director, Payer Analyst will lead the strategic development and execution of payer policy analytics across UBC Patient Access Services business. This role will establish the best practices including the development and management of UBC proprietary payer knowledge. In this role, the leader will dig deep across all programs to understand payer nuances and then ensure best practices are shared across all programs. This role is responsible for reviewing case details, interpreting payer coverage policies, identifying access barriers, and driving data-informed strategies to ensure UBC offers differentiated access services. The ideal candidate is a detail-oriented, technology forward and data-driven leader with deep expertise in payer dynamics and cross-functional collaboration. Specific job duties: - 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. Supervisory Responsibility: Indirect leadership of a team of program specific payer analysts and reimbursement specialist. Provide mentorship, performance feedback, and professional development opportunities. Desired Skills and Qualifications: - Bachelor’s degree in health policy, public health, pharmacy, or related field; advanced degree (MPH, MBA) preferred. - Minimum 7–10 years of experience in payer policy analysis, market access, or reimbursement strategy within the pharmaceutical or healthcare industry. - Deep understanding of U.S. payer landscape, including commercial, Medicare, and Medicaid coverage pathways. - Demonstrated experience with both medical and pharmacy benefit structures and policy development. - Strong analytical skills with proficiency in data visualization and reporting tools (e.g., Excel, Tableau, Power BI). - Experience in technology product ownership including vision setting, requirements definition, participation agile development cycles. - Excellent written and verbal communication skills, with the ability to translate complex data into actionable insights. - Proven ability to lead cross-functional teams and manage multiple priorities in a fast-paced environment. Benefits: At UBC, employee growth and well-being are always at the forefront. We offer an extensive range of benefits to ensure that you have everything you need to thrive personally and professionally. Here are some of the exciting perks UBC offers: * Competitive salaries * Growth opportunities for promotion * 401K with company match* * Tuition reimbursement * Flexible work environment * Discretionary PTO (Paid Time Off) * Paid Holidays * Employee assistance programs * Medical, Dental, and vision coverage * HSA/FSA * Telemedicine (Virtual doctor appointments) * Wellness program * Adoption assistance * Short term disability * Long term disability * Life insurance * Discount programs UBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class. We are committed to a diverse, equitable, and inclusive culture that fosters respect for each other, our clients, and our patients. #LI-RL1 #LI-REMOTE

Responsibilities

The Director will lead the strategic development and execution of payer policy analytics across the Patient Access Services business. They are responsible for interpreting payer coverage policies, identifying access barriers, and serving as the product owner for proprietary payer management platforms.