Senior Director, Health Policy

The Role:

The Senior Director, Health Policy plays an integral role in developing, delivering, and selling data-driven solutions to clients as part of evolving our Reimbursement Policy Analytics offering. At Cencora, we are passionate about helping our clients anticipate reimbursement challenges and creating targeted reimbursement and health policy solutions that maximize patient access at every stage of the product life cycle. This role will play heavily in thought leadership, business development and strategic and tactical management of project execution. 

Key Duties & Responsibilities:

• Strong subject matter expertise in life sciences healthcare policy (eg, Medicare and Medicaid policy and regulations, Inflation Reduction Act, federal budget scoring models, alternative payment models, etc.) 

• Primary driver of thought leadership activities and presence for health policy offerings internally and externally and business development subject matter expert and driver of BD opportunities 

• Familiarity with key data sources for healthcare analysis (eg, Medicare claims, Medicare Part D data, commercial claims data, Medical Expenditure Panel Survey data, Medicare Current Beneficiary Survey data) 

• Experience working with patient advocacy and industry groups is preferred 

• Quickly recognize and understand clients’ business questions; ability to identify and connect client market access and HEOR requirement needs to the rest of the business for RFP execution 

• Develop data-driven solutions and analysis frameworks that clearly answer those questions 

• Execution of contracted work as strategic oversight, providing leadership of the team. Ability to manage projects effectively and efficiently and be flexible enough to shift directions, if needed 

• Interpret and summarize results accurately 

• Quickly recognize and understand clients’ business questions 

• Create story-based narratives that articulate how results directly inform product launch strategies or influence policy decision-makers 

MANAGEMENT: 

• Accomplishes team results by communicating expectations; planning, monitoring, and appraising job results; coaching, and counseling employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards. No direct line management at initiation of role, but will be a possibility over time 

• Creates innovative business expansion and/or new services 

• Responsible for lead proposal writing 

• Allocates human and financial resources as appropriate to ensure objectives are accomplished within scope of project requirements 

• Searches and pursues revenue generation opportunities and effectively manages to ensure that new revenue is realized 

• Overall responsibility for timeliness, accuracy, and completeness of all services 

• Identifies areas for risk 

• Fosters proactive, continued quality improvement 

• Ensures and maintains highest integrity and honesty in all business activities 

EDUCATION: 

• Graduate degree in public policy, healthcare policy or law, or another related field 

• Requires broad experience in fields such as public policy, business administration, sales, marketing, or similar vocations generally obtained through completion of a four year bachelor's degree program or equivalent combination of experience and education. 

• Master’s degree or equivalent experience is preferred. 

• Normally requires directly related and progressively responsible experience within healthcare consulting or pharmaceutical, biotechnology or medical device industry with a history of successful achievement in the fields of reimbursement strategies and tactics; tangential experience in market access and/or HEOR a plus. 

​ WORK EXPERIENCE: 

• Minimum of 12+ years relevant healthcare policy and reimbursement experience 

SKILLS AND KNOWLEDGE: 

• Strong connections with Congress and Pharma 

• Previous experience working in DC 

• uantitative analytical skills, including advanced knowledge of Microsoft Excel and SAS 

• Deep understanding of core policy issues relevant to industry, including the Inflation Reduction Act, PBM transparency, 340B, Most Favored Nation (MFN), GENEROUS, etc. 

• Robust expertise in Medicare payment policies, particularly related to pharmaceuticals and associated services, is strongly preferred 

• Experience and comfort with existing Medicare and commercial data sets, including but not limited to medical claims, prescription drug claims, hospital chargemaster data, medical policy data, prescription formulary coverage data 

• Experience in a wide range of topics, including coverage, coding, and payment across commercial and public payers, drug distribution and specialty pharmacy, and patient support services 

• Ability to translate detailed technical information to others with limited experience in policy or quantitative analysis 

• Excellent verbal and written communication skills and presentation skills to convey complex and changing legislation, regulations, and their impact 

• Ability to travel 15% - 30%. Travel would be primarily for in-person meetings with policy clients in Washington, DC. 

• Possesses and applies an advanced knowledge of particular field of specialization to the completion of projects of major complexity, sufficient to teach others. Must have achieved recognized standing in professional field through original contribution. Able to substantially contribute to business strategy and planning within specified area of expertise. 

• Proven ability to contribute to a team and to deliver results on time, with the available resources, and within budget 

• Proven ability to work on multiple projects and with multiple individuals simultaneously 

• Proven ability to maintain high quality output 

• Knowledge of the pharmaceutical/biotechnology/medical device industry and experience with issues surrounding the marketing of pharmaceutical products, including issues surrounding coding, coverage, and reimbursement of those products 

• Thinks independently and adapts easily to changes 

• Results-oriented , strategic partner 

• Economic, financial and quantitative problem-solving skills 

• Ability to direct his/her staff in the development, analysis, and preparation of high quality client deliverables 

• Strong organizational and communication skills; attention to detail 

• Demonstrated success within the consulting environment or pharmaceutical industry 

• Broad technical knowledge of reimbursement strategies and/or health policy 

• Ability to interact with and influence clients to drive new business development for the company 

• Interest and ability to “think outside the box” 

• Excellent writing skills, as well as the ability to communicate complex material in presentations and discussions in a straightforward manner 

• Displays flexibility and collaboration 

• Strong interpersonal skills in order to develop sound, long-term client relationships and an ability to influence clients without being overbearing 

• Ability to work well in a dynamic, successful consulting firm, which maintains high quality standards and demands excellence 

Salary range: up to $250k per annum base depending on the experience and geo location.

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