Position Summary:
Responsible for ensuring national payer accounts deliver a seamless, high-quality access experience across the MASH portfolio. Translates complex data, contract structures, and market dynamics into actionable insights that remove barriers to access and optimize the patient journey from prescription to therapy initiation.
Key Responsibilities:
- Lead analytics for national payer/PBM accounts (coverage quality, utilization management, approval rates, time to therapy, abandonment, pull-through).
- Monitor performance vs. contracts, forecasts, and access objectives; identify gaps/risks/opportunities.
- Oversee rebate validation, contract performance, and downstream analytics to ensure alignment with financial/contractual terms.
- Partner with Pricing & Contracting on accruals, forecasting, reconciliation, and gross-to-net; resolve discrepancies.
- Develop dashboards, QBRs, executive updates, formulary trackers, and standardized reporting.
- Conduct root-cause analyses of access challenges using payer/provider/field/patient support/specialty pharmacy/claims data.
- Collaborate cross-functionally to convert payer wins into real-world access.
- Support pre-deal analytics and scenario modeling; translate insights for leadership.
- Support payer/PBM/GPO engagements with performance insights; may directly manage a select payer account.
Qualifications:
- Bachelorβs degree required; MBA/MPH/PharmD or similar preferred.
- 10+ years relevant pharma/healthcare experience; 5+ years in market access, payer strategy, account management, analytics, contracting, finance, or related.
- Strong knowledge of payer contracting, rebates, formulary management, prior authorization, specialty pharmacy, gross-to-net.
- Advanced analytics/synthesis; experience with dashboards and performance reporting.
- Strong communication and cross-functional collaboration.
- Proficiency in Excel and PowerPoint required; payer/claims data platforms preferred.
- Up to 30% domestic travel.
Application Instructions:
Apply via the Madrigal Careers site (applications accepted on an ongoing basis).