Manager, Payer Analytics & Operations in United States at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Manager, Payer Analytics & Operations based in United States.

This role sits at the intersection of analytics, market access, and commercial operations within a highly specialized biopharmaceutical environment focused on rare diseases. The Manager will play a critical part in transforming complex healthcare data into actionable insights that directly influence patient access strategies and payer decision-making. Working remotely within a collaborative, cross-functional team, the role partners closely with field reimbursement, pricing, contracting, IT, and patient services teams. It is designed for a data-driven professional who thrives in fast-paced, mission-oriented settings where analytical rigor translates into real-world patient impact. The position offers exposure to both in-line and pipeline therapies, enabling contributions to strategic decisions across the product lifecycle. Strong visibility with leadership and the opportunity to shape reporting infrastructure and payer analytics strategy make this a high-impact role.

• Analyze payer coverage, reimbursement policies, and access dynamics across commercial, Medicare, and Medicaid channels, identifying barriers such as prior authorizations, step edits, and denials and quantifying their impact on patient access.
• Develop and maintain dashboards and reporting tools to monitor key performance indicators including time-to-fill, approval rates, therapy persistence, utilization trends, and adherence patterns.
• Translate claims, hub, and patient services data into clear insights and strategic recommendations that support payer strategy, field reimbursement, and leadership decision-making.
• Partner with IT and data engineering teams to improve data infrastructure, reporting automation, data quality, and cross-system consistency.
• Support payer contracting and pricing teams through scenario modeling, performance evaluation, and assessment of agreement impacts on access and financial outcomes.
• Serve as the primary liaison with external data vendors and claims providers, ensuring data accuracy, completeness, and usability.
• Lead cross-functional analytical initiatives and business planning cycles, including quarterly reviews and long-range planning, delivering timely and actionable insights.

• Bachelor’s degree required; Master’s degree or MBA preferred, or equivalent combination of education and relevant experience.
• 5+ years of experience in pharmaceutical or biopharma analytics, preferably within market access, payer analytics, or commercial operations roles.
• Strong expertise in healthcare data ecosystems, including claims, specialty pharmacy, hub data, and industry datasets such as IQVIA or similar sources.
• Advanced proficiency in Excel, with additional experience in tools such as Alteryx, SAS, and/or Power BI highly preferred.
• Strong analytical thinking, problem-solving abilities, and capability to translate complex datasets into clear business insights.
• Excellent communication and presentation skills with the ability to engage senior stakeholders and cross-functional teams.
• Strong organizational skills with the ability to manage multiple projects, prioritize effectively, and meet tight deadlines.
• Collaborative mindset with experience working across commercial, IT, and vendor partners in a matrixed environment.

• Competitive base salary range: $116,000 – $151,000, plus short-term incentives and long-term equity compensation opportunities.
• Comprehensive health, dental, vision, life insurance, and disability coverage for employees and eligible dependents.
• Retirement savings plan with employer match.
• Generous paid time off and well-being support programs.
• Access to wellness initiatives and employee assistance resources.
• Opportunity to work in a mission-driven environment focused on improving outcomes for patients with rare diseases.
• Flexible remote working structure with occasional travel (10–20%) and collaboration with teams based in San Diego.