AP/Principal, US Market Access (Coding & Reimbursement Strategy)

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Hiring Remotely in Washington, DC, USA
In-Office or Remote
Biotech • Pharmaceutical
The Role
About Avalere Health

United by one profound purpose: to reach EVERY PATIENT POSSIBLE. At Avalere Health, we ensure every patient is identified, treated, supported, and cared for. Equally. Our Advisory, Medical, and Marketing teams come together – powerfully and intentionally – to forge unconventional connections, building a future where healthcare is not a barrier and no patient is left behind. 

Achieving our mission starts with providing enriching, purpose-driven careers for our team that empower them to make a tangible impact on patient lives. We are committed to creating a culture where our employees are empowered to bring their whole selves to work and tap into the power of diverse backgrounds and skillsets to play a part in making a difference for every patient, everywhere. 

Our flexible approach to working allows our global teams to decide where they want to work, whether in-office or at home based on team and client need. Major city hubs in London, Manchester, Washington, D.C., and New York, and smaller offices globally, serve as collaboration hubs allowing our teams to come together when it matters. Homeworkers are equally supported, with dedicated social opportunities and resources.  

Our inclusive culture is at the heart of everything we do. We proudly support our employees in bringing their whole selves to work with our six Employee Network Groups – Diverse Ability, Family, Gender, LGBTQ+, Mental Health, and Race/Ethnicity. These groups provide opportunities to promote diversity, equity, and inclusion and to connect, learn, and socialise through regular meetings and programs of activity. We are an accredited Fertility Friendly employer with our Fertility Policy, enhanced parental leave, and culture of flexibility ensuring every employee feels supported across their family planning journey and can work in a way that suits their family’s needs. 

We are deeply invested in supporting professional growth for our employees through day-to-day career experiences, access to thousands of on-demand training sessions, regular career conversations, and the opportunity for global, cross-capability career moves.  

We take pride in being part of the Disability Confident Scheme. This helps make sure you can be interviewed fairly if you have a disability, long term health condition, or are neurodiverse. If you'd like to apply and need adjustments made, you can let us know in your application.

Avalere Health is seeking an Associate Principal/Principal to join our US Market Access practice, bringing deep expertise in US market access strategy and the commercialization of life sciences products. The ideal candidate will have extensive experience working with key subject matter areas, including developing coding and reimbursement strategies, CMS and payer engagement, and field-based billing and claims submission support. Ideal candidates will have experience building business lines and project teams, guiding team growth, driving business development, and leading client-facing engagements.

About the role/what you'll do

  • Serve as a subject matter expert on life sciences market access and commercialization priorities, including coverage, coding, and payment considerations, as well as field-based perspectives on provider-engagement and reimbursement support 
  • Conceptualize solutions around critical market access challenges, such as launch planning, regulatory filing strategy, CMS / MAC engagement strategy, coding application experience, revenue cycle management, and claims submission challenges 
  • Drive solutions and thought leadership around pipeline commercialization strategy, including opportunity assessment, launch planning, and customer engagement. 
  • Support client product life cycle management, including assessment of competitive landscape and identification of key risks and opportunities to product value 
  • Interact regularly with clients as recognized expert; participate in public panels and forums to increase firm and personal visibility 
  • Lead a significant line of business and/or account 
  • Use expert content knowledge to identify new areas for business growth and moves these opportunities forward 
  • Use understanding of complex account issues to problem-solve multi-dimensional policy and business interests 
  • Conduct quality review of documents produced by project team members 
  • Leverage content to identify and develop new business for existing and new clients 
  • Steward of the Avalere Health brand, ensuring that content is relevant, clear, and accurate 

  • Client Interaction 
  • Responsible for assigning and meeting revenue targets, both team and personal; drive team goal achievement 
  • Demonstrate expert consulting acumen, deepening client relationships and anticipating client needs and impacts of healthcare landscape changes 
  • Responsible for robust opportunity pipeline; act as primary point of contact for clients 
  • Acts as expert account relationship manager through regular email, phone call, lunch/dinner, and meeting interaction to ensure high level of client satisfaction 
  • Identify accounts for business development, create plans for execution, and successfully close new business 
  • Uses in-depth client knowledge to identify business opportunities and projects that leverage Avalere’s unique capabilities 
  • Partner with Client Partnership team as expert SME and trusted business partner 
  • Identify and work with client buying centers and in-house SME leads to introduce new work 
  • Engage with senior executives to broaden understanding of Avalere’s subject matter expertise and project offerings 
  • Share content through soft marketing -- webinars, newsletter, core materials -- as appropriate 
  • Build strong presence in business networking groups and organizations 
  • Act as a skilled negotiator, able to properly value Avalere’s capabilities to articulate that value to clients 

  • Project Management 
  • Ensure excellent project leadership, management, and execution across project teams 
  • Responsible for team project profitability 
  • Demonstrate expert project management acumen 
  • Review and approves SOWs and budgets 
  • Manages client requests for additional work within projects 
  • Ensure that administrative responsibilities for project set-up, management, and execution are completed 
  • Analyze financial reports and utilizes business tools to manage team utilization and realization 

  • Management/Leadership 
  • Lead a significant line of business critical to practice revenue attainment 
  • Effectively manage individuals, teams, and junior staff, overseeing team members’ work load and professional development 
  • Set individual and team goals and hold staff accountable to them 
  • Contribute to Practice management 
  • Provide opportunities for others to build professional relationships with clients 
  • Create and articulates strategies that support firm goals 
  • Act as a resource across the firm’s business development efforts 
  • Seek out leadership roles across the firm, taking initiative in identifying firm-wide strategic and/or tactical business issues and/or opportunities 
  • Responsible for succession planning 
  • Foster positive morale and facilitate smooth implementation of firm-wide initiatives 
  • Participate in on-boarding planning and execution for new staff 
  • Ensure responsible financial stewardship of Avalere resources 

About you

  • Education/Experience:
  • Advanced degree in public policy, public health, public administration, business, economics or related fields preferred with 8+ years of work experience; prior consulting experience preferred; and, 5+ years of supervisory and leadership experience 
  •  Deep experience in developing coding and reimbursement strategies, CMS and payer engagement, and field-based billing and claims submission support

  • Skills/Competencies 
  • Sets and aligns strategy 
  • Makes decisions and executes in support of business goals 
  • Sets and drives team objectives 
  • Focuses on customers 
  • Superior knowledge of customer and stakeholder needs, concerns, and viewpoints 

What we can offer

You will receive a 401K plan with an employer match contribution up to 4% (immediately vested), as well as life insurance, disability coverage, and medical, dental, and vision plans for peace of mind. Enjoy flexible working arrangements, including hybrid and remote work, along with the option to work from anywhere across the globe two weeks each year. We provide 20 vacation days plus one personal well-being day, recognise 9 public holidays, along with gifted end-of-year holidays and an early Summer Friday finish in June, July, and August. 

Access free counselling through our employee assistance program and personalized health support. Our enhanced maternity, paternity, family leave, and fertility policies provide support across every stage of your family-planning journey. You can also benefit from continuous opportunities to professionally develop with on-demand training, support, and global mobility opportunities across the business.  

We encourage all applicants to read our candidate privacy notice before applying to Avalere Health.

Avalere Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Avalere Health and has not been reviewed or approved by Avalere Health.

  • Leave & Time Off Breadth Time off is positioned as generous, including vacation, sick leave, and a year‑end holiday shutdown. Remote work flexibility is frequently highlighted as a strong complement to PTO.
  • Wellbeing & Lifestyle Benefits Work-from-home flexibility is emphasized through a “magnet not a mandate” approach with collaboration hubs. Wellbeing resources are visible, including mental-health support networks.
  • Parental & Family Support Family-forming support and external fertility-friendly accreditation are promoted. This signals investment in parenthood pathways alongside broader inclusion initiatives.

Avalere Health Insights

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The Company
HQ: Knutsford
1,517 Employees

What We Do

Established in 2001, Avalere Health is a purposefully built commercialization partner for the biopharmaceutical, medical technology, and wellness industries. Our team of 1,500+ experts combine their knowledge and expertise across our core disciplines—Consulting; Medical; Policy; Value, Evidence, and Access; Marketing; and Digital Experience Technology—to create the connections that make better health happen. We partner with our clients to navigate the complex and rapidly changing healthcare ecosystem. Together, our experts help clients connect patients with life-changing therapies, realizing the potential of strategies and solutions to accelerate innovation that improves lives.

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