The Role
Lead data-driven projects focused on Medicare Advantage, advise stakeholders, develop analytic models, and conduct quantitative research on healthcare policy issues.
Summary Generated by Built In
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.
About the role
Avalere Health is seeking an Associate Principal or Principal to join its Policy Analytics group. Avalere’s Policy Analytics group provides analytic support and advisory services to a wide range of clients across the US healthcare industry. Staff combine an in-depth understanding of quantitative methods with deep subject-matter expertise regarding US healthcare policy and business issues.
This group focuses on a range of issues including:
· Medicare & Medicaid payment policies and regulations
· Alternative Payment Models (e.g., ACO models, bundled payments)
· Federal budget forecasting and scoring models
· Drug pricing reform
· Health sector economic analysis and trends
This position would focus primarily on Medicare Advantage, engaging on payment, quality, benefit design, competitive environment, regulatory, and legislative developments. The ideal candidate will have some direct experience analyzing Medicare Advantage data (e.g., encounter data, plan benefit package data), with a strong desire to build subject matter expertise in these areas. While the position will concentrate primarily on Medicare Advantage and Part D issues, it will also leverage subject matter expertise across the full range of Avalere’s health policy issues.
The ideal candidate has demonstrated strong business, analytics, and communication skills in client-facing roles, with prior experience conducting designing and conducting data-driven.
What you'll do
- Serve as a member of the leadership team of our health plans initiative, leading design and implementation of data-driven projects focused on Medicare Advantage
- Develop new models and analytic approaches to provide insights on US healthcare policy
- Advise healthcare industry stakeholders using data driven analysis
- Conduct quantitative research on a diverse array of US healthcare issues
- Construct and improve models to predict and understand policy implications, using claims and pharmacy event data
- Work independently and on collaborative teams with other analysts and experts, sometimes as the lead quantitative analyst on the project
- Interpret others’ analyses to assess, critique, or build on their findings
- Understand analyses and insights of other entities (e.g., CBO, OMB, CMS, MEDPAC, MACPAC)
- Present quantitative results to both technical and non-technical audiences
About you
- A degree in public policy, public health, economics, or a related field
- 10+ years of prior, relevant full-time work experience
- Experience with healthcare-related quantitative analysis (e.g., micro-simulation models, forecasting models, or claims-based analysis)
- Familiarity with key data sources for healthcare analysis (e.g., Medicare claims, Medicare Part D data, commercial claims, Medical Expenditure Panel Survey (MEPS) data, or Medicare Current Beneficiary Survey (MCBS) data)
- A strong interest in and knowledge of the Medicare Advantage program and healthcare policy
- Demonstrated analytic and quantitative skills
- Solid communication skills (written and verbal) including the ability to concisely explain complicated concepts to clients and staff within and outside of the firm.
- Experience with one or more programming languages (e.g., SAS, SQL, Stata, R)
- The ability to interpret regulation and legislation to model impacts of changes on stakeholders
- A willingness to learn complex issues relating to the healthcare delivery system.
- Initiative, working independently with minimal supervision.
- Experience overseeing and supervising work of staff members.
- Commitment to working in a team environment with an emphasis on collaboration and maintaining positive relationships with colleagues and clients.
- Experience in managing multiple deadlines.
- Outstanding problem-solving and analytic skills with the ability to apply knowledge outside of one’s immediate functional area.
- Advanced experience with the Microsoft Office Suite, in particular Excel.
Additional Skills and Competencies:
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.
Top Skills
Microsoft Office Suite
R
SAS
SQL
Stata
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The Company
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.
