Director - Market Access Payer & Provider Strategic Contract Analytics

Reposted 6 Hours Ago
Be an Early Applicant
2 Locations
In-Office
Senior level
Healthtech • Biotech • Pharmaceutical
The Role
Lead development of advanced analytics for payer and provider contracting strategies. Build predictive models and scenario analyses using claims and benefit data, deliver executive reporting, advise pre- and post-deal strategy, integrate real-world data and AI tools, manage vendors, and coach a high-performing analytics team to improve patient access and commercial outcomes.
Summary Generated by Built In
Position Summary - Director, Market Access Payer & Provider Strategic Contract Analytics

At GSK, we are focused on uniting science, technology, and talent to get ahead of disease together. As Director, Market Access Payer & Provider Strategic Contract Analytics, you will play a critical leadership role shaping how advanced analytics informs payer and provider contracting strategy across our US portfolio.

In this role, you will serve as a strategic thought partner to Market Access leadership, applying advanced analytics, data science, and AI/ML techniques to influence pre-deal strategy, evaluate post-deal performance, and identify opportunities to improve patient access and commercial outcomes. You will lead the development of next-generation analytical capabilities, integrating diverse data sources and modern methodologies to deliver scalable, high-impact insights.

This is a highly visible position requiring strong business acumen, a deep understanding of the US healthcare landscape, and the ability to translate complex analytical insights into clear, actionable recommendations for senior stakeholders.

Key Responsibilities:

Lead the development and evolution of advanced analytics capabilities that support payer and provider contracting strategies across pharmacy and medical benefit products. Build and apply predictive models, simulation frameworks, and scenario-based analyses to evaluate pricing, access, and reimbursement strategies, and quantify their impact on patient access, utilization, and market performance. Partner closely with Market Access Strategy and Strategic Accounts teams to inform negotiation approaches and shape pre-deal strategy.

Establish and oversee key performance indicators and measurement frameworks that enable robust evaluation of contract performance, delivering ongoing performance insights and executive-level reporting that highlight risks, opportunities, and areas for optimization. Translate post-deal analytics into actionable recommendations that improve contracting effectiveness and business outcomes.

Drive innovation in data integration by leveraging real-world data sources, including claims and lives data, formulary information, and external datasets, while evaluating and implementing AI-enabled tools and automation solutions to improve analytical efficiency and scalability.

Collaborate cross-functionally with teams across Market Access, Finance, and Commercial Insights to align analytical outputs with business needs, translating complex business questions into clear analytical requirements and ensuring effective execution across internal teams and external partners. Manage relationships with analytics vendors and data providers to deliver high-quality, innovative solutions.

Monitor and assess the impact of healthcare policy changes, legislation, and evolving payer and provider dynamics on access and contracting strategy, and provide analytical support for medical benefit strategies, including provider reimbursement and buy-and-bill models. Serve as a thought leader by bringing external perspectives and industry best practices to advance Market Access analytics capabilities.

Lead, coach, and develop team members, fostering a high-performance culture focused on analytical excellence, continuous improvement, and adoption of emerging tools and methodologies.

Why You?Basic Qualifications:
  • Bachelor’s degree in quantitative field (e.g., Statistics, Economics, Data Science, Mathematics, Engineering, or related)
  • 7+ years of experience in US Market Access analytics, including payer/PBM/provider contracting analytics
  • Demonstrated experience with advanced analytics, predictive modeling, or data science applications in a Market Access setting
  • Understanding of payer and provider contracting dynamics, including formulary access, reimbursement and utilization management
  • Experience working with pharmacy and medical benefit data, including claims and lives data
  • Proven ability to influence senior stakeholders and translate complex analytics into business strategy
  • Experience managing cross-functional initiatives and external vendors
Preferred Qualifications:
  • Advanced degree (MBA, MS, or PhD in Analytics, Data Science, Economics, Health Economics, or related field)
  • Experience applying machine learning, AI, or advanced statistical techniques (e.g., regression, clustering, forecasting, optimization models) to business problems
  • Strong programming experience with SQL, Python, R, or similar, and experience working with large, complex datasets
  • Experience with data visualization tools (e.g., Power BI, Tableau)
  • Deep understanding of pricing and reimbursement dynamics for both pharmacy and medical benefit products, including buy-and-bill and provider-administered therapies
  • Experience supporting gross-to-net forecasting, financial modeling, and scenario planning
  • Demonstrated ability to lead analytics transformation or capability build initiatives
  • Strong project management skills with experience delivering complex analytics solutions

#GSK-LI

Please visit  GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees.

Why GSK?

Uniting science, technology and talent to get ahead of disease together.

GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases – to impact health at scale.

People and patients around the world count on the medicines and vaccines we make, so we’re committed to creating an environment where our people can thrive and focus on what matters most. Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people.

If you require an accommodation or other assistance to apply for a job at GSK, please contact the appropriate Recruitment Staff by emailing us at - [email protected]

GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.

Important notice to Employment businesses/ Agencies

GSK does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and GSK. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of GSK. GSK shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site.

Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, GSK may be required to capture and report expenses GSK incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure GSK’s compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at https://openpaymentsdata.cms.gov/

Skills Required

  • Bachelor's degree in a quantitative field (Statistics, Economics, Data Science, Mathematics, Engineering, or related)
  • 7+ years of experience in US Market Access analytics, including payer/PBM/provider contracting analytics
  • Demonstrated experience with advanced analytics, predictive modeling, or data science applications in a Market Access setting
  • Understanding of payer and provider contracting dynamics, including formulary access, reimbursement and utilization management
  • Experience working with pharmacy and medical benefit data, including claims and lives data
  • Proven ability to influence senior stakeholders and translate complex analytics into business strategy
  • Experience managing cross-functional initiatives and external vendors
  • Advanced degree (MBA, MS, or PhD in Analytics, Data Science, Economics, Health Economics, or related field)
  • Experience applying machine learning, AI, or advanced statistical techniques (regression, clustering, forecasting, optimization)
  • Strong programming experience with SQL, Python, R, or similar, and experience working with large, complex datasets
  • Experience with data visualization tools (Power BI, Tableau)
  • Deep understanding of pricing and reimbursement dynamics for pharmacy and medical benefit products, including buy-and-bill
  • Experience supporting gross-to-net forecasting, financial modeling, and scenario planning
  • Demonstrated ability to lead analytics transformation or capability build initiatives
  • Strong project management skills with experience delivering complex analytics solutions

GSK Compensation & Benefits Highlights

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

  • Strong & Reliable Incentives Compensation is characterized as including strong salary and perks, with annual bonuses and long-term incentives contributing materially to total rewards. Recognition and performance-linked rewards are described as a consistent component of the package.
  • Healthcare Strength Health coverage is presented as comprehensive, spanning medical, dental, vision, disability, life insurance, and mental health benefits. The breadth of coverage is repeatedly framed as a standout element of the overall rewards experience.
  • Retirement Support Retirement offerings are described as robust, anchored by a 401(k) plan and additional savings vehicles such as employee stock purchase programs. Employer contributions and savings options are portrayed as meaningful supports for long-term financial security.

GSK Insights

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Brentford
105,615 Employees
Year Founded: 2000

What We Do

A science-led global healthcare company with a special purpose: to help people do more, feel better, live longer. We have three global businesses that research, develop and manufacture innovative pharmaceutical medicines, vaccines and consumer healthcare products. We aim to bring differentiated, high-quality and needed healthcare products to as many people as possible, with our three global businesses, scientific and technical know-how and talented people.

Similar Jobs

MetLife Logo MetLife

AMS Unit Leader - 18678

Fintech • Information Technology • Insurance • Financial Services • Big Data Analytics
Remote or Hybrid
United States
43000 Employees
56K-99K Annually

Applied Systems Logo Applied Systems

Manager, Infrastructure Security

Cloud • Insurance • Payments • Software • Business Intelligence • App development • Big Data Analytics
Remote or Hybrid
United States
3079 Employees
100K-160K Annually

Applied Systems Logo Applied Systems

Lead Product Insights Analyst

Cloud • Insurance • Payments • Software • Business Intelligence • App development • Big Data Analytics
Remote or Hybrid
United States
3079 Employees
110K-140K Annually

Comcast Logo Comcast

Specialist, Total Rewards & Performance Solutions

Digital Media • Information Technology • News + Entertainment
Hybrid
Philadelphia, PA, USA
115000 Employees

Similar Companies Hiring

Camber Thumbnail
Fintech • Healthtech • Social Impact
New York, New York
90 Employees
Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Mobile • Insurance • Healthtech • Financial Services • Artificial Intelligence
New York, New York
23 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account