Senior Research Scientist, Market Access Analytics

About the Company

Avalere is a strategic advisory company whose core purpose is to create innovative solutions to complex healthcare problems. Based in Washington, DC, the firm delivers actionable insights, product solutions, and custom analytics for leaders in healthcare business and policy. Avalere's experts span 230 staff drawn from Fortune 500 healthcare companies, the federal government (e.g., CMS, OMB, CBO and the Congress), top consultancies and nonprofits. The firm offers deep substance on the full range of healthcare business issues affecting the Fortune 500 healthcare companies. Avalere’s focus on strategy is supported by a rigorous, in-house analytic research group that uses public and private data to generate quantitative insight. Through events, publications and interactive programs, Avalere insights are accessible to a broad range of customers.

Avalere is part of a parent company Avalere Health, a purposefully built commercialization partner for the biopharmaceutical, medical technology, and wellness industries. Its 1,500+ experts combine their knowledge and expertise across our core disciplines—Consulting; Medical; Policy, Access, Value, and Evidence; Marketing; and Digital Experience and Technology—to create the connections that make better health happen. Visit www.avalere.com and follow Avalere Health on LinkedIn and Instagram.

About the role:

Avalere’s Market Access Practice is seeking a Principal to support its analytics team. The Market Access analytics team conducts a variety of claims-based analyses, payer analytics, and modeling to help life sciences companies, health plans, providers, and other stakeholders quantitatively address a variety of business questions such as: 

•Identifying patient populations based on health conditions and product or service utilization to assess payer mix, patient characteristics, and market sizing research 

•Evaluating the impact of policy and market factors on patient access to therapy, manufacturer liability, and payer contracting and bid strategy 

•Developing forecasting models to evaluate impacts on reimbursement and manufacturer gross-to-net 

•Assessing payer and formulary coverage to support manufacturer launch planning 

•Quantifying the impact of alternative payment models to drive stakeholder engagement strategies 

•Conducting provider performance measurement to support health plan risk mitigation 

•Performing benchmarking analytics to inform provider negotiation of value-based arrangements with payers 

What you’ll do:

The candidate will have responsibility for 1) contributing to business development activities, (2) structuring statistical analytic plans for new analyses, 3) providing technical oversight of the junior team’s analytic work, 4) developing processes and best practices in partnership with colleagues across the organization, and 5) providing mentorship and learning opportunities to the analytics team. A successful candidate will have in-depth experience conducting and overseeing claims-based data analytics and modeling, is adept at driving analytics approaches and study designs, and has demonstrable experience mentoring and developing junior analysts. Preferably, this candidate will have market access or biopharma experience with a keen appreciation for the business questions market access, HEOR, and other biopharma buying centers seek to answer through data. 

Graduate-level degree in health economics, biostatistics, epidemiology, health services research, or other quantitative discipline preferred, or equivalent work experience. 

About you

•Expert knowledge of healthcare data, administrative claims data structure, and claims service settings. Examples include: 

•Hands-on experience using Medicare data accessed through the CMS VRDC/Qualified Entity program, including Medicare Part A/B FFS claims, Part D prescription drug event (PDE) data, Medicare Advantage encounter data, and Medicare enrollment databases 

•Experience using secondary data sources to supplement claims analyses, such as survey data, drug databases, formulary coverage data, area-level social determinants of health or geographic factors 

•Experience using both payer-sourced (i.e., closed) claims or provider-sourced (i.e., open) claims datasets 

•At least 8 years of professional experience developing detailed, comprehensive analytic plans translating client business questions into concrete and documented analytic approaches or study designs

•At least 5 years of experience designing and developing Excel-based forecasting models 

•At least 10 years of professional experience using SAS, SQL, or other comparable programming language to link, structure, and analyze healthcare data 

•Demonstrable experience developing robust QC processes to ensure accuracy and quality of data inputs, assumptions, and analysis outputs 

•Ability to efficiently synthesize and distill analytic results into strategic insights to drive client decision-making and planning 

People Leadership Experience 

•Demonstrated experience in process development and best practices, specifically in creating frameworks that enhance team collaboration and project execution 

•At least 8 years of experience mentoring or supervising employees, encompassing a variety of skillsets and disciplines 

•Demonstrable experience developing staffing plans and processes to align staff to projects based upon capacity, skill sets, and professional growth areas 

Business Development and Consulting Experience 

•Experience in healthcare consulting for or within biopharma companies or government agencies, to address a range of data-driven business applications and questions 

•Experience leading business development for analytic-focused work and drafting and reviewing proposals and statements of work, including specification of analytic approach and development of budget plan and timelines 

•Experience leading client pitches to present technical differentiation and capabilities in support of sales opportunities 

Experience Requirements 

•Background in market access or biopharma industry to demonstrate understanding of key business questions for customers 

•At least 10 years of professional experience focus on heath care analytics, market access, or other biopharma related role 

About Avalere Health

Established in 2001, Avalere Health is a purposefully built commercialization partner for the biopharmaceutical, medical technology, and wellness industries.

Our 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.

Avalere Health partners with its 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.

We live and breathe our five values in everything we do: We are authentic. We act with integrity. We value difference. We play for the team. We enjoy the journey. At Avalere Health, we imagine a healthier world and create the connections to make it happen. 

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.

What we can offer

Avalere Health aims to empower every employee to develop and thrive. We empower our team with the tools, skills, and support needed to think differently and to solve healthcare’s most complex challenges.

At the center of our people-led culture is our Career Experience team, whose mission is to provide every employee with a purpose-driven career. We also pride ourselves on our personalized learning approach to ensure you receive the training you need to help you grow within the company and take advantage of our global scale and scope.

We are committed to embedding diversity and inclusion in every aspect of our organization. We encourage diversity of thought, inclusive behavior, and break down barriers to ensure every individual feels valued and encouraged to contribute their unique abilities and potential. As part of our commitment to building a healthier world, every employee is also encouraged to participate in our community engagement efforts, which support a wide range of healthcare programs and wellbeing causes worldwide.

We have city hubs across North America, Europe, and Asia, geared toward collaborating, training, socializing, and coming together as a global organization while maintaining and fully supporting flexible working practices. Our compensation and benefits package is benchmarked across the industry. We offer a generous company pension/retirement plan, private medical insurance, comprehensive employee wellbeing initiatives, compelling time-off policy, plus many other excellent employee benefits. 

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