Director, Payer Insights 1 of 3

Job Description Summary

This position will be located in East Hanover, NJ location and will not have the ability to be located remotely.

There are 3 Director, Payer Insights associated with this job posting. The roles are as follows:

Director, Payer Insights-CRM
Director, Payer Insights-Oncology
Director, Payer Insights-Specialty

 

Job Description

Job Purpose 

The Insights and Decision Science (IDS) team is dedicated to enabling improved decision making at Novartis by leveraging data and advanced analytics capabilities to generate actionable insights that drive business growth. We collaborate closely with the US business, bringing insights and challenging ideas to empower smarter, data-driven decision-making. Reporting into the ED, Payer and Access Strategy Insights, the Dir, Payer Insights plays a crucial role in providing payer insights and data-driven analytics to support payer and pricing strategies that align with the NVS’ mission to enhance patient access to innovative therapies. 

 

This role will be responsible for leveraging advanced analytics to drive informed decision-making and optimize payer strategies. By conducting comprehensive assessments and impact analyses, the Director identifies key opportunities to enhance access and address customer needs. This role involves collaborating with stakeholders to develop robust pricing strategies and assess the implications of emerging policies and regulations. Through scenario modeling and data-driven insights, the Director ensures that the organization remains agile and responsive to market dynamics, ultimately enhancing product uptake and revenue performance. 

Key Responsibilities

• Drive analytics related to pricing and contracting to support comprehensive payer and pricing strategies 

• Conduct assessments to identify key insights across priority accounts, leveraging data from major PBMs to inform market access payer and pricing strategies 

• Perform impact analysis of patient support programs on gross-to-net performance, assessing patient assistance impact 

• Work with Market Access stakeholders to assess and identify the types of support needed for payer and pricing strategies 

• Utilize analytical tools, market research, and other resources to identify key opportunities to increase access and understanding of market access customer needs 

• Conduct rebate payment and payer data analysis to track gross-to-net performance, identifying discrepancies, patterns, and opportunities for optimizing rebate strategies 

• Share insights on the potential impact of emergent policy and regulation (e.g., IRA, value-based pricing, PBM regulation) on pricing models and profitability 

• Model key scenarios to make informed decisions, mitigate risks, and uncover opportunities while optimizing pricing and profitability under new regulations 

• Conduct analysis to help stakeholders understand the impact of practice economics (e.g., buy-and-bill models) on prescribing behavior trends and assess implications on product uptake and revenue performance. 

Essential Requirements:

Novartis seeks individual with extensive experience in market access strategy and analytics within the pharmaceutical industry. This individual should have a proven track record of effectively deriving actionable insights and collaborating with market access stakeholders. A strong analytical background is essential, with the ability to leverage advanced analytical tools and market research to identify opportunities for enhancing market access and understanding customer needs. The candidate should be skilled in analyzing the implications of emerging policies and regulations on pricing models and profitability. 

Education: Bachelor's degree in related field is required; Master of Science and/or MBA preferred 

• Minimum of 8 years of pharmaceutical or related healthcare business, with a deep understanding of market access dynamics and access / pricing strategies 

• Minimum of 3 years of domain expertise in these