Consultant, Insights & Analytics (Payer Analytics)

Key Responsibilities

• Market & Payer Landscape Analysis
  • Conduct payer and provider interviews, formulary reviews, and claims data analysis to map coverage, prior authorization, and step therapy requirements.
  • Build access landscape reports identifying barriers, risks, and opportunities across commercial, Medicare, Medicaid, and government channels.

Pricing & Reimbursement Analytics

- Analyze pricing benchmarks, rebate structures, and gross-to-net (GTN) implications for different access scenarios.
- Support development of pricing and reimbursement proposals, including health economic and outcomes research (HEOR) inputs where relevant.

Strategic Insights & Recommendations

- Translate complex reimbursement and policy data into executive-ready insights for brand, market access, and commercial teams
- Develop access strategies at launch and for in-line products, including patient support, co-pay, and hub program considerations.

Analytics & Modelling

- Design and execute quantitative analyses using claims databases, formulary trackers, and pricing tools
- Build models and dashboards (Excel, SQL, R/Python, Tableau/Power BI) to quantify access impact, patient flow, and budget scenarios.

Project & Client Management

- Manage workstreams end-to-end: scoping, analysis, storytelling, and client presentations.
- Mentor junior analysts/associates and contribute to proposals, pitches, and thought leadership.

Typical Skills & Qualifications

• Education
  • Bachelor's or Master's degree in life sciences, pharmacy, economics, public health, data science, or related fields.
  • Advanced degree preferred for senior roles (e.g., MPH, MSc Health Economics, MBA with healthcare focus).
• Experience:
  • 3–6 years in pharma/biotech market access, HEOR, pricing analytics, or healthcare consulting.
  • Prior exposure to US/EU/India market access systems and payer research is highly valued.
• Technical Skills
  • Strong proficiency in Excel, PowerPoint; hands-on with SQL and at least one analytics tool (R, Python, SAS, Tableau, Power BI).
  • Familiarity with claims data, formulary databases, and pricing/analytics platforms (e.g., IQVIA, Komodo, ANAPLAN, Veradigm) is a plus.
• Core Competencies
  • Structured problem-solving, hypothesis-driven thinking, and comfort with ambiguity.
  • Excellent written and verbal communication; ability to craft clear, executive-level narratives.
  • Stakeholder management across commercial, medical, market access, and finance functions.

• Bachelor's or Master's degree in life sciences, pharmacy, economics, public health, data science, or related fields.
• 3–6 years in pharma/biotech market access, HEOR, pricing analytics, or healthcare consulting.
• Prior exposure to US/EU/India market access systems and payer research is highly valued.
• Strong proficiency in Excel, PowerPoint; hands-on with SQL and at least one analytics tool (R, Python, SAS, Tableau, Power BI).