Head of US Payer Analytics & Market Access

CSL; King of Prussia (PA); Hybrid; USD 180,000 - 260,000; Full time

Benefits offered by this job

Hybrid work

Competitive benefits

Job summary

CSL Behring is seeking a Senior Director, Market Access Analytics to establish the US Payer Analytics capability within US Insights & Analytics. You will lead cross-functional effort with Strategic Market Access, Payer Channel Marketing and Market Access Accounts to transform payer and claims data into actionable insights that drive strategy and patient access.

You will bring 15+ years in pharmaceutical or healthcare analytics, deep knowledge of US payer landscape, and a proven track record

Qualifications

• Education: Bachelor's degree required; Master's degree (MBA, MS) preferred.
• Experience: 15+ years in pharmaceutical, biotechnology, specialty pharmacy, payer, or healthcare analytics.
• Experience within rare disease, specialty biologics, or specialty pharmaceuticals.
• Demonstrated success building new analytics capabilities and teams.
• Deep understanding of the US payer landscape, including: Commercial health plans National and regional PBMs, IDNs, GPOs, SPs, HCOs.
• Strong understanding of reimbursement pathways across both medical and pharmacy benefits.
• Experience with market access data (e.g., MMIT, Fingertip Formulary, IQVIA, Komodo, claims databases) and payer policy analytics.
• Proven ability to influence senior executives through data-driven storytelling and strategic recommendations.
• Excellent negotiation, communication, and relationship-building abilities.
• Strong Change and Leadership skills.

Responsibilities

• Establish the long-term vision, roadmap, and operating model for US Payer Analytics.
• Serve as a key member of the US I&A leadership team, ensuring market access insights are integrated with broader commercial insights and priorities.
• Develop scalable analytic capabilities, reporting frameworks, dashboards, and data infrastructure supporting payer decision making.
• Build foundational measurement and KPI frameworks for market access performance.
• Partner with Data & Analytics teams to improve availability and quality of payer data assets.
• Develop comprehensive analytics supporting market access strategy and provide actionable recommendations regarding opportunities and emerging access risks including: National and regional coverage assessment, Formulary positioning, Coverage evolution and trends.
• Move beyond traditional national reporting by developing detailed analytics at the payer account level (Health plan performance, PBM performance, IDN performance, Regional payer performance, etc.).
• Develop a comprehensive reimbursement analytics capability including: PA approval rates, Denial reasons, Appeals submitted, Appeal success rates, Overturn rates, etc.
• Responsible for oversight and effective management of all team members: objectives, reviews, coaching, employee development.
• Stay current with industry benchmarks and best practices to keep insights competitive and innovative.

Education

Bachelor's degree

Master's degree preferred

Tools

MMIT

Fingertip Formulary

IQVIA

Komodo

claims databases

Job description

CSL Behring is seeking a Senior Director, Market Access Analytics to establish the US Payer Analytics capability within US Insights & Analytics. You will lead cross-functional effort with Strategic Market Access, Payer Channel Marketing and Market Access Accounts to transform payer and claims data into actionable insights that drive strategy and patient access.

You will bring 15+ years in pharmaceutical or healthcare analytics, deep knowledge of US payer landscape, and a proven track record