Market Access Business Analyst

Falcon Smart IT (FalconSmartIT); San Mateo (CA); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Falcon Smart IT is seeking a Market Access Business Analyst to support pricing, contracting, rebates, GTN, and payer programs in a dynamic U.S. healthcare environment.

Strong domain expertise and cross-functional collaboration are essential. You will gather requirements, map processes, create BRDs and user stories, and help optimize operations to improve reporting accuracy and efficiency across commercial and government programs.

Qualifications

• Market Access domain expertise in US pharmaceutical market access ecosystem.
• Experience supporting Managed Care, Payer, PBM, Government Programs, and Specialty Pharmacy processes.
• Knowledge of Pricing, Contracting, Rebates, Chargebacks, and GTN calculations.
• Understanding of Commercial, Medicare, Medicaid, and 340B programs.
• Knowledge of formulary management and payer access dynamics.
• Familiarity with pharmaceutical sales and market access functions.
• Requirements elicitation and stakeholder management.
• Process mapping, workflow analysis, and gap assessment.
• BRD, FRD, User Stories, and Acceptance Criteria preparation.
• Strong analytical and problem-solving skills.
• Business process improvement and optimization experience.

Responsibilities

• Partner with Market Access stakeholders to understand business objectives, challenges, and opportunities.
• Gather, document, and prioritize business requirements for Market Access initiatives.
• Create BRDs, financial specifications, use cases, user stories, process maps, and business workflows.
• Ensure business requirements are complete, traceable, and aligned with organizational goals.
• Analyze current-state Market Access processes and identify optimization opportunities.
• Support initiatives related to pricing, contracting, rebates, chargebacks, formulary management, and payer performance tracking.
• Evaluate business impacts of process changes and technology enhancements.
• Recommend solutions to improve operational efficiency and reporting accuracy.

Skills

Market Access Domain Expertise

Program Experience

Financial Calculations

Program Compliance

Formulary Knowledge

Sales Alignment

Business Analysis Skills

Process Design

Documentation

Problem Solving

Optimization

Communication Skills

Communication Approach

Interpersonal Skills

Feedback Delivery

Problem-Solving

Mindset

Tools

Model N

Job description

Job Title: Market Access Business Analyst

Location:Fosters City CA (Onsite OR Remote)

Job Type:FTE / C2C

Job Description:

We are seeking a highly motivated Business Analyst with strong Market Access domain expertise to support business initiatives across Pricing, Contracting, Government Programs, Rebates, Gross-to-Net (GTN), Managed Care, and Market Access Operations.

Primary Skills (Must Have)

• Market Access Domain Expertise: Strong understanding of the US Pharmaceutical Market Access ecosystem.
• Program Experience: Experience supporting Managed Care, Payer, PBM, Government Programs, and Specialty Pharmacy processes.
• Financial Calculations: Knowledge of Pricing, Contracting, Rebates, Chargebacks, and Gross-to-Net calculations.
• Program Compliance: Understanding of Commercial, Medicare, Medicaid, and 340B programs.
• Formulary Knowledge: Knowledge of formulary management and payer access dynamics.
• Sales Alignment: Familiarity with pharmaceutical sales and market access business functions.
• Business Analysis Skills: Requirement elicitation and stakeholder management.
• Process Design: Process mapping, workflow analysis, and gap assessment.
• Documentation: BRD, FRD, User Stories, and Acceptance Criteria preparation.
• Problem Solving: Strong analytical and problem-solving skills.
• Optimization: Business process improvement and optimization experience.

Soft Skills & Other Skills

• Communication Skills: Communicate effectively with internal and customer stakeholders.
• Communication Approach: Verbal, emails, and instant messages.
• Interpersonal Skills: Strong interpersonal skills to build and maintain productive relationships with team members.
• Feedback Delivery: Provide constructive feedback during code reviews and be open to receiving feedback on your own code.
• Problem-Solving: Capability to troubleshoot and resolve issues efficiently.
• Mindset: Analytical mindset.

(What You’ll Do)

• Business Requirements Management: Partner with Market Access stakeholders to understand business objectives, challenges, and opportunities.
• Prioritization: Gather, document, and prioritize business requirements for Market Access initiatives.
• Artifact Creation: Create BRDs, financial specifications, use cases, user stories, process maps, and business workflows.
• Alignment: Ensure business requirements are complete, traceable, and aligned with organizational goals.
• Market Access Process Analysis: Analyze current-state Market Access processes and identify optimization opportunities.
• Initiative Support: Support initiatives related to pricing, contracting, rebates, chargebacks, formulary management, and payer performance tracking.
• Impact Evaluation: Evaluate business impacts of process changes and technology enhancements.
• Solution Recommendation: Recommend solutions to improve operational efficiency and reporting accuracy.

What Success Looks Like (6?12 Months)

• Independence: Independently manage business analysis activities for assigned Market Access initiatives.
• Quality Documentation: Deliver high-quality requirements documentation with minimal rework.
• Testing Support: Successfully support testing and business validation activities.
• Risk Closure: Drive closure of requirement-related risks, issues, and dependencies.

Secondary Skills (Good to Have)

• Experience with Model N applications.
• Knowledge of Gross-to-Net forecasting processes.
• Experience working with Specialty Pharmacy and HUB Operations.
• Understanding of Patient Access and Patient Support Services.
• Experience supporting Government Pricing programs.