Medical Outcomes Manager, Payer Relations/HEOR

Biolink360; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Medical Outcomes Manager to bridge the gap between clinical insights and payer relations. This pivotal role involves presenting scientific data and medical value assessments to national and regional payers, ensuring effective communication of the economic benefits of innovative healthcare solutions. The ideal candidate will leverage their scientific expertise and strong relationships within the payer landscape to drive market access initiatives and support product development discussions. If you are passionate about improving healthcare outcomes and have a proven track record in health economics, this opportunity is perfect for you.

Qualifications

• Master’s degree or higher in a scientific field with health economics expertise.
• 5+ years of experience in pharmaceutical or healthcare sectors.

Responsibilities

• Lead scientific presentations to payers and government stakeholders.
• Develop relationships within the payer space for product development discussions.
• Support Market Access with medical reviews and communications.

Skills

Health Economics

Clinical Leadership

Medical Value Assessment

Scientific Interpretation

Payer Relations

Education

Master’s degree

PharmD

PhD

DNP

Job description

Position Title: Medical Outcomes Manager, Payer Relations/HEOR
Reports to: Senior Medical Outcomes Manager, Medical Affairs
Location: Remote based
Type of role: Contract

The Medical Outcomes Manager will act as the primary liaison for the division with national and regional payers, as well as affiliated networks and government policy stakeholders. The person in this role will support Market Access, Account Managers and Government Advocacy teams in clinical discussions.

The position has functional responsibility for payer interactions, including presentation of health economic data, medical value assessments and scientific support. The Medical Outcomes Manager will also be responsible for supporting the development of scientific materials, as well as being the subject matter expert on scientific interpretation and review of materials and presentations for the Marketing Access Team.

Responsibilities

1. Provide scientific and medical leadership by presenting scientific, clinical, HEOR and educational materials to national and regional payers, PBMs, IDNs and government policy stakeholders.
2. Develop and maintain professional clinical relationships within the payer space that are commercial and research relevant, discuss investigator-initiated studies (IIS) and relevance to ADC.
3. Support payer advisory boards and discussions with key payers on generating ideas for future product/device development, expanded reimbursement of existing products/devices, and scientific communication of medical value of current products.
4. Support Market Access with medical review of communications and advise primary market access personnel regarding features, benefits and medical value of products.
5. Attend relevant professional conferences (diabetes related and/or payer focused).
6. Collaborate with internal stakeholders to support staffing the Medical Affairs portion of the exhibit booth, answer off label questions regarding the use of medical device products from a clinical and scientific perspective, respond to questions regarding clinical scientific data, HEOR outcomes, IIS queries, data interpretation.
7. Support the Marketing Access team in the development of commercial non-CME webinars and program opportunities for National Payer Conferences.
8. Formulate medical information response letters for payer inquiries and Pharmacy and Therapeutic Committees.

Qualifications

1. Scientific background with minimum of Master’s degree (prefer PharmD, PhD or DNP) with proficiency in health economics/health outcomes research.
2. Minimum 5 years of experience in either pharmaceutical, medical device, healthcare or managed care organizations.
3. Established relationships with regional and national payers, PBMs, and government organizations preferred.