Obesity Coverage & Value Strategy Lead

Jobgether SRL

United States

Remote

USD 144,000 - 195,000

Full time

7 days ago
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Benefits offered by this job

Benefits package
Retirement plan
Health coverage
Life & disability
FSAs
Bonus program
Stock incentives
Time-off program
Flexible work
Career growth
Remote work US

Job summary

Jobgether SRL is seeking a Senior Manager, Obesity Coverage and Value Strategy to own U.S. payer coverage for obesity and related conditions. You will translate clinical and economic evidence into actionable access strategies across commercial, Medicare, and Medicaid segments.

You will shape coverage objectives, develop payer-facing materials, and lead cross-functional teams to optimize access and affordability in a complex payer environment. Remote work within the United States is supported.

Qualifications

  • Doctorate/masters/bachelor/associate/high school with required years of experience in market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics, or sales and marketing ops.
  • Experience in payer marketing, coverage strategy, managed markets, HEOR, or value communication is preferred.
  • Experience in chronic/primary-care or cardiometabolic markets and launch environments is preferred.
  • Strong knowledge of US pharmacy and medical benefits, formulary decision-making, prior auth, step therapy, reauthorization, and access operations.
  • Ability to translate clinical trial results, real-world evidence, and health-economic analyses into payer insights.
  • Experience developing compliant payer/access materials and enabling customer-facing teams.
  • Strong strategic thinking, analytical synthesis, facilitation, writing, and presentation skills.
  • Ability to independently lead strategic workstreams in a matrixed launch environment.

Responsibilities

  • Lead the integrated U.S. coverage strategy across commercial, Medicare, and Medicaid segments.
  • Define coverage and utilization-management positions, including formulary tiering, prior authorization, step therapy, and clinical criteria.
  • Own prior-authorization and utilization-management analysis, including benchmarking and renewal requirements.
  • Provide coverage assumptions to Pricing for gross-to-net and contract modeling.
  • Partner with Pricing, Contracting, Insights, and field access teams to translate payer realities into strategies and plans.
  • Lead the U.S. payer value story and communications tying clinical evidence to payer decisions.
  • Develop and govern payer-facing materials and field tools (value dossiers, presentations, FAQs, training materials).
  • Lead payer, employer, and market research to identify barriers and evolving policies.
  • Collaborate with HEOR, Real World Evidence, Medical, and Global Value & Access on evidence priorities.
  • Monitor coverage performance KPIs and diagnose barriers with cross-functional partners.
  • Shape value evidence for employer and consumer pathways when requested and support related launches.
  • Support affordability and access education with Brand and Patient Access teams.

Job description

Jobgether SRL is seeking a Senior Manager, Obesity Coverage and Value Strategy to own U.S. payer coverage for obesity and related conditions. You will translate clinical and economic evidence into actionable access strategies across commercial, Medicare, and Medicaid segments.

You will shape coverage objectives, develop payer-facing materials, and lead cross-functional teams to optimize access and affordability in a complex payer environment. Remote work within the United States is supported.

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