Quality Assurance Manager-Pharma

Biolink360; New Hope (MN); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a Medical Outcomes Manager to act as a vital liaison with payers and stakeholders. This dynamic role involves presenting health economic data, supporting market access initiatives, and developing scientific materials. The ideal candidate will have a strong scientific background, preferably with a Master’s degree or higher, and at least five years of experience in the healthcare sector. You will collaborate with various teams to enhance payer relationships and contribute to the development of innovative healthcare solutions. If you are passionate about making a difference in healthcare outcomes, this opportunity is for you.

Qualifications

• Minimum 5 years experience in healthcare or managed care organizations.
• Proficiency in health economics and outcomes research is essential.

Responsibilities

• Lead scientific presentations to national and regional payers and stakeholders.
• Support Market Access with medical review of communications and product value.

Skills

Health Economics

Medical Leadership

Clinical Presentation Skills

Stakeholder Engagement

Scientific Interpretation

Education

Master’s degree in relevant field

PharmD, PhD or DNP preferred

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 payer, 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.