Senior Manager, Obesity Coverage and Value Strategy

Jobgether SRL; United States; Remote; USD 144,000 - 195,000; Full time

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

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Manager, Obesity Coverage and Value Strategy based in United States.

This senior role owns the U.S. payer coverage and value strategy for obesity and related conditions, translating clinical, economic, patient, and market evidence into actionable access strategies. You will shape coverage objectives across commercial, Medicare, and Medicaid segments while helping reduce barriers to appropriate patient access. The position combines payer strategy, value communication, utilization-management analysis, and cross-functional leadership within a highly matrixed environment. You will work closely with Pricing, Contracting, HEOR, Medical, Patient Access, Brand, and field access teams to turn payer insights into practical strategies and tools. The role also provides an opportunity to influence launch planning, evidence priorities, payer communications, and customer-facing execution. Success will require strong strategic judgment, analytical ability, and the capacity to translate complex healthcare evidence into compelling, actionable recommendations.

• Lead the integrated U.S. coverage strategy across commercial, Medicare, and Medicaid segments, including payer segmentation, access objectives, account priorities, and strategies to establish, improve, and protect coverage.
• Define desired coverage and utilization-management positions, including formulary tiering, prior authorization, step therapy, reauthorization, quantity limits, and clinical criteria, while assessing implications for patients and the business.
• Own prior-authorization and utilization-management analysis, including criteria benchmarking, documentation requirements, patient-flow implications, approval and denial patterns, renewal requirements, administrative friction, and alternative policy scenarios.
• Provide approved coverage, prior-authorization, step-therapy, and reauthorization assumptions to Pricing teams for gross-to-net and contract modeling, clearly communicating changes and areas of uncertainty.
• Partner with Pricing, Contracting, Insights, and field access teams to translate payer realities into coverage strategies, contracting objectives, pull-through plans, and escalation priorities.
• Lead the U.S. payer value story and customer-specific value communications, connecting clinical evidence, the burden of obesity and related conditions, health-economic evidence, patient experience, and affordability to payer decision-making.
• Develop, refresh, and govern payer-facing materials and field tools, including value dossiers, payer presentations, objection handlers, coverage resources, FAQs, training materials, and account-planning resources.
• Lead payer, employer, and market research to identify coverage barriers, evidence needs, benefit-management expectations, value messages, and evolving obesity-related policies, converting findings into prioritized actions.
• Collaborate with HEOR, Real World Evidence, Medical, and Global Value and Access teams on evidence priorities, payer objections, and evidence dissemination, while identifying gaps that could improve coverage or reduce utilization burden.
• Monitor coverage performance and access KPIs across segments and customers, using formulary, claims, field, and customer insights to diagnose barriers and mobilize partners around priority gaps.
• Shape value evidence and coverage implications for employer and consumer pathways when requested, while partnering with the relevant strategy leaders who retain ownership of those areas.
• Partner with Brand and Patient Access & Reimbursement teams on affordability and access education, patient and healthcare professional experiences, and operational handoffs that support appropriate treatment initiation and persistence.
• Present concise coverage, evidence, and value recommendations to senior leadership and relevant launch or governance forums, clearly communicating dependencies, uncertainties, and decisions.

Requirements:

• Doctorate degree with at least 2 years of relevant experience, master's degree with at least 4 years, bachelor's degree with at least 6 years, associate's degree with at least 10 years, or high school diploma/GED with at least 12 years of experience in market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics, or sales and marketing operations.
• Experience in payer marketing, coverage strategy, managed markets, HEOR, value communication, patient access, or within a payer, PBM, or employer environment is preferred.
• Experience in chronic, primary-care, or cardiometabolic markets and launch environments is preferred.
• Strong working knowledge of U.S. pharmacy and medical benefits, formulary decision-making, prior authorization, step therapy, reauthorization, benefit design, and access operations.
• Ability to interpret clinical trial results, real-world evidence, and health-economic analyses and translate them into practical insights for payer coverage and utilization-management decisions.
• Demonstrated experience developing compliant payer or access materials and enabling customer-facing teams through training, communication, and pull-through tools.
• Strong strategic thinking, analytical synthesis, facilitation, writing, and presentation capabilities.
• Ability to independently lead strategic workstreams, influence stakeholders, and operate effectively within a complex, matrixed launch environment.
• Strong collaboration and stakeholder-management skills, with the ability to connect insights across commercial, clinical, economic, and access functions.

Benefits:

• Annual salary range of $144,225.45–$195,128.55 USD, with actual compensation varying based on relevant skills, experience, qualifications, and other factors.
• Comprehensive employee benefits package for eligible employees and dependents.
• Retirement and Savings Plan with company contributions.
• Medical, dental, and vision coverage.
• Life and disability insurance.
• Flexible spending accounts.
• Eligibility for a discretionary annual bonus program.
• Stock-based long-term incentives.
• Award-winning time-off programs.
• Flexible work models where applicable.
• Career development and professional growth opportunities.
• Remote work arrangement within the United States.
• Sponsorship is not guaranteed for this position.