Associate Principal, Market Access, Strategic Pricing & Contracting

About the role

The Associate Principal, Market Access, Strategic Pricing & Contracting at Avalere Health is positioned as a pivotal leader who owns the end-to-end strategy for pricing and contracting within complex healthcare environments. This professional is responsible for translating ambiguous market dynamics into structured, evidence-based pricing frameworks that withstand rigorous payer scrutiny. You will own the analytical depth required to deconstruct coverage policies and convert them into actionable pathways that ensure patient access is never compromised. In this capacity, you will serve as the critical bridge between clinical value propositions and the financial realities of payer decision-making. The role demands a high level of ownership over contractual terms, ensuring they align with both client strategic objectives and the stringent evaluation criteria of payers. You will leverage deep therapeutic and policy knowledge to design strategies that address the specific needs of target patient populations across diverse plan types. This position requires proactive engagement with cross-functional stakeholders to synchronize medical evidence generation with the practical realities of reimbursement implementation. Ultimately, you will safeguard the integrity of the client's value proposition while navigating the intricate intersection of clinical outcomes and financial viability in the market.

Key facts

What you'll do

• Architect comprehensive pricing and contracting strategies that address the nuanced requirements of commercial and public payer landscapes.
• Conduct in-depth policy analysis to map coverage criteria against clinical evidence, ensuring treatment pathways are both compliant and commercially viable.
• Lead negotiations with payer organizations to establish favorable contracting terms that balance risk, reimbursement, and patient access objectives.
• Partner with medical affairs teams to align clinical development programs with the evolving evidence requirements of key stakeholders.
• Optimize specialty pharmacy network strategies to guarantee timely and reliable access to therapies for designated patient populations.
• Develop compelling value communication frameworks that articulate the clinical and economic impact of treatments to key decision-makers.
• Assess and recommend optimal distribution and logistics models to secure product availability and meet projected market demand.
• Ensure all market access activities adhere to regulatory guidelines and industry standards, facilitating smooth product launches and renewals.
• Utilize advanced data analytics to model budget impact and forecast the financial implications of therapy options under various reimbursement scenarios.
• Act as a strategic advisor to clients, providing thought leadership on market access trends and the implications for pricing and contracting decisions.

Requirements

You must hold over ten years of progressively responsible experience in pricing, contracting, or related market access roles within the healthcare sector. You must possess a thorough understanding of coverage policies and reimbursement methodologies for both commercial insurance plans and public programs such as Medicare and Medicaid. You must demonstrate an intimate knowledge of specific product names and their corresponding treatment pathways within the U.S. healthcare system. You must have a proven ability to synthesize complex datasets and clinical information to forecast the budgetary impact of therapies and interventions. You must exhibit strong analytical skills to interpret regulatory guidance and translate it into practical market access strategies. You must have a history of successfully managing high-stakes negotiations with payer organizations. You must be highly proficient in utilizing technology and analytical tools to support decision-making and scenario planning. You must possess excellent written and verbal communication skills to articulate complex concepts to diverse audiences. You must be able to work independently and as part of a collaborative team in a fast-paced, matrixed environment.

Nice to have

Familiarity with Avalere proprietary tools, frameworks, and analytical models is considered a significant advantage for rapid onboarding and effectiveness.

Practical notes

This is a full-time, permanent position based in Washington, D.C. The role may require occasional travel to meet with key stakeholders or attend industry conferences. Employment is contingent upon successful completion of background checks and verification of credentials. This listing is specific to the Washington D.C. location; remote work arrangements are not applicable for this role. The candidate must be authorized to work in the United States without sponsorship for this position.