Principal, Policy (Medicare Part B)

About the role

You will architect and lead strategic policy analysis that defines how Medicare Part B physician-administered drugs and the 340B program intersect with real-world patient access. In this role, you own the development of evidence-based solutions that translate complex regulatory landscapes into actionable strategies for clients across the pharmaceutical and healthcare ecosystem. You will partner closely with cross-functional teams, ensuring that every policy decision is grounded in rigorous data and a deep commitment to equitable patient outcomes. Your work will directly influence how stakeholders navigate federal regulations, positioning Avalere Health at the forefront of policy innovation that reaches every patient possible. This is a role for a policy professional who thrives on solving multifaceted problems and turning ambiguity into clear, compelling narratives. You will be expected to challenge conventional thinking while maintaining a meticulous attention to detail that ensures our advisory remains robust and trusted. Success in this position is measured by the tangible impact your recommendations have on client strategy and the broader policy environment.

Key facts

What you'll do

Lead comprehensive policy assessments focused on Medicare Part B physician-administered therapies and the 340B program, identifying key trends and their implications for stakeholders.

Develop sophisticated regulatory and legislative strategies that address drug pricing policy discussions at the federal and state levels, ensuring alignment with Avalere Health's client objectives.

Analyze Medicare Advantage and Medicare Part B and D policy and payment structures, translating complex rules into clear insights for advisory products.

Conduct quantitative modeling of proposed and enacted policies to forecast impacts on pharmaceutical manufacturers, managed care plans, providers, pharmacies, PBMs, and consumers.

Create compelling narrative and data-driven deliverables that communicate the potential outcomes of policy changes to cross-functional client teams.

Collaborate with medical and advisory teams to integrate deep subject-matter expertise into practical solutions for pharmaceutical and healthcare clients.

Monitor the evolving landscape of benefit design and coverage in public and private payers, assessing how shifts affect patient access and treatment pathways.

Provide thought leadership on Medicaid and state health policies, expanding the team's ability to address a broad range of client challenges.

Support the development of legislative strategies that anticipate regulatory changes and position clients for proactive decision-making.

Champion the use of data analytics to drive insights that link policy shifts to real-world utilization and cost dynamics across the healthcare continuum.

Act as a key point of contact for stakeholders seeking clarity on the intersection of policy, pricing, and patient support programs.

Ensure all deliverables reflect a commitment to equity, ensuring no patient is left behind in the analysis of access and treatment support.

Translate complex federal regulations into actionable guidance for pharmaceutical manufacturers, managed care organizations, and provider groups.

Drive proactive research and thought leadership that keeps Avalere Health at the forefront of policy innovation in Medicare and specialty pharmaceuticals.

Requirements

You possess a Bachelor's degree or higher, demonstrating a foundational understanding of health policy, economics, or a related quantitative field.

You have a minimum of 7 years of progressive experience in health policy, with a demonstrated track record of analyzing Medicare and pharmaceutical policy landscapes.

You are highly proficient in quantitative methods and statistical analysis, allowing you to interpret complex datasets and translate them into strategic insights.

You have direct experience evaluating the implications of federal and state drug pricing policies and their effects on stakeholders across the healthcare spectrum.

You hold a strong understanding of Medicare Part B and D structures, including payment models, benefit design, and the regulatory frameworks that govern them.

You bring specialized knowledge of the 340B program and its implications for covered entities and pharmaceutical pricing strategies.

You have a proven ability to synthesize medical and scientific information into clear, concise policy recommendations for executive-level audiences.

You are eligible to work in the United States without sponsorship, ensuring you can immediately contribute to client deliverables.

You have a history of working effectively in a fast-paced, deadline-driven environment where managing multiple priorities is essential.

You demonstrate exceptional written and verbal communication skills, enabling you to articulate complex policy issues to diverse stakeholders.

You are adept at collaborating with cross-functional teams, including medical affairs, marketing, and commercial stakeholders, to align policy insights with business objectives.

You have experience supporting clients in the pharmaceutical or medical product space, ensuring recommendations are practical and commercially aware.

You are comfortable working independently and exercising judgment in a remote setting, maintaining productivity and engagement without direct supervision.

You have a strong attention to detail, ensuring accuracy in analysis, modeling, and the presentation of policy findings.

You are passionate about health equity and ensuring that policy solutions consider the needs of diverse patient populations.

Nice to have

Preferred experience in oncology policy, specifically related to drug access, pricing, and reimbursement frameworks for therapies treating cancer patients.

A demonstrated track record of working with public payers, including Medicaid and state-level health programs, to develop sustainable policy strategies.

Experience supporting clients that manufacture or distribute pharmaceutical therapies through complex distribution channels.

Knowledge of global health policy trends and their potential impact on US Medicare and pharmaceutical pricing discussions.

Familiarity with the operational and financial dynamics of Pharmacy Benefit Managers (PBMs) and their role in drug pricing.

Practical notes

This is a remote position based in the United States, allowing for flexibility in work location while ensuring team collaboration through digital channels.

The role operates within standard full-time hours, requiring reliable availability during core business hours to support client needs and cross-team collaboration.

No travel is required for this position, as all responsibilities are conducted remotely.

Candidates must be eligible to work in the United States without the need for visa sponsorship.

Applications will be reviewed on a rolling basis, and early application is encouraged to secure consideration for this strategic policy role.