Overview In this role, you will lead the U.S. payer value strategy for UPLIZNA and priority Oncology assets, translating clinical and economic data into differentiated value narratives. You will work at the intersection of payer insight, evidence, reimbursement, and customer strategy to support coverage and patient access. You'll partner with cross-functional teams to shape payer policy, utilization management, and buy-and-bill considerations in physician-administered therapies. This position offers impact through evidence generation, policy analysis, and strategic engagements with payers and health systems. You will be pivotal in communicating value, advancing access, and leveraging AI-enabled tools
Responsibilities- Develop and execute payer value strategies for UPLIZNA and Oncology assets, aligning with brand strategy and evolving coverage policy
- Maintain deep understanding of medical policy, prior authorization, utilization management, buy-and-bill, site-of-care, and reimbursement dynamics for physician-administered therapies
- Lead U.S. payer-relevant RWE workstreams with HEOR, CfOR, Medical, Brand, and Insights; influence study design to defend coverage
- Translate clinical, pharmacoeconomic, real-world, and population-level evidence into payer value narratives for customer engagement
- Identify payer evidence gaps and propose recommendations for evidence-generation and brand-planning discussions
- Prepare for priority payer engagements with policy analysis, value messaging, and strategic discussion support
- Create and manage payer-facing resources (CVAs, economic tools, HCEI, PIE, FAQs, training guides, burden-of-disease resources)
- Oversee Materials Approval and Compliance, and train customer-facing teams on value resources
- Leverage AI tools to accelerate policy review, insight synthesis, evidence assessment, and content creation while ensuring quality
- Identify new AI-enabled use cases to improve efficiency and quality of Value Strategy & Marketing work
- Manage agency partners, timelines, and budgets, prioritizing high-value payer opportunities
- Travel up to 5-10%
Key requirements- Master's degree, 6 years of related experience OR Bachelor's degree, 8 years of related experience OR Associate's degree, 10 years of related experience OR High school diploma/GED, 12 years of related experience
- Direct experience with US health plan, payer organization, or payer-focused healthcare organization preferred
- Strong knowledge of US medical-benefit reimbursement, policy, utilization management, and coverage decisions for physician-administered therapies
- Experience with buy-and-bill, site-of-care dynamics, and payer management of high-cost specialty therapies
- Ability to synthesize complex clinical, economic, and payer information into differentiated value strategies
- Experience interpreting payer policies, claims data, or utilization trends to identify barriers/opportunities
- Strong business acumen, analytical and strategic thinking; ability to influence cross-functional partners
- Curiosity and aptitude for generative AI and applying approved tools to solve business problems
- Strong written, verbal, and presentation skills; advanced healthcare/business degrees preferred
- cross-functional collaboration
- communication
- influence
- payer marketing
- HEOR
- RWE
