Director, Payer Analyst - Patient Access

About the Company

At UBC, we are devoted to empowering health solutions for a better tomorrow as a pharmaceutical support industry leader. We take pride in improving patient outcomes and advancing healthcare. At UBC, we provide services to enhance the entire drug development process and commercialization lifecycle, from clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values of Respect, Accountability, Innovation, Quality, Integrity, and Collaboration. We believe in an inclusive workplace that fosters creativity. If you are seeking a career that will challenge, inspire, and reward you, join us at UBC!

Responsibilities

• Lead the strategic development and execution of payer policy analytics across UBC Patient Access Services business.
• Establish the best practices, including the development and management of UBC proprietary payer knowledge.
• Dig deep across all programs to understand payer nuances and ensure best practices are shared across all programs.
• Review case details, interpret payer coverage policies, identify access barriers, and drive data-informed strategies to ensure UBC offers differentiated access services.
• Establish and lead a new working committee for UBC Patient Access Services focused on developing and maintaining payer nuances using a robust suite of digital tools, AI, and UBC wide expertise.
• Lead the analysis and interpretation of payer policies across commercial, Medicare, and Medicaid plans for both medical and pharmacy benefits.
• This includes detailed case reviews and data collection into the UBC proprietary application.
• Develop and maintain a payer policy intelligence framework to monitor changes in coverage criteria, prior authorization requirements, and reimbursement trends.
• Collaborate with internal and client stakeholders (e.g., Market Access, Reimbursement, Analytics, Clinical, and Regulatory teams) to translate payer insights into actionable strategies.
• Serve as the product owner for UBC’s proprietary payer management platform, working closely with IT to define the roadmap and enhancements.
• Partner with UBC’s sales and business development team to create sales content, respond to RFPs, and present UBC’s differentiated offering.
• Lead the design and implementation of dashboards and reporting tools to track payer policy impact and access metrics from a UBC wide and program specific perspective.
• Represent UBC in client QBRs to discuss payer-related discussions and strategic guidance on market access and reimbursement optimization.
• Support training and education initiatives for internal teams on payer policy trends and implications.

Supervisory Responsibility

• Indirect leadership of a team of program specific payer analysts and reimbursement specialists.
• Provide mentorship, performance feedback, and professional development opportunities.

Requirements

• Bachelor’s degree in health policy, public health, pharmacy, or related field.
• Minimum 7–10 years of experience in payer policy analysis, market access, or reimbursement strategy within the pharmaceutical or healthcare industry.
• Deep understanding of U.S. payer landscape, including commercial, Medicare, and Medicaid coverage pathways.
• Demonstrated experience with both medical and pharmacy benefit structures and policy development.
• Strong analytical skills with proficiency in data visualization and reporting tools (e.g., Excel, Tableau, Power BI).
• Experience in technology product ownership, including vision setting, requirements definition, and participation in agile development cycles.
• Excellent written and verbal communication skills, with the ability to translate complex data into actionable insights.
• Proven ability to lead cross-functional teams and manage multiple priorities in a fast-paced environment.

Preferred Qualifications (Nice to Have)

• Advanced degree (MPH, MBA).

Benefits

• Competitive salaries.
• Growth opportunities for promotion.
• 401K with company match.
• Tuition reimbursement.
• Flexible work environment.
• Discretionary PTO (Paid Time Off).
• Paid Holidays.
• Employee assistance programs.
• Medical, Dental, and vision coverage.
• HSA/FSA.
• Telemedicine (Virtual doctor appointments).
• Wellness program.
• Adoption assistance.
• Short term disability.
• Long term disability.
• Life insurance.
• Discount programs.

Category

Healthcare