Director, Payer Analyst - Patient Reimbursement

Data Analysis – Remote (Mexico)

About the Company

UBC is a leader in pharmaceutical support services, focused on improving patient outcomes and advancing healthcare. We offer services that improve the entire drug development process and commercialization lifecycle, from clinical trial support to real-world evidence generation. UBC supports a culture built on Respect, Accountability, Innovation, Quality, Integrity, and Collaboration.

Responsibilities

• Lead the strategic development and execution of payer policy analytics across UBC Patient Access Services.
• Establish recommended approaches, including the development and management of UBC proprietary payer knowledge.
• Look closely across all programs to understand payer nuances and share recommended approaches across all programs.
• Review case details, interpret payer coverage policies, identify access barriers, and drive data-informed strategies to offer differentiated access services.
• Establish and lead a new working committee for UBC Patient Access Services focused on developing and maintaining payer nuances using a strong set 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.
• Work with internal and client groups such as Market Access, Reimbursement, Analytics, Clinical, and Regulatory teams to turn payer information into practical strategies.
• Serve as the product owner for UBC’s proprietary payer management platform, working closely with IT to define the plan and improvements.
• 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 setup of dashboards and reporting tools to track payer policy effect and access metrics from a UBC-wide and program-specific view.
• Represent UBC in client QBRs to discuss payer-related discussions and provide strategic guidance on market access and reimbursement improvement.
• Support training and education for internal teams on payer policy trends and what they mean.

Supervisory Responsibility

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

Requirements

• Bachelor’s degree in health policy, public health, pharmacy, or a related field.
• Minimum 7 to 10 years of experience in payer policy analysis, market access, or reimbursement strategy within the pharmaceutical or healthcare industry.
• Deep understanding of the U.S. payer system, including commercial, Medicare, and Medicaid coverage pathways.
• Demonstrated experience with both medical and pharmacy benefit structures and policy development.
• Strong analytical skills with skill in data visualization and reporting tools such as Excel, Tableau, or Power BI.
• Experience in technology product ownership including setting a vision, defining requirements, and taking part in agile development cycles.
• Excellent written and verbal communication skills, with the ability to turn complex data into useful ideas.
• 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 chances 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.

Location

Remote (Mexico)