Director, Payer Contract Analytics - Immunology

Job Description The Market Access & Patient Services (MAPS) organization within APEX plays an instrumental role in shaping payer market access and patient services strategies for all of AbbVie’s domestic brands. As a people leader of the Payer Contract Analytics team, you will greatly influence securing market access across all therapeutic areas and payer channels by executing contracting strategies and leading all deal model analytics. You will partner with Business Evolution Strategy Development (BESD) functions to build and scale deal analytics that reflect emerging market access and distribution models. You will play a key role in modernizing the overall Payer Contract Analytics (PCA) function through process and analytical methodology improvements and AI-guided initiatives. In this role, you will closely collaborate with internal stakeholders from Finance, Forecasting, BTS, Legal, Payer Strategy, Pricing as well as field-based Account Managers to establish approved contracting terms that maximize brand net sales. With a focus on all traditional payer channels as well as emerging disruptive channels, you will ensure that pricing and contracting strategies are executed through sophisticated Bayesian and other advanced simulation techniques. You will also lead a team of contract analytics talent, embed analytical capabilities to extend team member capabilities, enable organizational learning to ensure the development of access strategies that align with overall commercial goals of each brand. The role requires strong real-world data modeling skills and subject matter expertise within the overall U.S. market access environment and an in-depth understanding of the continuously evolving payer reimbursement landscape. This position requires strong leadership and influencing skills required to obtain optimal access for AbbVie’s medicines at key National PBM’s and Payers such as Caremark, Express Scripts, and Optum. Together, ~80% of US Net Sales each year are the result of formulary placements and restrictions across these 3 customers. Strategic Contributions Lead payer contract analytics across Market Access for AbbVie Immunology brands. Influence the implementation of brand-level pricing and contracting strategies at the customer level to achieve optimal payer formulary access that maximize net sales for assigned brands. Demonstrate very strong understanding of the U.S. payer landscape to translate and apply brand access strategies to the unique characteristics of our customers. Identify through advanced modeling, the risks, opportunities, and sensitivities associated with various access projection outcomes. Play a significant role in serving as an independent voice for Executive leadership decision making through strong story telling skills and payer contract strategy acumen. Build collaborative relationships with internal U.S. Market Access Sales, vendor partners, and Marketing stakeholders. Leading the process for executing Pricing and Contracting strategies at the Big 3 PBMs that maximize Gross-to-Net (GTN) budgets. Serve as an authority in the customization of channel-specific contracting strategies based on the unique asks and attributes of our customers to find financially prudent paths forward during negotiations. Modeling payer response to potential contract terms, measurement of brand dynamics for various formulary placement and utilization management tactics, and tracking post-deal account level performance through ROI/variance analyses using customer and secondary data sources. Influencing senior account executives and payer marketers through strategic problem solving and innovative scenario planning in seeking win-win solutions through negotiations. Interfacing with external customers such as PBMs and Health Plans to share analytical insights and positively influence deal negotiations. Shaping pricing and contract decision making with high fidelity, data-driven deal recommendations at the BU President, CCO and CFO level seeking deal approval. Demonstrating a strong understanding of syndicated and AbbVie proprietary data, data science and modeling techniques and the ability to synthesize insights into compelling therapeutic area value narratives. Continuously evolving contracting models to reflect the intricacies of complex customer business models, such as 340B concessions, enabling AbbVie to understand stakeholder economics from a patient and payer perspective and maximize AbbVie’s leverage with customers. Lead pre- and post-deal analytics and provide recommendations for access that seek to advance the objectives of the Brand/Therapeutic Area (TA), while optimizing the Brand’s Gross-to-Net (GTN). Perform GTN reconciliation of the deal financials compared with the Brand’s applicable forecast (LBE, Plan, LRP) to identify and quantify the variances in price, volume, and utilization mix for Financial planning. Leadership Responsibilities Coordinate and facilitate Market Access cross-functional team