Remote Payer Strategy Jobs Near Me

Remote

Full time

R11020

Responsibilities

• Deliver evidence-based healthcare economic and clinical information demonstrating the value of Otsuka’s portfolio. Account responsibilities include ecosystem level payers: Medicaid, Insurers, Specialty Pharmacy, Integrated Delivery Networks (IDNs), Pharmacy Benefit Managers (PBMs) and Federal Healthcare (Veterans Administration regional sites, Military Treatment Facilities sites).

• Deliver health outcomes data to regional payers, identify partnership opportunities in collaboration with Global Value Real World Evidence (GVRWE)

• Lead development and execution of medical strategy for regional accounts in alignment with Market Access Regional Access Managers (RAMs) and Otsuka’s medical strategic imperatives per approved policies, procedures, and guidelines. Develop and maintain state profile tools.

• Collaborate with local and regional payer stakeholders to provide education and enhance patient outcomes using unbranded resources, including population health management, disease state education and Otsuka’s remote customer engagement platforms.

• Create and grow widespread relationships with regional/local payer decision makers and maintain a comprehensive understanding of assigned managed care accounts, the healthcare system, and trends, the interconnect of the key decision makers and payer landscape and access challenges. Serve as Medical Affairs healthcare landscape expert at the regional level.

• Attend congresses to gain a better understand of the healthcare landscape and interact with key decision makers.

• Insights: gather payer perceptions on Otsuka’s products and driver’s impacting formulary decisions.

• Understands Otsuka's business model and value proposition, competitive intelligence, and other marketplace factors/dynamics. Strong understanding of industry legal, regulatory, and compliance landscape.

• Communicate key developments in regional/local payer landscape to leadership and ecosystem partners. Independently identifies opportunities for improvement and can implement creative solutions to address unmet needs and applies/shares outcomes with ecosystem and regional teams.

• Serve as regional cultural ambassador within FMA across all therapeutic areas.

• Compliance: conduct all interactions with payers and other stakeholders in accordance with all applicable Otsuka policies and procedures

Qualifications

• Education: Advanced degree required: Doctoral degree (PharmD., M.D. or PhD) strongly preferred in Pharmacy, Medicine, Biological Sciences, Health Services Research or Public Health.

• 5+ years of Managed care or similar experience within the pharmaceutical industry

• Understanding and knowledge of current US healthcare system at a regional level

• Knowledge of clinical and pharmacoeconomic concepts including modeling, real-world evidence, health outcomes and clinical trial designs.

• Excellent organizations skills and the ability to prioritize and work effectively in a continually evolving environment in both an independent and collaborative manner.

• Demonstrates the Patient first mindset and the ability to gain insights and identify customer needs and opportunities. Able to identify solutions with the overall goal of improved patient outcomes.

• Strategic thinking combining business acumen and clinical expertise.

• Excellent communication and collaboration skills.

• Demonstrates behaviors aligned with the Otsuka core values including perseverance, unconventional thinking, and humility.

• Willingness to travel (60-80% travel time) Territory includes CA, OR, WA and Idaho. MUST RESIDE IN ONE OF THESE STATES.

Competencies

Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.

Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.

Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.

Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.

Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.

Empowered Development - Play an active role in professional development as a business imperative.

Minimum $169,222.00 - Maximum $253,000.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate’s job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws.

Application Deadline : This will be posted for a minimum of 5 business days.

Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.

Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka .

Disclaimer:

This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting Accommodation Request (EEAccommodations@otsuka-us.com) .

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Otsuka Pharmaceutical Co., Ltd. is a global healthcare company with the corporate philosophy: “Otsuka–people creating new products for better health worldwide.” In the U.S., Otsuka is comprised of two companies, Otsuka America Pharmaceutical, Inc., and Otsuka Pharmaceutical Development & Commercialization, Inc., that share a deep commitment to the development and commercialization of innovative products in the spaces of neuroscience, nephrology, and digital medicine.

Driven by our purpose to defy limitation, so that others can too, we have an unwavering belief in doing more and transcending expectations. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each and every day.

OPDC and OAPI are indirect subsidiaries of Otsuka Pharmaceutical Company, Ltd., which is a subsidiary of Otsuka Holdings Co., Ltd. headquartered in Tokyo, Japan. The Otsuka group of companies employed 34,400 people worldwide and had consolidated sales of approximately USD 14.2 billion in 2023.

We invite you to explore our open positions for an opportunity to join our 2,200 colleagues in the U.S. whose passion for our mission and pride in our company have earned us certification as a Great Place to Work by the Great Place to Work Institute.