Manager -Market Access Analytics & Payer Strategy

Location: REMOTE
Salary: $110,000.00 USD Annually - $125,000.00 USD Annually
Description:

Manager, Market Access Analytics & Payer Strategy (Remote)

Location: United States (Remote)
Employment Type: Full-Time

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About the Opportunity

A fast-growing healthcare innovator is seeking a Manager, Market Access Analytics & Payer Strategy to drive data-informed decisions across payer access, reimbursement performance, and commercial strategy. This is a highly visible, strategic role partnering with executive leadership to shape market access and revenue outcomes.

This position is ideal for someone who can translate complex data into actionable insights, influence stakeholders, and operate as a true business partner in a dynamic, growth-stage environment.

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Key Responsibilities

Payer Coverage Intelligence & Strategy

• Develop and maintain a centralized repository of payer policies across Medicare, Medicare Advantage, Medicaid, and commercial plans
• Monitor policy changes, coverage criteria, and reimbursement trends to inform access strategy
• Identify barriers to coverage and recommend solutions to improve patient access and revenue realization

Reimbursement & Revenue Analytics

• Analyze claims, denials, appeals, and prior authorization data to identify root causes of revenue leakage
• Evaluate reimbursement trends, payment variances, and time-to-cash performance
• Develop actionable insights to improve approval rates and optimize revenue cycle performance

Commercial & Market Analytics

• Partner with sales and commercial teams to analyze patient funnel performance and conversion rates
• Identify payer-related friction points impacting growth and territory performance
• Support data-driven decisions around market expansion and resource deployment

Financial Modeling & Contracting Support

• Build financial models to support payer negotiations, pricing strategy, and margin optimization
• Assess the impact of policy changes and contracting decisions on revenue and profitability

Executive Reporting & Insights

• Design dashboards and scorecards to track key performance indicators across market access and reimbursement
• Present insights and strategic recommendations to senior leadership
• Bring structure to complex, cross-functional data to support decision-making

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Required Qualifications

Experience

• 5+ years of experience in healthcare analytics, market access, payer strategy, or reimbursement analytics
• Strong experience within Durable Medical Equipment (DME) or medical device reimbursement environments

Domain Expertise

• Deep understanding of payer systems including Medicare (Fee-for-Service and Advantage), Medicaid, and commercial payers
• Experience with prior authorization, denial management, and claims analysis

Technical Skills

• Hands-on experience with Salesforce CRM (required)
• Strong proficiency in data analysis and visualization tools such as Tableau, Power BI, and Excel
• Experience with financial modeling, scenario analysis, and data synthesis

Core Competencies

• Ability to connect data insights to business strategy and outcomes
• Strong communication skills with experience presenting to senior stakeholders
• Proven ability to work cross-functionally and influence decision-making
• Self-starter comfortable in a fast-paced, evolving environment

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Why Join

• High-impact, strategic role with direct exposure to leadership
• Opportunity to shape market access strategy in a growing organization
• Collaborative, mission-driven culture focused on improving healthcare outcomes 

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Contact: jfitzgerald@judge.com