Healthcare Payer Lead

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Healthcare Payer Lead

At Roche Diagnostics, we are transforming diagnostics into an intelligent, data-driven system of care, powered by AI and digital solutions. To succeed, our products must not only demonstrate clinical value but also fit into real-world healthcare economics, reimbursement logic, and payer decision-making frameworks.

The Opportunity

Transform the economics of healthcare!

The Healthcare Payer Lead ensures that our digital and AI-enabled solutions are designed with a deep understanding of payer systems, economic incentives, and value-based care models—with a particular focus on the United States and scalability across global markets.

Reporting to the Chapter Lead for Clinical Design, the Healthcare Payer Lead will:

• Build and disseminate deep understanding of the healthcare payer landscape, including value-based care and reimbursement dynamics
• Assess and articulate payer value created by clinician use of our solutions, translating it into evidence, value propositions, and monetization pathways
• Shape reimbursement and market access strategies by aligning clinical outcomes, economic value, and real-world adoption in collaboration with the market access & GTM teams
• Engage and cultivate strategic relationships with payers and external stakeholders to inform product, evidence, and go-to-market strategies
• Integrate payer perspectives into product development, clinical strategy, and cross-functional decision-making across global and local teams

Key responsibilities:

Payer Knowledge & Thought Leadership

• Drive initiatives to deepen organizational knowledge of healthcare payers, value-based healthcare, and hospital economics
• Represent and disseminate payer-related insights across internal stakeholders
• Support development of payer-relevant marketing and thought leadership materials

Payer Engagement & Market Insight

• Build and maintain strategic relationships with healthcare payers, payviders, and external stakeholders
• Engage with the healthcare system to assess payer needs, priorities, and evolving payment models
• Lead and/or support advisory boards and payer-focused engagements

Value Articulation & Evidence Translation

• Assess and articulate the payer value generated through clinician use of our products (e.g., outcomes, cost, utilization)
• Translate product and clinical capabilities into payer-relevant value propositions and evidence requirements
• Provide iterative feedback during product development to strengthen payer value

Reimbursement & Market Access Support

• Inform evidence and value requirements for reimbursement and coverage decisions
• Contribute payer insights to emerging payment and coverage models
• Support the development of scalable reimbursement pathways and monetization strategies across markets
• Partner with GTM, Market Access, and Policy teams to align on access strategies

Clinical Strategy & Cross-functional Integration

• Contribute to and help shape clinical strategies with a payer and health economics perspective
• Translate clinical challenges and customer pain points into payer-relevant value opportunities
• Collaborate with product, medical, UX, and evidence generation teams to embed payer perspectives into solution design and validation
• Support alignment between global and regional teams to ensure consistent payer-relevant positioning…