Director, Payer Contract Analytics - NECS

Director, Payer Contract Analytics - NECS

• Full-time
• Salary Min: 160500
• Salary Max: 305000
• Workday Global Grade: 21
• Compensation: USD 160,500 - USD 305,000 - yearly

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 Abb Vie’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 to obtain optimal access for Abb Vie’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.

• Leading the process for executing pricing and contracting strategies at the Big 3 PBMs that maximize Gross-to-Net (GTN) budgets.
• Serving as an authority in customizing 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, measuring 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 to seek win‑win solutions during 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 Abb Vie 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 Abb Vie to understand stakeholder economics from a patient and payer perspective and maximize Abb Vie’s leverage with customers.
• Leading pre‑ and post‑deal analytics and providing recommendations for access that seek to advance the objectives of the Brand/Therapeutic Area (TA), while optimizing the Brand’s Gross‑to‑Net (GTN).
• Performing 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…