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Payer & Market Access Expert - Gross-to-Net & Formulary Strategy
Job in
San Francisco, San Francisco County, California, 94199, USA
Listed on 2026-10-03
Listing for:
Weekday 1
Full Time
position Listed on 2026-10-03
Job specializations:
-
Business
Financial Analyst, Business Analyst
Job Description & How to Apply Below
This role is for one of our clients
Compensation: $175-$200 per hour
A leading biotech and pharmaceutical research organization is conducting a paid expert-evaluation initiative focused on improving how AI systems analyze commercial drugs and drug-development programs.
We are seeking an experienced Payer & Market Access Expert with strong knowledge of pricing, reimbursement, gross-to-net dynamics, rebates, and formulary strategy. You will help create and evaluate structured rubrics designed to assess whether AI-generated analyses accurately reflect real-world payer and market access practices.
This is a paid pilot engagement with the potential for continued work as the program expands.
Requirements
Key Responsibilities- Create, review, and critique evaluation rubrics for analyzing commercial drugs and pharmaceutical development programs
. - Establish and pressure-test gross-to-net assumptions
, including rebates, discounts, and other pricing considerations across relevant drug classes. - Evaluate whether assumptions regarding formulary placement, coverage, utilization management, and payer behavior accurately reflect real-world market access practices.
- Assess payer and reimbursement considerations across different therapeutic areas and drug classes.
- Apply market access expertise consistently across the pilot's assigned portfolio of drugs and development programs.
- Identify unrealistic, incomplete, or unsupported assumptions and provide clear recommendations for improving evaluation criteria.
- Help ensure rubrics are practical, rigorous, and aligned with how experienced payer and market access professionals evaluate commercial opportunities.
- 5+ years of professional experience in market access, pricing and reimbursement, managed markets, payer strategy, or a closely related field.
- Currently based in the United States
. - Hands-on understanding of gross-to-net modeling, rebates, discounts, formulary tiering, and payer coverage dynamics
. - Familiarity with biotech and pharmaceutical drug-development programs and commercialization processes
. - Strong understanding of how payer behavior varies across drug classes, therapeutic categories, and commercial situations.
- Ability to critically evaluate assumptions and determine whether they are commercially realistic and supported by industry practice.
- Strong analytical reasoning and attention to detail.
- Excellent written communication skills, with the ability to clearly explain the rationale behind professional judgments.
- Comfortable working independently and providing structured feedback within defined evaluation frameworks.
- Duration: Approximately 10-20 hours over a 1-2 week pilot.
- Location: Fully remote, United States.
- Engagement Type: Paid expert evaluation pilot.
- Potential Extension: Strong contributors may have opportunities for recurring engagements as the program expands.
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