Payer Insights Liaison
Payer Insights Liaison
Posted on :
10-04-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
10-04-2025
Job Description
We are seeking a detailoriented proactive and clientfacing individual to join our team. As a Payer Insight Liaison on our Patient Services team this position offers a dynamic and impactful role in shaping the access and reimbursement strategies of our clients with a clear focus on the everevolving payer landscape. The successful candidate will play a crucial part in ensuring that drug manufacturers are equipped with the necessary insights and strategies to maintain access to their therapies in an increasingly complex insurance environment.
This role will be pivotal in providing comprehensive research and insights related to payer policies drug formulary lists and insurance payer changes. The ideal candidate will work closely with internal market access teams and external clients (drug manufacturers) to ensure seamless transitions and communication when payer policy guidelines and drug formulary statuses are modified or updated.
A typical day in the life of a Payer Insights Liaison will include the following:
The responsibilities include but are not limited to the following:
A typical day in the life of a Payer Insights Liaison will include the following:
The responsibilities include but are not limited to the following:
- Payer Policy Guideline Research:
- Conduct indepth research on the latest payer policies including but not limited to medical and pharmacy guidelines.
- Review and interpret payer policy changes and analyze their impact on drug access coverage and reimbursement.
- Stay current with insurance company guidelines and formulary updates to ensure accurate and timely information.
- Track payerspecific requirements conditions and restrictions that may influence drug formulary decisions.
- Drug Formulary List Research:
- Research and compile comprehensive data on the status of on payer formularies including preferred status tier placement and clinical criteria for coverage.
- Identify any changes in drug formulary listings and analyze the impact of such changes on market access and patient treatment options.
- Collaborate with market access teams to ensure that drug formulary data is accurate and uptodate.
- ClientFacing Responsibilities:
- Serve as the primary point of contact for drug manufacturers regarding payer policy and formulary research.
- Provide expert guidance and recommendations to clients about payer and formulary changes and their potential business impacts.
- Collaborate with the client to strategize responses to changes in payer policies and formularies.
- Prepare reports summaries and presentations for clients to communicate key insights and strategic recommendations.
- Market Access Team Collaboration:
- Work closely with internal market access teams to align strategies and understand their objectives related to payer policies and formulary placements.
- Provide actionable insights and recommendations for overcoming barriers to drug access reimbursement and formulary placement.
- Assist in the development of materials and strategies to address payerrelated challenges including payer policy changes formularies and coverage determinations.
- Payer Change Management:
- Monitor payer landscape for changes in drug coverage formulary status and medical policies.
- Facilitate coordination between the drug manufacturers team and payer organizations when formulary changes or payer policy adjustments occur.
- Provide realtime updates and collaborate with stakeholders to manage the impact of payer policy changes on drug access and reimbursement.
- CrossFunctional Collaboration:
- Liaise with internal departments such as legal regulatory and marketing teams to ensure comprehensive support during policy changes.
- Assist in the preparation of dossiers submissions and other materials for payer negotiations.
- Data Management and Reporting:
- Maintain comprehensive databases tracking payer policies formulary statuses and client interactions.
- Regularly update internal stakeholders on key payer policy changes and formulary decisions.
- Analyze and present research findings in a clear concise manner to facilitate decisionmaking.
- Continuous Learning and Professional Development:
- Stay current with trends regulations and changes in healthcare payer systems insurance and pharmaceutical markets.
- Attend relevant training sessions webinars and conferences to enhance industry knowledge and skills.
This job might be for you if (must have requirements of the role):
Successful candidates possess the following personal attributes:
- Strong analytical and research skills with the ability to synthesize complex payer information and present actionable insights.
- Excellent verbal and written communication skills to effectively interact with clients and internal stakeholders.
- Ability to collaborate effectively across various functions and manage multiple priorities in a fastpaced environment.
- Strong proficiency in Microsoft Office Suite (Excel PowerPoint Word) and familiarity with data management tools and systems.
- Strong attention to detail and ability to work independently.
- Ability to build and maintain strong relationships with both clients and internal teams.
- Flexibility and adaptability to meet client needs in a changing healthcare landscape.
- Understanding of healthcare payer systems insurance structures and drug formulary processes.
Requirements:
The ideal team member should possess the following:
- Bachelors degree strongly preferred in Pharmacy Life Sciences Healthcare Administration Business or a related field. Advanced degrees (e.g. PharmD MBA MPH) are a plus.
- Minimum of 35 years of experience in medical affairs pharmacy benefits management or market access with a focus on payer policy and formulary research.
- Proven track record of working directly with clients particularly in the pharmaceutical or healthcare industry.
- Experience in navigating and interpreting payer policies formularies and healthcare regulations.
- Familiarity with drug reimbursement processes payer negotiations and formulary placement strategies.
- Bilingual in English and Spanish or Chinese/Mandarin is a plus
- We are located in Jeffersonville IN. PharmaCord does reimburse for tolls if applicable at the frequent user rate. This rate is applied after 40 trips per month (valued at $678.60 per year)
- Hybrid or Remote work options may be available for this role.
Physical Demands & Work Environment:
- While performing the duties of this job the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time use hands to type handle or feel; and reach with hands and arms. Must be able to type 35 WPM with 97 accuracy.
- Although very minimal flexibility to travel as needed is preferred.
- This is an officebased position the ability to sit for extended periods of time is necessary
- This job operates in a professional office environment. This role routinely uses standard office equipment such as computers phones photocopiers etc.
- Due to investment in program specific training candidates are expected to maintain role for a minimum of 6 months or within a clientfacing role prior to being considered eligible for lateral or promotion level move. PharmaCord is committed to creating a strong company culture that values collaboration employee development and promotion from within. Exceptions will be reviewed on a casebycase basis to assess business need and service impact.
Once you land this position youll get to enjoy:
Our Benefits & Perks
- Company paid Shortterm Disability (STD)
- Increased competitive 401(k) company match up to 4
- Affordable Medical Dental and Vision benefits PharmaCord covers 75 of Medical Premiums for our employees
- Wellness discounts of up to $260 per year for participation in wellness program
- Annual HSA employer contribution
- Company paid and voluntary Life Insurance options
- Voluntary Life AD&D and LongTerm Disability Insurances
- Paid Parental Leave of Absence
- Wellness and Employee Assistance Programs
- PTO benefits flex days and paid holidays
- Employee Referral Program
- Ambassador Program
- Tuition reimbursement program up to $5000 per year
Competitive Compensation & Flexible Working
- Competitive starting pay rates
- Toll reimbursement program (valued at $678.60 per year)
- This role may be eligible for a hybrid schedule 50 in office 50 remote). To qualify for a hybrid schedule you are required to work a minimum of 6 months onsite at our headquarters location. You must show youve successfully completed training are in good performance and attendance standing and are consistently meeting KPIs as outlined within the program business rules.
A Career Youll Love
- Working for PharmaCord voted Best Places to Work in Kentucky for 2019 and 2021
- Work for a company that values diversity and makes deliberate efforts to create in inclusive workplace
- Opportunities for advancement with a company that supports personal and professional growth
- A challenging stimulating work environment that encourages new ideas
- Exposure to many learning and development opportunities
- Playing a crucial part in the lives of our patients physicians and pharmacies by enhancing the patient services experience
- Our new state of the art Headquarters building offering many amenities including collaborations spaces outdoor dining walking path marketplace caf and more!
Any offer of employment is contingent on completion of a background check to company standard. Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.
At PharmaCord we dont just accept difference we celebrate it support it and we thrive on it for the benefit of our employees our products and our community. PharmaCord is proud to be an equal opportunity employer. PharmaCord is unable to sponsor employees at this time.
Want to learn more about us Find us on LinkedIn Glassdoor Twitter & Facebook!
Important Notice
Due to an increase in hiring scams please be aware that if you are selected to move forward in our hiring process a member of our Talent Acquisition team will contact you directly using an official @pharmacord and/or @echo.newtonsoftware email address regarding next steps in our interview process.
Please Note:
- PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @pharmacord or @echo.newtownsoftware email address or through our scheduling platform Calendly.
- We will never request your bank account information at any stage of the hiring process.
- We will never send a check (electronic or physical) to purchase home office equipment.
If you receive any suspicious communication regarding employment with PharmaCord please report it to our Talent Acquisition team immediately at
Employment Type
Full-Time
Key Skills
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