Manager, Payer & Provider Account Analytics

Key Responsibilities

• Healthcare Data Fluency: Leverage diverse healthcare data sources including pharmacy claims, medical claims, formulary data, covered lives data
• other real-world evidence assets to answer critical business questions and quantify market dynamics.
• Contracting & Account Analytics: Support payer and provider contracting decisions through pre-deal and post-deal analytics.
• Evaluate contract performance, coverage dynamics, access measures, and utilization trends to support business decision making.
• Strategic Partnerships: Build effective working relationships and collaborate with Market Access Strategy, Strategic Accounts, and other cross-functional stakeholders.
• Identify strategic business needs, develop analytical approaches, generate insights, and communicate findings that help guide market access and account strategies.
• Advanced Analytics: Apply predictive analytics, and advanced analytics (including AI/ML techniques) to generate actionable insights and enhance business decision making.
• Data Storytelling: Prepare and present analytical findings to a variety of stakeholders through clear and compelling narratives.
• Translate complex analytical results into actionable recommendations that support strategic decisions.
• Market Access Insights: Conduct analyses that evaluate payer coverage, formulary access, reimbursement, utilization management, provider adoption, healthcare utilization, and account performance.
• Identify risks, opportunities, and trends that influence Market Access strategies.
• Innovative Approaches: Identify novel approaches and new data sources to address critical Market Access business needs and shape Market Access strategies through data-based decision-making.
• Cross-Functional Teamwork: Partner with internal Market Access data teams, Tech, BU data/analytics teams
• GSK Privacy/Legal to ensure compliant and effective use of healthcare data Continuous Improvement: Provide insights that support the continuous improvement of processes and analytical tools.
• Project Management: Deliver results while effectively managing and prioritizing workloads across multiple projects and timelines.
• Oversee analytical projects and vendor-supported deliverables to ensure timely and high-quality execution.
• Basic Qualification We are seeking professionals with the following required skills and qualifications to help us achieve our goals: Bachelor’s degree in quantitative field (e.g., Statistics, Economics, Data Science, Mathematics, Engineering
• related). 4+ years of data and analytics experience. 2+ years of experience in US pharma/healthcare industry analytics position analyzing US healthcare data.
• Experience querying databases and analyzing data using SQL, Python, R, or similar programming languages.
• Experience translating business questions into analytical approaches and actionable recommendations.
• Preferred Qualifications Advanced degree (MBA, MS
• PhD in Analytics, Data Science, Economics, Health Economics
• related field) Knowledge of payer and provider contracting dynamics, including formulary access, reimbursement, utilization management
• Experience working with healthcare utilization and insurance data, including pharmacy claims, medical claims, formulary, coverage, or covered lives data.
• Demonstrated ability to manage multiple analytical projects with shifting priorities and timelines.
• Strong analytical, problem-solving, and communication skills.
• Experience supporting contract analytics, market access performance measurement, provider analytics, reimbursement analytics, or account planning activities.
• Experience applying machine learning, AI
• advanced statistical techniques (e.g., regression, clustering, forecasting, optimization models) to business problems Experience with data visualization tools (e.g., Power BI, Tableau) Demonstrated ability to influence business decisions through analytical insights and stakeholder engagement. #Li-GSK Skills Business Data Mining, Data Analysis, Data Analysis Tools, Data Mining, Data Modeling, Data Storytelling, SQL Databases, Statistical Analysis, Structured Query Language (SQL) Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees.
• Uniting science, technology and talent to get ahead of disease together.
• GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together.
• We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive.
• We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines.
• We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases – to impact health at scale.
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• Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people.
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