Clinical Director, Payer-Focused Consulting

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Lockwood

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

💼 Consulting

📣 Marketing

Healthcare • Consulting • Marketing

Lockwood is a company specializing in medical and market access communications, collaborating with healthcare clients to strategize and execute effective communications. The company works closely with clients' medical affairs teams from Phase 2 onwards to shape scientific strategies and support commercialization efforts. Lockwood's divisions include medical affairs, commercial development, publications, and market access, delivering high-quality, evidence-based initiatives. Their team includes numerous staff members with advanced scientific or medical degrees, allowing them to provide insights that inform compelling stories. Lockwood is committed to scientific accuracy, innovation, and long-term client partnerships while fostering a supportive culture for their employees.

📋 Description

• Provide expert opinions to APS and its clients regarding the clinical value of drugs to payers and how they will be perceived and managed by payers • Support APS and its clients with broad-based drug information expertise across all therapeutic areas • Conduct drug information and other research to understand how payer lines of business will perceive and manage new drugs and indications • Advise staff and clients on payer rationales and approaches for Prior Authorizations, step-therapy edits, and other coverage rules • Prepare Word documents, PowerPoint slides, and other materials describing commercial viability, competition, and likely payer coverage practices • Plan, conduct, and summarize payer research • Help plan, develop, and moderate virtual and in-person payer advisory boards • Review and improve client value proposition and preapproval information exchange presentations • Interact with current and prospective clients and demonstrate APS drug and drug therapy expertise • Assist with statements of work and participate in client presentations to win new business • Keep current with clinical drug-marketplace trends and payer formulary and coverage management practices • Collaborate with the APS Chief Clinical Officer and VP of Clinical Services • Work as a critical member of the APS, Nexus, and affiliated company teams

🎯 Requirements

• PharmD degree or equivalent e.g., BS pharmacy with advanced degree • At least 5 to 10-years of experience in a managerial/supervisory drug information position with a payer, i.e., health plan or PBM, in the areas of formulary development, coverage management, and benefit design • Comprehensive understanding of current payer organizations and payer regulatory landscape in Commercial and Medicare • Drug information experience with payers in developing drug monographs, class reviews, drug formularies, coverage criteria, appeals criteria, clinical policies, etc. • Experience with the Commercial and Medicare lines of business • Experience in benefit design, coverage determination, benefit allocation, coverage review and appeal processes, etc. • Experience in P&T committee processes • Excellent written and verbal communication skills • Dedication to life-long learning and development • Ability to facilitate/moderate virtual or in person payer advisory boards and payer advisory panels • Ability to collaborate and support other clinical and non-clinical experts within APS and other Lockwood companies to jointly achieve company and client objectives • Excellent time management skills and ability to meet agreed upon deadlines