Director of Managed Care Payer Contracting (Hybrid - Acton, MA)
Core
Lead market access and contracting strategy for diabetes care portfolios, influencing payer access, reimbursement, and contracting decisions to impact patient access to life-changing technology.
Role type
Director of Managed Care Payer Contracting
Builds
Contracting solutions, value-based agreements, and launch readiness strategies for medical device products.
Domain
Healthcare / Medical Devices / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Strategic thinking, contract strategy leadership, specialty pharmacy distribution strategy, payer value proposition development, team leadership, cross-functional collaboration, US healthcare system expertise, contract lifecycle management, budget management, KPI development, risk mitigation, policy analysis
Preferred skills
Advanced degree (MS, MBA, JD), pharmaceutical/biotech contracting experience, PBM negotiation expertise
Technologies
Contract Lifecycle Management (CLM) systems, Payer Analytics platforms
Responsibilities
Lead ideation and implementation of novel contract models including Value-Based Agreements; direct team in negotiating rates and terms with Pharmacy Benefit Managers; set strategic vision and governance for commercial rebate and PBM contract structures; partner with cross-functional teams to structure customized contracting solutions; manage multimillion-dollar budget; oversee contract lifecycle management optimizations and compliance audit frameworks; recruit and mentor high-performing contract authoring team.
Seniority
Director, hands-on IC with people management
