Director, Payer & Provider Contract Strategy, Oncology Medical Benefit
Apply NowCompany: Pfizer
Location: Collegeville, PA 19426
Description:
ROLE SUMMARY
The Director of Payer and Provider Oncology Contract Strategy works directly with the Oncology Business Unit (OBU) and US Market Access (USMA) to lead the assessment and development of payer and provider contracting strategies for Pfizer's medical benefit Oncology portfolio. This individual is responsible for making recommendations on rebating and discounting to optimize gross-to-net for assigned brands. These investment decisions impact millions of dollars in sales annually for a brand's gross-to-net.
ROLE RESPONSIBILITIES
BASIC QUALIFICATIONS
Candidate demonstrates a breadth of diverse capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of external stakeholders to achieve meaningful outcomes and create business impact.
PREFERRED QUALIFICATIONS
Other Job Details:
The annual base salary for this position ranges from $169,700.00 to $282,900.00. In addition, this position is eligible for participation in Pfizer's Global Performance Plan with a bonus target of 20.0% of the base salary and eligibility to participate in our share based long term incentive program. We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life's moments. Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage. Learn more at Pfizer Candidate Site - U.S. Benefits | (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to Tampa, FL or any location outside of the United States.
Relocation assistance may be available based on business needs and/or eligibility.
Sunshine Act
Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws and implementing regulations. These laws and regulations require Pfizer to provide government agencies with information such as a health care provider's name, address and the type of payments or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue, reimbursement of recruiting expenses for licensed physicians may constitute a reportable transfer of value under the federal transparency law commonly known as the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we pay or reimburse, your name, address and the amount of payments made currently will be reported to the government. If you have questions regarding this matter, please do not hesitate to contact your Talent Acquisition representative.
EEO & Employment Eligibility
Pfizer is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability or veteran status. Pfizer also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States.
Market Access
The Director of Payer and Provider Oncology Contract Strategy works directly with the Oncology Business Unit (OBU) and US Market Access (USMA) to lead the assessment and development of payer and provider contracting strategies for Pfizer's medical benefit Oncology portfolio. This individual is responsible for making recommendations on rebating and discounting to optimize gross-to-net for assigned brands. These investment decisions impact millions of dollars in sales annually for a brand's gross-to-net.
ROLE RESPONSIBILITIES
- This primary responsibility of this role is to develop and maintain contract strategies to support payers and providers in the US for Pfizer's medical benefit Oncology portfolio over the different stages of product life cycle (e.g. launch, post-launch, LOE).
- Individual will work closely with cross-functional teams across the Oncology Business Unit and US Market Access to develop and implement these contracting strategies. In some cases, this will be leading the contract development work (e.g. payer contracts) and in other cases it will be partnering with the OBU teams to develop contract strategies (e.g. provider contracts).
- Oversee and shepherd contract approval requests through USMA teams to ensure alignment and operational feasibility with all key stakeholders (e.g. Legal, Operations, Government Pricing, and USMA/Brand leadership).
- Lead the effort to take payer and provider contract offers through USMA PCGC governance process where approvals are collected from all key Pfizer stakeholders.
- Produce analytics to support the assessment and development of contracting and pricing strategies to support payers and providers for Pfizer's medical benefit Oncology portfolio.
- Oversee and maintain membership rosters for provider contracts for assigned brands. Partner with Development Team and OBU to develop ongoing framework for managing this.
- Serve as a strategic thought partner with the OBU related to launch and WAC price change decisions for legacy Seagen brands.
- Communicate contract strategies and guidelines to numerous cross-functional stakeholders including Brand Teams, Contract Development, Account Management, Access Marketing, and Others.
- Monitor contract / channel / product trends and identify issues and provide solutions to counter or overcome to Brand Team and Senior Leadership.
- Support IRA strategic planning for upcoming MFP negotiation for Mx benefit portfolio.
- Collaborate with Global Access and Value stakeholders to participate in and support pre-launch activities such as market research studies, competitive environment evaluations, and pricing research studies, as well as support for licensing deals and development program assessments.
BASIC QUALIFICATIONS
Candidate demonstrates a breadth of diverse capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of external stakeholders to achieve meaningful outcomes and create business impact.
- Bachelor's degree minimum required
- 8+ years US market access experience required
- Experience leading both direct and indirect teams in a collaborative team environment. Ability to lead projects that impact PCA and US business overall; should be able to lead through influence within the Global business functions.
- Understanding of market access dynamics for provider administered products, biosimilars, and drugs covered under the medical benefit
- Deep knowledge of U.S. markets and the underlying financial dynamics from the perspective of all stakeholder groups (i.e. Commercial, Medicaid, Medicare)
- Financial modeling expertise, must be expert in MS Excel
- Strategic thinking: Able to understand the changing dynamics of the US payer environment and have the strategic insights to develop strategies for Pfizer
PREFERRED QUALIFICATIONS
- Excellent knowledge of Pfizer product portfolio and competitive market challenges
- Strong strategic, innovative thinker - solution oriented
- Demonstrated high level analytical skills and business acumen
- Excellent oral and written communication skills; ability to work with senior leaders and other cross-functional groups to build consensus
- Ability to navigate complex internal corporate processes to speed decision making
- MBA or relevant graduate degree preferred
Other Job Details:
- Last Date to Apply for Job: April 14th, 2025.
- NOT eligible for Relocation Package
- Ability to travel based on business needs
- Position is hybrid and will require to work 2/3 days a week from site
- Locations: NYHQ or PA - Collegeville or IL - Lake Forest or WA - Bothell
The annual base salary for this position ranges from $169,700.00 to $282,900.00. In addition, this position is eligible for participation in Pfizer's Global Performance Plan with a bonus target of 20.0% of the base salary and eligibility to participate in our share based long term incentive program. We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life's moments. Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage. Learn more at Pfizer Candidate Site - U.S. Benefits | (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to Tampa, FL or any location outside of the United States.
Relocation assistance may be available based on business needs and/or eligibility.
Sunshine Act
Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws and implementing regulations. These laws and regulations require Pfizer to provide government agencies with information such as a health care provider's name, address and the type of payments or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue, reimbursement of recruiting expenses for licensed physicians may constitute a reportable transfer of value under the federal transparency law commonly known as the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we pay or reimburse, your name, address and the amount of payments made currently will be reported to the government. If you have questions regarding this matter, please do not hesitate to contact your Talent Acquisition representative.
EEO & Employment Eligibility
Pfizer is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability or veteran status. Pfizer also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States.
Market Access