Manager -Market Access Analytics & Payer Strategy
The Judge Group
Data Science
Remote
Manager, Market Access Analytics & Payer Strategy (Remote)
Location: United States (Remote)
Employment Type: Full-Time
About the Opportunity
A fast-growing healthcare innovator is seeking a Manager, Market Access Analytics & Payer Strategy to drive data-informed decisions across payer access, reimbursement performance, and commercial strategy. This is a highly visible, strategic role partnering with executive leadership to shape market access and revenue outcomes.
This position is ideal for someone who can translate complex data into actionable insights, influence stakeholders, and operate as a true business partner in a dynamic, growth-stage environment.
Key Responsibilities
Payer Coverage Intelligence & Strategy
- Develop and maintain a centralized repository of payer policies across Medicare, Medicare Advantage, Medicaid, and commercial plans
- Monitor policy changes, coverage criteria, and reimbursement trends to inform access strategy
- Identify barriers to coverage and recommend solutions to improve patient access and revenue realization
Reimbursement & Revenue Analytics
- Analyze claims, denials, appeals, and prior authorization data to identify root causes of revenue leakage
- Evaluate reimbursement trends, payment variances, and time-to-cash performance
- Develop actionable insights to improve approval rates and optimize revenue cycle performance
Commercial & Market Analytics
- Partner with sales and commercial teams to analyze patient funnel performance and conversion rates
- Identify payer-related friction points impacting growth and territory performance
- Support data-driven decisions around market expansion and resource deployment
Financial Modeling & Contracting Support
- Build financial models to support payer negotiations, pricing strategy, and margin optimization
- Assess the impact of policy changes and contracting decisions on revenue and profitability
Executive Reporting & Insights
- Design dashboards and scorecards to track key performance indicators across market access and reimbursement
- Present insights and strategic recommendations to senior leadership
- Bring structure to complex, cross-functional data to support decision-making
Required Qualifications
Experience
- 5+ years of experience in healthcare analytics, market access, payer strategy, or reimbursement analytics
- Strong experience within Durable Medical Equipment (DME) or medical device reimbursement environments
Domain Expertise
- Deep understanding of payer systems including Medicare (Fee-for-Service and Advantage), Medicaid, and commercial payers
- Experience with prior authorization, denial management, and claims analysis
Technical Skills
- Hands-on experience with Salesforce CRM (required)
- Strong proficiency in data analysis and visualization tools such as Tableau, Power BI, and Excel
- Experience with financial modeling, scenario analysis, and data synthesis
Core Competencies
- Ability to connect data insights to business strategy and outcomes
- Strong communication skills with experience presenting to senior stakeholders
- Proven ability to work cross-functionally and influence decision-making
- Self-starter comfortable in a fast-paced, evolving environment
Why Join
- High-impact, strategic role with direct exposure to leadership
- Opportunity to shape market access strategy in a growing organization
- Collaborative, mission-driven culture focused on improving healthcare outcomes