The Manager, Payer Analytics & Operations is a key contributor within Travere’s Patient Access organization, responsible for generating insights that optimize payer strategy and improve patient access to therapies for rare diseases. This role sits at the intersection of analytics, operations, and strategy by leveraging data to inform decision-making across in-line and pipeline products.
Requirements
- Analyze payer coverage, reimbursement, and policy dynamics across Commercial, Medicare, and Medicaid channels.
- Assess access barriers (e.g., prior authorizations, step edits, denials) and quantify impact to patient access.
- Generate insights from claims, hub, and patient services data to identify trends in utilization and adherence.
- Monitor and report on key performance indicators such as time-to-fill, approval rates, and therapy persistence.
- Develop and deliver recurring insights to inform Patient Access strategy and leadership decision-making.
- Translate complex datasets into clear, actionable recommendations for cross-functional stakeholders.
- Identify risks and opportunities related to payer performance and patient access.
- Own and evolve dashboards supporting payer performance, field reimbursement, and patient access.
- Partner with IT and data engineering teams to enhance reporting capabilities, automation, and ensure data accuracy, consistency, and usability across systems.
- Serve as the primary point of contact for external data vendors (e.g., claims aggregators, data providers)
- Support payer contracting strategy through data-driven insights and scenario analyses.
- Evaluate impact of payer agreements on access, utilization, and financial performance.
- Partner with Pricing & Contracting to inform decision-making for both in-line and pipeline products.
- Contribute to business planning cycles, including quarterly reviews and long-range planning and act as a strategic thought partner to cross-functional stakeholders
Benefits
- Premium health insurance
- Financial, work-life, and well-being offerings
- Wellness and employee support programs
- Life insurance
- Disability
- Retirement plans with employer match
- Generous paid time off
