Manager -Market Access Analytics & Payer Strategy (1125712)
The Judge Group, Oakland, CA, United States
Location:
OAKLAND, CA, USA
Salary:
$110,000.00 USD annually - $125,000.00 USD annually
Manager, Market Access Analytics & Payer Strategy (Remote)
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
Contact: jfitzgerald@judge.com
#J-18808-Ljbffr
OAKLAND, CA, USA
Salary:
$110,000.00 USD annually - $125,000.00 USD annually
Manager, Market Access Analytics & Payer Strategy (Remote)
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
Contact: jfitzgerald@judge.com
#J-18808-Ljbffr