Senior Manager, Payer Contract Analytics
AbbVie
Summary
The Senior Manager, Payer Contract Analytics, will independently lead contract modeling and deal scenario strategy for AbbVie's key PBM and payer customers across Commercial, Medicare, and Medicaid channels. This role evaluates contract scenarios to clearly articulate AbbVie's differentiated clinical value to payers while protecting branded product net price and preferred market access positions. This role combines expertise in contract modeling, predictive analytics, trend measurement, and financial reporting, and partners closely with Marketing, Finance, field-based Account Managers, and IT.
Job description
Contract Modeling and Deal Strategy
- Serve as the primary contract modeling lead for assigned brands and therapeutic areas with a primary focus on AbbVie's Immunology portfolio of brands.
- Independently quantify the financial and long-range planning impact of national and regional PBM and payer contracts under different market access scenarios.
- Lead breakeven projections and gross-to-net evaluations of proposed contracts, identifying the rebate and access terms that secure preferred formulary position.
- Lead payer RFP modeling reviews with Account Managers, Finance, and Payer Strategy teams.
- Agree on modeling assumptions and key sales drivers early to improve forecast precision and speed up bid turnaround.
- Evaluate non-rebate contract terms, such as administrative fees, price protection, rebate guarantees, utilization management criteria, and biosimilar step-edit provisions, for their effect on net price and access durability.
Insights and Executive Communication
- Turn modeling outcomes into executive-level narratives and recommendations that inform deal budgets and approval decisions.
- Serve as a trusted advisor, making sure competitive bid responses are evidence-based and reflect current market dynamics.
- Monitor payer and PBM contracting trends across Commercial, Medicare, and Medicaid channels, and independently answer contracting analysis questions from senior stakeholders.
Post-Deal Performance Evaluation
- Run post-deal retrospectives that compare actual and forecasted financials and recalibrate contract models and assumptions as needed.
- Track contract performance KPIs (volume, share, net price, and forecast variance) through business-facing reporting tools, and flag accounts that are underperforming against their deal terms.
Contract Analytics Capability Development and Talent Coaching
- Advance contracting analytics capabilities with APEX teams, vendor partners, and internal technical work groups, including AI-enabled scenario modeling, gross-to-net forecasting, scenario-specific demand analogues, key-driver sensitivity analyses, patient flow and flow-back modeling, sequential response simulations, time-to-event estimates, and competitor brand lifecycle event dynamics.
- Manage external analytics vendors to deliver high-quality, timely insights using analytical approaches suited to each contracting scenario question.
- Develop and mentor Payer Contract Analytics talent to strengthen pre- and post-deal insight generation that advance each brand's gross-to-net objectives over time.
Requirements
- Bachelor's degree in Statistics, Economics, Actuarial Science, Business Analytics or a highly related field of study and 7+ years of work experience in financial modeling and/or data analytics in the pharmaceutical, health care or other industry
- Alternatively, a Master's degree in the same disciplines and 5+ years of work experience in financial modeling and/or data analytics in the pharmaceutical, health care or other industry
- Strong business and financial acumen; prior experience in pharmaceutical contracting analyses with an emphasis on data and financial analysis is highly desirable
- Working knowledge and understanding of pharmacy channel stakeholder economics, including Payers, Pharmacy benefit managers (PBMs), and Group Purchasing Organizations (GPOs)
- Demonstrated experience analyzing syndicated claims data sets (e.g., IQVIA LAAD or Symphony Health) and formulary status data (e.g., MMIT) for Pharmacy channel products
- Advanced Excel/VBA modeling skills, proficiency in SQL and/or Python, and experience building Microsoft Power BI dashboards
- Applied experience with forecasting and statistical methods, such as Bayesian methods, analogue-uptake curves, decision tree models, parametric hazard models, Monte Carlo simulations, and time-series forecasting
- Experience leading market assessments across biosimilar competition, 340B duplicate discount scrubbing on commercial rebate payments, PBM vertical integration fee schedules, and IRA policy impact on Medicare Part D contracting
- A proven ability to turn complex scenario-based analyses into clear executive recommendations that influence market access contract strategy decisions
Benefits
- Paid Time Off
- Holidays
- Sick Leave
- Medical Insurance
- Dental Insurance
- Vision Insurance
- 401(k)
- Long-Term Incentive Programs
Company overview
AbbVie is a global biopharmaceutical company that discovers, develops, and markets advanced therapies for some of the world's most complex and serious diseases. Founded in 2013 as a spin-off from Abbott Laboratories, AbbVie has established itself as a leader in immunology, oncology, neuroscience, eye care, and virology. The company's flagship product, Humira (adalimumab), was one of the world's top-selling drugs for treating autoimmune conditions like rheumatoid arthritis and Crohn's disease. AbbVie maintains a robust pipeline of innovative medicines and has expanded its portfolio through strategic acquisitions, including Allergan in 2020. With research facilities across the United States and globally, AbbVie focuses on advancing science to improve patient outcomes while maintaining strong commercial operations worldwide. The company operates with a patient-centric approach and invests significantly in research and development to address unmet medical needs across multiple therapeutic areas.