Here are sample job advertisements for these types of roles…
HEALTH ECONOMIST
- Leverage technical knowledge of research and statistical methods, and deep understanding of health care delivery issues to find innovative and informative solutions to business problems
- Support the use of microeconomic principles in analyzing the economic benefits of public programs and policies
- Develop program objectives, strategies and study methods on health care for strategic quality/behavioral, and health care solution interventions
- Work with Population Health to develop health economics and cost effectiveness recommendations for strategy deployment
- Work closely with staff across the enterprise to understand business processes, articulate problems and find solutions that support enterprise strategies and tactics
- Evaluate current and proposed strategies for various Population Health solutions and interpret findings
- Proactively identify market opportunities through effective planning and development of financially sound business proposals
- Contribute to strategic discussions/market access planning processes to enhance the effectiveness of implementation of Population Health strategies
- Communicate economic assessment results to appropriate internal audiences
- Utilize all clinical decision support applications to identify, obtain and analyze data from multiple hospital sources and systems to create ongoing and ad hoc performance reports in support of organizational requirements, goals and objectives in the areas of:
Quality and Performance Improvement
Clinical Outcomes
Regulatory reporting
Publically reported data sites (Consumer facing)
Industry and regional rating/ranking
Research
- Create reports containing technical and clinical information
- Contribute to business development by identifying new ways to enhance or expand existing tasks/projects and present research ideas/white papers
Special Requirements:
- Bachelor’s degree in computer-related field prefered, including but not limited to computer sciences, biomedical sciences, and biostatistics, economics, or operations management.
- Master’s degree prefered. MBA, MS, MPH or MHA Postgraduate training in health economics, health policy, health services research, healthcare administration or similar
- At least 5 years experience in developing economics and cost effectiveness analyses in the healthcare industry. Experience in pharmaceutical, health insurance or health care industry
- Experience with Medicare, Commercial payer programs and ACOs preferred.
- Familiarly with industry benchmarking and publically reported data
- Literature review experience with demonstrated skills in quantitative research
- Experience querying clinical databases, using clinical decision software and performing biostatistical analysis
- Demonstrated experience in decision-analytic modeling with a focus on health economics and outcomes research
- Extensive computer experience, including programming in any language and extensive Excel experience. Simulation and statistical software preferred
- Proficiency with MS Office Suite
- Experience in performance improvement programs preferred
- Proven excellent oral, written, and presentation communication skills
- Proven relationship\-building and maintaining skills with internal and external stakeholders including physicians, hospital administrators and payers
- Broad perspective and understanding of business issues related to clinical integration and alternate payment models
- Demonstrated consultative mindset
- Ability to work effectively in a highly matrixed organization
- Understanding of coding, coverage, and payment systems
- Knowledge of performance improvement methods and tools (e.g., Rapid Cycle PDSA, Lean Six Sigma).
- Experience in individual, departmental and group level tracking and reporting on clinical quality indicators/performance, as well as reporting on quality indicators to external agencies.
Health Economics and Payer Evidence Lead
The Health Economics & Payer Evidence Lead (HEPEL) Anifrolumab is a lead level global role with responsibility (a) to proactively collaborate with Clinical Project, Medical Evidence and Observational Research, and Payer Teams in designing and implementing innovative health economic and payer evidence strategies and activities and (b) to produce scientific payer evidence for Global Reimbursement Dossiers (GRD), payer submissions and market access, with focus on Anifrolumab.
The job holder will have an in-depth, expert technical knowledge and tactical experience of health economics and payer evidence (including analytic techniques and tools such as clinical trial design and analyses, systematic literature reviews, comparative effectiveness/indirect comparisons, health economic modelling and large data sets), and its application to pharmaceutical development throughout the development process. The incumbent is expected to have the ability to work independently, understand and apply different technical approaches, and have wide understanding of different health care systems, as well as significant experience in global payer evidence development and delivery.
Accountabilities:
- High quality health economics and payer evidence input in to pharmaceutical development projects, payer evidence plans, and market access & pricing strategies
- Proactively and independently contribute to project planning processes and help predict and resolve issues that affect market access decisions
- Detailed strategic and tactical planning of payer analytics (including clinical trial design and analysis, economic modelling, systematic reviews, and comparative effectiveness including indirect treatment comparisons) to support market access and reimbursement for assigned projects
- Assume, as a member of a team, delivery of health economics and payer evidence related activities, and contribute to or lead work streams
- Represent health economics and payer evidence in interactions with cross-functional team members at a project level, including input to clinical trial and program design, patient reported outcomes (PROs) and real-world evidence (RWE) to support payers’ needs
- As required, represent the payer perspective on the labeling and regulatory activities team
- Deliver clear, customer-focused and robust Global Reimbursement Dossiers
- Application of expert quantitative skills to support value demonstration and commercialization of products including through Health Technology Assessment (HTA)
- Provide expert quantitative thinking to support interpretation and decision-making processes
- Network with colleagues and experts, providing consultancy in own area of expertise and serving as a resource for others by sharing experience within and beyond project team and GPEP/OPEP function
- Collaborate with marketing companies in preparing evidence that satisfies payer requirements
- Generate peer reviewed scientific publications, as well as effective communication of complex ideas for use with both payers and other stakeholders
- Prepare proposal requests for outsourced health economics / payer evidence projects and manage the vendor selection process
- Deliver assigned projects to time, budget, and quality, including the management of vendors as required
- Participate in external health economics, payer evidence and analytic departmental activities via technical presentations, committee membership, publication reviews, and other similar activities
- Actively monitor and apply new analytical techniques and payer evidence trends
- Interact with health technology appraisal authorities and advisors/key external experts in preparing materials for scientific advice or reimbursement submissions
Required:
- Bachelors degree in biomedical science, business, quantitative disciplines or economics.
- In-depth expert knowledge and technical capability in health economics and payer evidence needs, and its application to pharmaceutical development at an international level, especially economic modelling, evidence synthesis and other analytical techniques required to support payer needs.
Preferred:
- Formal post graduate degree in health economics or a related quantitative discipline, or substantial work experience in the discipline.
- Payer launch experience at a local or global level (desirable).
Skills and Capabilities
- Recognized internally as the ‘go to’ expert in making connections between facts, data and trends across multiple and complex projects, developing longer-term objectives that have a positive impact on the business and are based on what is likely to happen in the future.
- Influences cross functionally and senior stakeholders by thinking more broadly and anticipating the future.
- Proactive application of therapeutic area and disease treatment knowledge.
- Builds and develops strong relationships, engaging individuals, teams and networks cross-functionally and across geographies to deliver change and positive organisational impact.
- Successfully drives and leads work cross-functionally and cross-geographies. Applies knowledge and experience of diversity to take advantage of opportunities and to mitigate challenges in order to deliver results successfully.
- Recognized internally as, the ‘go to’ expert in written and verbal communications, leveraging a range of communications tools and techniques in any situation both internally and externally, to drive and lead achievement of business results.
- Is guided by a range of considerations in deciding the best course of action in influencing internal and external stakeholders, including payers (e.g. cultural, personal relationships, personal impact and hierarchical positions).
- Demonstrates robust awareness of cross function resource necessary to deliver projects, and puts in place realistic plans based on these resource requirements to deliver results to the business.
- Proactively engages customers and/or stakeholders in the development or identification of solutions, seeking to understand and resolve underlying issues or needs.
- Seeks efficiencies, developing strategic partnerships, and negotiation/challenge with vendors on speed and budget.
Technical Capabilities
- Proactively brings payer analytic and evidence expertise and insight to the cross-functional development of future-focused, customer-driven payer evidence strategy to inform key AstraZeneca processes and decision points.
- Informs the direction of payer evidence strategy and planning, championing future-focused thinking, compelling payer insights and innovative ideas.
- Demonstrates deep insight into the wider market and competitor activity across own therapy area, additional therapy areas and across franchises.
- Works with teams to develop value propositions and pricing & market access strategy.
- Understands diverse pricing and reimbursement processes in order to maximize reimbursement opportunities through appropriate and timely payer evidence generation and analytics.
- Proactively applies therapeutic area and disease treatment knowledge in to analytics to maximize payer outcomes.
- Handles unforeseen circumstances and actively monitors and applies new analytical techniques.
- Takes a holistic view of the evidence exploration process, knowing exactly how to respond to unpredictable circumstances caused by data gaps, unexpected results or the introduction of new unforeseen external data which may require model paradigm shifts.
- Actively seeks out, assesses and applies where appropriate newly published analytical techniques relevant to evidence exploration.
- Distills complex technical data and reports into effective messaging so that the value and reach is maximized across cross-functional stakeholders.
- Ensures that the evidence needs of payers have been incorporated into the development plan (including RWE and PROs) and that the reimbursement and pricing risks are understood by the payer, regulatory, medical evidence and clinical teams.
- Ensures that appropriate payer analyses are planned and delivered in a timely manner to support reimbursement submissions.
- Proactively applies therapeutic area and disease treatment knowledge in to study design and analysis to maximise payer outcomes, experience in Immunology is desirable.
- Demonstrates an in depth and practical understanding of innovative study methodologies, including analyses, that incorporates clinical, medical, regulatory, commercial, payer and health technology assessment needs.
- Anticipates future requirements to shape the clinical and medical development plan with different options.
Principal Global Health Economics & Outcomes Researcher
- Lead and execute studies, and provide consultative support to research teams, in decision modeling, cost-effectiveness modeling, and advanced analytic methods, and will train and mentor staff in in these methods.
- Play a leading role in the quality assurance process
- Conduct and lead validation studies to assess the quality and reliability of both internally produced and outsourced research products.
- Maintain a deep understanding of MITG products, brand strategies, country-specific issues, policy impacts, and the types of evidence that are appropriate for supporting BU and Regional strategies.
- Forge close, cross-functional working relationships with reimbursement, strategy, marketing, clinical affairs, and other functions across the commercial business units and the regional teams.
- Develop relationships and collaborate with key knowledge and opinion leaders (KOLs), academic researchers, and MDT partners to disseminate results in scientific journals and forums.
- Track and report project status, timelines, and findings, highlight successes, and measure the contribution of HEOR outputs to the business.
- Share responsibility for refining the team’s mission and vision, developing and enhancing the teams’ methods and approaches, allocating resources across competing priorities and demands, mentoring and facilitating the activities of other members of the analytics team, and conducting other projects or tasks as needed to support the mission of the HEOR team.
- Bachelors degree required
- Minimum of 7 years of experience in decision modeling, health economics, clinical outcomes research, or advanced degree with a minimum of 5 years experience in decision modeling, health economics, clinical outcomes research
- An advanced degree (PhD preferred) in biostatistics or a related field.
- Expertise in decision modeling, cost effectiveness analysis, and advanced analytic methods used to develop evidence to support health care support value propositions and market access.
- Understanding of public and commercial research claims databases and retrospective data analysis methods.
- Excellent communications skills;
- The ability to engage people with all levels of statistical knowledge in understanding research strategies, methods and results.
- The position is US-based and may be office-based or remote. Moderate US and global travel will be required.
About Medtronic
Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.
We want to accelerate and advance our ability to create meaningful innovations – but we will only succeed with the right people on our team. Let’s work together to address universal healthcare needs and improve patients’ lives. Help us shape the future.
Major Responsibilities: The Health Economics Analyst will be responsible for ensuring the technical quality of a costing analysis in Mali, while also building tools, training, and capacity among the wider Best Use of Resources team to carry out key aspects of such analyses in the future. Specific deliverables for this short-term position include:
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Conducting a literature review on methods for costing beneficiary time in refugee/displacement contexts, with recommendations for IRC’s research portfolio moving forwards
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Design and execution of primary data collection activities for two components of an economic evaluation of a new malnutrition treatment protocol in Mali, including:
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A time-use survey for program staff, as part of a wider cost analysis
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Client surveys on time/resource use to participate in a new malnutrition treatment protocol, as part of a wider cost analysis
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Capacity building of IRC’s Best Use of Resources team to conduct data collection on staff time use as part of activity-based cost analyses in the future, including:
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A toolkit for estimating beneficiary time or other resources used in different programs across different contexts in the future (with primary data collection tools, as necessary, to make analysis possible)
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A toolkit for collecting time use data of key staff, and for other resources (e.g. clinics, vehicles) as part of activity-based cost analyses in the future
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Any other activities deemed necessary by the candidate to build the long-term capacity of the BUR team to (1) capture time use data, and (2) capture client costs, in future economic evaluations of nutrition programs
Qualifications
The successful candidate will have a graduate degree in public health or health economics, with experience conducting economic evaluations of development or programs. They will be adept at coordinating with colleagues across multiple departments and communicating effectively about technical standards for research.
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A minimum of three years conducting economic evaluations in a development or humanitarian settingDemonstrated Skills and Competencies:
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MPA, MPH, or equivalent degree
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Training in health economics and activity-based costing methods in low resource settings
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Experience working with multi-cultural and multi-lingual teams on technically demanding tasksEducation: Masters degree in public health/health economicsLanguage Skills: English, French
Preferred experience & skills:
- 2+ years working on economic evaluations in a development or humanitarian setting, preferably within a multilateral or non-profit organization
- Experience designing and implementing economic evaluations, including primary data collection, ideally including experience with remote data collection
- Excellent verbal and written communication skills as well as, an overall ability to be clear and concise in all communications
- Strong organizational and time-management skills; proven ability to prioritize and deliver on time
- Strong analytic problem solving skills
- Ability to work both independently and in a dynamic, cross-functional global team structure
- French ability required
Working Environment:
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Standard office working environment or remote work possible, depending on candidate qualifications
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This position will report to the Associate Director for Best Use of Resources, and is also expected to coordinate and seek input from colleagues in the Health Technical Unit and other colleagues on the Best Use of Resources team
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Some international travel as needed up to 10%
Outcomes Analyst, Clinical and Economic Health
We are a mission-driven and fast-growing company obsessed with eliminating the wasteful friction patients and doctors experience, particularly for diagnoses that require expensive procedures or medications. To that end, we build products and services that ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles
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The Opportunity:
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This is a great opportunity for an outstanding health outcomes analyst to go in-house at a Series A healthcare technology company and learn what it takes to show the value of our products and services. You will work closely with analytics leadership, product, clinical and IT to support decision-making, and will dig into a wide range of strategic, product, and clinical problems. The work will be fast-paced and project-based, with evolving needs – requiring scrappiness, flexibility, curiosity, and grace under pressure. Your work will enable Cohere to make the right investments in a critical stage for our company.
This role offers the potential to grow at Cohere to become a Manager of outcomes analytics, or potentially move into other areas of analytics, operations or product functions as well. You will contribute to healthcare analytics from the economic and quality perspective, help build a company, and wear many hats. Our team values empowerment and is committed to developing our talent.
What you will do:
- Work cross-functionally to design appropriate data use capabilities across a wide breadth of analytical needs
- Using your expertise in healthcare data to develop effective models to improve our product.
- Work with Engineering, Product and Clients to deliver analytics that will drive understanding in our business and to our clients
- Document & deliver methods, metrics and comprehensive analytics to internal and external clients
What you will have:
- 5-7 years model building and analytical experience at company where using ML/ AI were critical to the mission, preferably a healthcare company or allied health organization
- Preferred experience partnering with Engineering to deliver analytical models to product
- Experience in health plan or consulting firm
- Experience working in the healthcare industry measuring impact on healthcare cost and clinical outcomes models and measurements
- Clear understanding of model building, model maintenance and the measures that optimize models for product use
- Excellent communicator
- Proficient in R, SQL, Python and other common analytic/ data tools
- Strong knowledge of EMR data, SDoH, Claims, NLP use and other important healthcare related data sources
- Proficient in current modeling approaches in machine learning and AI such as decision trees and Med2Vec, Patient2vec and other innovative approaches to analyzing data
- Master’s degree in STEM, public health, finance, economics, or another related field