Full-Time

AP/Principal

US Market Access, Coding & Reimbursement Strategy

Posted on 12/16/2025

Avalere Health

Avalere Health

201-500 employees

Healthcare consulting with advisory, policy, marketing

Compensation Overview

$150k - $220k/yr

Company Does Not Provide H1B Sponsorship

Remote in USA

Remote

Flexible remote/hybrid arrangements; work from home supported with team/client needs.

Category
Consulting (1)

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Requirements
  • Deep experience in developing coding and reimbursement strategies, CMS and payer engagement, and field-based billing and claims submission support.
  • Sets and aligns strategy.
  • Makes decisions and executes in support of business goals.
  • Sets and drives team objectives.
  • Focuses on customers.
  • Superior knowledge of customer and stakeholder needs, concerns, and viewpoints.
Responsibilities
  • Serve as a subject matter expert on life sciences market access and commercialization priorities, including coverage, coding, and payment considerations, as well as field-based perspectives on provider-engagement and reimbursement support.
  • Conceptualize solutions around critical market access challenges, such as launch planning, regulatory filing strategy, CMS / MAC engagement strategy, coding application experience, revenue cycle management, and claims submission challenges.
  • Drive solutions and thought leadership around pipeline commercialization strategy, including opportunity assessment, launch planning, and customer engagement.
  • Support client product life cycle management, including assessment of competitive landscape and identification of key risks and opportunities to product value.
  • Interact regularly with clients as recognized expert; participate in public panels and forums to increase firm and personal visibility.
  • Lead a significant line of business and/or account.
  • Use expert content knowledge to identify new areas for business growth and moves these opportunities forward.
  • Use understanding of complex account issues to problem-solve multi-dimensional policy and business interests.
  • Conduct quality review of documents produced by project team members.
  • Leverage content to identify and develop new business for existing and new clients.
  • Steward of the Avalere Health brand, ensuring that content is relevant, clear, and accurate.
  • Assigning and meeting revenue targets, both team and personal; drive team goal achievement.
  • Demonstrate expert consulting acumen, deepening client relationships and anticipating client needs and impacts of healthcare landscape changes.
  • Responsible for robust opportunity pipeline; act as primary point of contact for clients.
  • Acts as expert account relationship manager through regular email, phone call, lunch/dinner, and meeting interaction to ensure high level of client satisfaction.
  • Identify accounts for business development, create plans for execution, and successfully close new business.
  • Uses in-depth client knowledge to identify business opportunities and projects that leverage Avalere’s unique capabilities.
  • Partner with Client Partnership team as expert SME and trusted business partner.
  • Identify and work with client buying centers and in-house SME leads to introduce new work.
  • Engage with senior executives to broaden understanding of Avalere’s subject matter expertise and project offerings.
  • Share content through soft marketing -- webinars, newsletter, core materials -- as appropriate.
  • Build strong presence in business networking groups and organizations.
  • Act as a skilled negotiator, able to properly value Avalere’s capabilities to articulate that value to clients.
  • Ensure excellent project leadership, management, and execution across project teams.
  • Responsible for team project profitability.
  • Demonstrate expert project management acumen.
  • Review and approves SOWs and budgets.
  • Manages client requests for additional work within projects.
  • Ensure that administrative responsibilities for project set-up, management, and execution are completed.
  • Analyze financial reports and utilizes business tools to manage team utilization and realization.
  • Lead a significant line of business critical to practice revenue attainment.
  • Effectively manage individuals, teams, and junior staff, overseeing team members’ work load and professional development.
  • Set individual and team goals and hold staff accountable to them.
  • Contribute to Practice management.
  • Provide opportunities for others to build professional relationships with clients.
  • Create and articulates strategies that support firm goals.
  • Act as a resource across the firm’s business development efforts.
  • Seek out leadership roles across the firm, taking initiative in identifying firm-wide strategic and/or tactical business issues and/or opportunities.
  • Responsible for succession planning.
  • Foster positive morale and facilitate smooth implementation of firm-wide initiatives.
  • Participate in on-boarding planning and execution for new staff.
  • Ensure responsible financial stewardship of Avalere resources.
Desired Qualifications
  • Advanced degree in public policy, public health, public administration, business, economics or related fields preferred with 8+ years of work experience; prior consulting experience preferred; and, 5+ years of supervisory and leadership experience.
  • None

Avalere Health is a healthcare consulting firm that provides advisory, medical affairs, and marketing services to providers, payers, and life sciences companies. Its offerings help clients navigate the healthcare market through a proprietary SenseMaking model that combines data analysis, policy expertise, and market insights. This approach supports areas such as market access and reimbursement strategies, policy analysis, and government affairs, with revenue generated from consulting fees. The company differentiates itself by applying its SenseMaking framework to deliver targeted, data-backed recommendations across the healthcare ecosystem, integrating policy, market, and clinical considerations for each client. Its goal is to help clients make informed decisions, optimize performance, and achieve their business objectives in a complex and evolving healthcare environment.

Company Size

201-500

Company Stage

Acquired

Total Funding

$140M

Headquarters

null

Founded

2000

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Simplify Jobs

Simplify's Take

What believers are saying

  • Japan launch expands reach into a growing biopharma market.
  • Policy webinars strengthen thought leadership during U.S. pricing and access shifts.
  • Global integrated services improve cross-sell across the product lifecycle.

What critics are saying

  • Japan execution can lag behind entrenched domestic consulting competitors.
  • Service-line integration can fail, weakening the end-to-end pricing story.
  • AI-driven recommendations can erode trust if outputs are inaccurate or opaque.

What makes Avalere Health unique

  • Integrates Advisory, Medical, and Marketing under one global healthcare platform.
  • SenseMaking combines data, policy, and market insights for commercialization decisions.
  • Offers end-to-end support across access, evidence generation, and patient engagement.

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Benefits

Health Insurance

401(k) Retirement Plan

Wellness Program

Paid Vacation

Flexible Work Hours

Hybrid Work Options

Company News

PR Newswire
Jan 14th, 2025
Policy Strategists To Debate 2025 Impact Of The New Administration And Market Changes To Healthcare

Avalere, part of Avalere Health, convenes eleven strategistsWASHINGTON, Jan. 15, 2025 /PRNewswire/ -- Eleven leading policy strategists are scheduled to debate how market changes and the Trump administration will shape 2025, impacting drug pricing, health plan design and patient access to needed therapies. The annual live webinar, "2025 Healthcare Industry Outlook: Opportunity Through Uncertainty" is scheduled for Thursday, January 23 at 11:00 a.m. ET

PharmaLive
Dec 12th, 2024
Amar Urhekar named CEO of Avalere Health

Urhekar joined Avalere Health in 2023 as Chief Operations Officer (COO) to unify the organization and build a global interdisciplinary offering across the product lifecycle.

Haymarket Media
Dec 12th, 2024
Avalere Health elevates Amar Urhekar to CEO post

Avalere Health promoted COO Amar Urhekar to the CEO post on Thursday morning.

HIT Consultant
Dec 11th, 2024
Bridging Healthcare Disparities In Limb Loss Through Data-Driven Strategies

Shawn Murphy, VP, Thought Leadership Innovation Foundation (TLI)Limb loss and limb difference impact millions of people globally, with over 2.3 million individuals in the United States alone who are affected, a number expected to rise to 3.6 million by 2050. This rise in prevalence presents significant healthcare and economic challenges, necessitating innovative, data-driven solutions to improve patient care, quality of life (QOL) and healthcare equity. The National Institutes of Health (NIH) has taken a leading role in addressing these challenges by supporting the creation of a national registry to capture comprehensive data on limb loss and limb difference. This registry collects crucial patient information that helps inform both clinical care and research. Building on this, the not-for-profit community is now advancing these efforts forward, ensuring that data collection becomes a cornerstone of future advancements in this field of healthcare.Historically, limb loss and limb difference care have been constrained by fragmented and siloed data and outdated research. However, advances in data analytics are contemporizing the field by offering insights into patient outcomes and informing more effective healthcare policies. A registry allows for the consolidation of this data into valuable information, providing a holistic view of patient demographics, clinical outcomes and the effectiveness of treatments over time. Limb loss and limb difference place a substantial financial burden on individuals and healthcare systems, with lifetime healthcare costs averaging $509,275 for someone with limb loss, compared to $361,200 for those without

MediaNews4U
Oct 23rd, 2024
Mario Muredda Takes the Helm as Global CEO of Ogilvy Health

With over two decades of healthcare marketing experience, Muredda joins Ogilvy from Avalere Health, where he served as President of Marketing.

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