Director of Care Management leading cost - effective healthcare strategies for Centene, managing a team to improve member experiences. Collaborating with senior leadership in operational efficiency and policy compliance.
About the role
- Senior Director leading strategic analytics projects for U.S. pricing and access at Bristol Myers Squibb. Fostering innovation with AI-powered analytics and influencing pricing approaches.
Responsibilities
- Lead the Health Systems Analytics sub-team to serve as a key stakeholder to specific pricing strategy leads (IRA, 340B, and MFN/international pricing) across the Global Health Systems Analytics team.
- Provide analytics support in close collaboration with Global Policy Analytics, and cross-functionally within Global Market Access (MAx), Global Pricing, Global Policy and Government Affairs (GPGA), Legal, Health Economics & Outcomes Research (HEOR), Finance, and Business Insights & Technology (BIT).
- Build and maintain financial models to assess the impact of pricing policies across different therapeutic areas.
- Integrate analytical insights into executive presentations designed to support informed decision-making.
- Create executive-level presentations that clearly and concisely communicate analyses and recommendations.
- Interpret complex policy guidelines and translate them into actionable insights to support strategic planning processes.
- Oversee analytics that inform negotiations with Medicare and other payers, drive commercial payer strategies, and support initiatives to address access challenges.
- Serve as a representative for Health Systems Analytics in organizational forums and leadership meetings, providing updates and insights.
- Provide mentorship and management to direct reports, supporting their professional growth and development.
- Advocate for the adoption and integration of generative AI tools and digital solutions to improve analytics capabilities within the team.
Requirements
- Bachelors degree required.
- Preferred advanced degree such as MBA, MPH, MPP, or equivalent.
- At least 10 years of experience in health policy, pricing analytics, financial forecasting, commercial analytics, or market access roles.
- Demonstrated leadership ability and executive presence in cross-functional settings.
- Deep understanding of U.S. government payer policies and commercial pricing frameworks.
- Experience in managing direct reports and leading high-performing analytics teams.
- Familiarity with artificial intelligence tools and digital analytics platforms.
Benefits
- Medical, pharmacy, dental and vision care.
- Wellbeing support such as the BMS Living Life Better program and employee assistance programs (EAP).
- Financial well-being resources and a 401(K).
- Financial protection benefits such as short- and long-term disability, life insurance, supplemental health insurance, business travel protection and survivor support.
- Work-life programs include paid national holidays and optional holidays, Global Shutdown Days between Christmas and New Year’s holiday, up to 120 hours of paid vacation, up to two (2) paid days to volunteer, sick time off, and summer hours flexibility.
- Parental, caregiver, bereavement, and military leave.
- Family care services such as adoption and surrogacy reimbursement, fertility/infertility benefits, support for traveling mothers, and child, elder and pet care resources.
- Other perks like tuition reimbursement and a recognition program.
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