Avalere

Overview

Avalere Health is a strategic advisory company whose core purpose is to create innovative solutions to complex healthcare problems. Based in Washington, D.C., the firm delivers actionable insights, business intelligence tools, and custom analytics for leaders in healthcare business and policy. Avalere’s experts span 230 staff drawn from Fortune 500 healthcare companies, the federal government (e.g., CMS, OMB, CBO, and the Congress), top consultancies, and nonprofits. The firm offers deep substance on the full range of healthcare business issues affecting the Fortune 500 healthcare companies. As an Inovalon company (Nasdaq: INOV), Avalere’s focus on strategy is supported by outstanding data analytics that generate unique insights and meaningful business improvement. Through events, publications, and interactive programs, Avalere insights are accessible to a broad range of customers. For more information, visit avalere.com, or follow us on Twitter @avalerehealth.

Avalere Health is seeking a Consultant or Associate Principal with Medicare Part B policy expertise to join our Policy practice. The practice focuses on a range of issues including:

Ongoing federal and state health reform

Medicare reform policies and regulations

Medicaid and other state health policies

Drug pricing

Evolving benefit designs in public and private payers

Medicare Advantage and Part D policy and payment, and

Federal budget and deficit reduction issues.

We rely on deep subject matter expertise and understanding of the business issues facing our clients to assess how this changing policy landscape impacts the pharmaceutical industry, managed care plans, providers, and consumers. We provide analytic support and advisory services, including legislative strategy, regulatory analysis, and quantitative modeling of proposed and enacted policies to a wide range of clients across the healthcare industry.

Responsibilities

Serve as a key subject-matter expert on Medicare Part B policy-related issues impacting the pharmaceutical industry, physicians, the federal government, and other stakeholders

Work with teams within the Policy practice and across the firm to solve complex client problems and engage clients with novel solutions and ideas

Create both strategic and tactical recommendations for clients depending on their policy and business needs

Help generate business with new clients and grow business with existing clients

Manage a portfolio of clients to identify and deliver on business opportunities and projects that dovetail with Avalere’s expertise and offerings, particularly around Medicare Part B reform

Manage multiple clients, as well as short- and long-term deliverables, to ensure that all of Avalere’s knowledge and expertise are available to meet client needs

Solve complex client issues in a timely and appropriate manner with minimal management oversight and attention to resources

Conceptualize, design, and execute—from start to finish—a broad range of client projects involving diverse, cross-functional, cross-practice teams

Train, supervise, and mentor staff members within the practice and across the firm

All candidates to comply with all security policies/procedures

Qualifications

Education Requirements:
A graduate degree in health policy, public policy, healthcare management, public health, public administration, health economics, business administration or a relevant discipline. A combination of bachelor’s degree and in-depth relevant work experience is also acceptable.

Skills and Competencies:
Deep knowledge of the Medicare Part B program, especially related to drug and physician reimbursement

Understanding of buy and bill drug purchase and delivery, physician reimbursement, drug pricing and ongoing federal reform efforts

Significant experience analyzing policy proposals, legislation, and/or regulation and conveying findings to clients and the public

Sophisticated understanding of the policy issues impacting the healthcare sector, business dynamics in the marketplace, and how federal and state policy impacts industry

Experience overseeing and directing the work of staff members

Proven situational leadership skills and the ability to motivate and generate enthusiasm with individuals across all levels of the organization

Exemplary interpersonal skills that translate into positive relationships with colleagues and clients

Commitment to working in a team environment with an emphasis on collaboration and maintaining positive relationships with colleagues and clients

Solid communication skills (written and verbal) including the ability to concisely explain complicated concepts to executives within and outside of the firm

High level of initiative coupled with quick learning ability.

Experience Requirements:
5-10 years of relevant work experience, which could include employment by a pharmaceutical or health insurance company, relevant trade group, or advocacy organization. Industry experience is preferred.

Prior experience in the government, the financial services industry, or a professional services firm thinking critically about and/or working on behalf of the healthcare industry is an appropriate substitute for direct industry experience.

In particular, experience should be focused on Medicare Part B policy and payment, especially related to drug and physician reimbursement

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