Payer & Market Access Expert, Gross-to-Net & Formulary Strategy

Refine and evaluate rubrics used to assess commercial drugs and drug-development programs, with a primary focus on payer behavior. This role centers on testing gross-to-net and formulary-tier assumptions by drug class, and judging whether coverage, rebating, and tiering assumptions align with real-world payer actions. The work is a paid pilot with the possibility of further paid engagements for strong contributors.

• Create and critique structured rubrics that analyze commercial drugs and drug-development programs.
• Set and pressure-test gross-to-net assumptions by drug class, including rebate and net-price impacts.
• Evaluate formulary tiering assumptions by drug class, and assess whether proposed tier placements reflect payer incentives and behavior.
• Judge whether coverage, rebating, and tiering assumptions correspond to how payers actually behave in the US market.
• Apply the above analyses across the pilot''s specified set of drugs and drug classes.

• At least 5 years of hands-on experience in market access, pricing and reimbursement, or managed markets.
• Practical, working familiarity with gross-to-net calculations, rebating structures, and formulary tiering practices by drug class.
• Experience with, or strong knowledge of, biotech and pharmaceutical development programs.
• Prior payer or market access professional experience in the US market, or equivalent deep US-market experience.

• Engagement type: paid pilot, hourly contract work.
• Expected time commitment: approximately 10 to 20 hours total, completed over a 1 to 2 week period.
• Work location: remote, candidates must be US-based or have deep US-market payer experience.
• This pilot is standalone paid work, with potential for recurring paid engagements for strong contributors.

Hourly rate: $175 to $200 per hour.

• Must be US-based, or demonstrate deep, current experience with the US payer and market access landscape.
• Must have the specified market access and payer experience listed under Qualifications.