Role Description
The Director, HEOR & Value Evidence is a highly analytical and strategically minded Health Economics and Outcomes Research (HEOR) leader responsible for shaping and delivering the value narrative across a diverse portfolio of diagnostic and therapeutic assets. This role sits at a critical crossroads between clinical development and commercial success, transforming scientific data into persuasive, payer-relevant evidence that drives access, reimbursement, and long-term market differentiation.
As a key member of the over-arching Value & Access organization, the Director will lead the generation and translation of robust economic and outcomes evidence required to secure and sustain optimal reimbursement. In parallel, this individual will serve as a clinical and technical subject matter expert, partnering closely with Market Access and Payer teams to support high-stakes external engagements with payers, policymakers, and other senior stakeholders.
Key Accountabilities
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Evidence Generation & Study Design
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Clinical Trial Integration: Collaborate with Clinical Development to incorporate HEOR endpoints into Phase II–IV protocols to ensure data supports "Value-Based" narratives.
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RWE & Registries: Lead the design and execution of Real-World Evidence (RWE) studies and patient registries to characterize disease burden, treatment patterns, and long-term outcomes.
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Diagnostic Utility: For diagnostic assets, develop studies that demonstrate clinical utility—showing how the test specifically changes patient management and improves outcomes.
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Clinical & Payer Field Support
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Payer Presentations: Assist in the delivery of Pre-approval Information Exchanges (PIE), and Value Proposition Support, providing the clinical and health-economic backbone for early and product launch discussions with payers and health systems translating complex HEOR data into compelling clinical narratives.
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Expert Resource: Act as the clinical subject matter expert during payer meetings to address deep-dive technical questions regarding study design, clinical utility, and patient outcomes.
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Coverage Evidence Development and Strategy
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CMS Coverage Evidence: Take a lead role in synthesizing evidence packages for National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs).
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Gap Analysis: Identify evidence gaps early in the product lifecycle and implement mitigation strategies to meet CMS’s "reasonable and necessary" criteria.
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Value Analysis & Reporting
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HEOR Reports: Author and oversee the development of Academy of Managed Care Pharmacy (AMCP) dossiers, and specialized HEOR reports.
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Economic Modeling: Oversee the creation of Budget Impact Models (BIM) and Cost-Effectiveness Analyses (CEA) tailored for both therapeutic interventions and diagnostic workflows.
Qualifications
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Education: PhD, PharmD, or MD in Health Economics, Epidemiology, Public Health, or a related field.
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Experience: 5+ years of HEOR experience within the pharmaceutical or biotechnology industry.
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Technical Expertise: Proven track record in supporting both diagnostic and therapeutic products.
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Deep understanding of CMS reimbursement pathways and evidence requirements.
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Expertise in RWE methodology and longitudinal database analysis.
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Communication: Exceptional presentation skills; ability to explain complex clinical and economic data to diverse audiences, from medical directors to actuarial teams.
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Strategic Thinking: Ability to report directly to cross-functional leadership and matrix organization to influence brand strategy from an early stage.
Key Capabilities
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Commitment to excellence: Take pride in your work and consistently strive for excellence in everything you do.
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Results-oriented: Driven to achieve goals and objectives, with a strong focus on delivering measurable results.
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Creativity and innovation: Possess a willingness to think outside the box and come up with unique and creative solutions to challenges.
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Strong communication skills: Able to communicate effectively with colleagues and stakeholders at all levels, using clear and concise language.
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Collaboration: Work effectively as part of a team, actively sharing knowledge and expertise to achieve common goals.
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Resilience: Demonstrate the ability to bounce back from setbacks and persevere in the face of challenges.
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Inclusive mindset: Demonstrate an understanding and appreciation for diversity, and actively work to create an inclusive environment where everyone feels valued and respected.
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Adaptability: Comfortable working in a dynamic environment, able to adjust to changing priorities, and willing to take on new challenges.
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Ethical behavior: Act with integrity and demonstrate a commitment to ethical behavior in all interactions with colleagues and stakeholders.
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Continuous learning: Show a commitment to ongoing learning and professional development, continually seeking out opportunities to expand your knowledge and skills.