Job Description
General Summary:
The Director, Deal Assessment — Payer leads payer and PBM deal assessment within US Market Access and delivers on contracting strategy across the Vertex portfolio. Reporting to the Senior Director of Account Analytics and Deal Assessment, this role turns account and financial analytics into strategic contracting decisions. The Director works directly with external accounts, plays a key role in negotiation preparation, execution, and strategy, and presents recommendations to senior leadership. This role will connect payer and PBM account decisions to portfolio net price strategy, bringing analytical rigor and clear strategic ownership to contracting opportunities.
Key Duties and Responsibilities:
Own payer and PBM account strategy, including the evaluation of opportunities, risks, and tradeoffs against portfolio net price objectives.
Lead end-to-end assessment of payer and PBM agreements, from pre-deal scenarios and negotiation preparation through post-deal performance analysis.
Direct financial modeling of contract terms, rebate structures, access outcomes, market-share scenarios, profitability, and short- and long-term business implications.
Engage directly with external accounts and partner with field account teams on negotiation strategy and execution.
Present account strategies, analyses, and recommendations alongside the account management team to senior leadership and governance forums.
Partner with Market Access Strategy, Finance, Gross-to-Net, Government Pricing, Legal, Contract Operations, Investor Relations, and field stakeholders to align decisions and advance agreements.
Maintain clear tracking of proposals, approvals, contract development, execution status, and performance; improve deal-assessment tools and processes.
Required Knowledge/Skills:
Deep knowledge of the pharmaceutical payer and PBM landscape, formulary access, reimbursement, and contracting approaches.
Advanced financial modeling and Excel skills, with the ability to translate complex findings into decisions.
Strong communication and influencing skills with senior leaders, external accounts, and cross-functional partners.
Ability to manage competing priorities and lead complex work through collaboration and analytical judgment.
Familiarity with PBM-GPOs, medical coverage policies, and traditional and innovative contracting approaches.
Knowledge of traditional and innovative pharmaceutical contracting approaches relevant to the role.
Ability to foster relationships, build alignment, and collaborate with home-office and field teams to develop key assumptions and deliver actionable financial insights.
Ability to manage multiple concurrent projects and maintain awareness of related workstreams.
Required Experience and Qualifications :
Bachelor’s degree in a relevant field, or an equivalent combination of education and experience.
8 - 10 years of relevant experience, including at least 7 years in payer analytics, pricing, contracting, Gross-to-Net, market access finance, or a related discipline.
Experience using relevant payer and managed-markets data sources to support contracting recommendations.
Relevant experience in strategic pricing, payer/provider contracting, HEOR, and/or Gross-to-Net analytics within the pharmaceutical or healthcare insurance industry.
Progressive business experience in Finance, Pricing, Payer Account Management, Government Pricing, Contracting Analytics, or another related area.
Proficiency in business case development and persuasive communication, including presenting recommendations to senior leadership for approval.
Demonstrated ability to manage large datasets, use advanced spreadsheet functions, and collaborate with analytics vendors to deliver actionable information.
Knowledge of pharmaceutical and managed-markets data sources, as relevant to the role, including 867, 852, EX-Factory, IQVIA DDD and patient claims, Symphony Health, IntegriChain, chargebacks, MMIT, and DRG Managed…