Director, Patient Experience & Reimbursement Analytics

The Director of Market Access Patient Experience and Reimbursement Analytics is an individual contributor role focused on analyzing and optimizing patient experience and reimbursement processes, particularly in specialty pharmacy and hub services analytics. This role requires a strong background in healthcare analytics, aiming to enhance patient access to therapies and improve overall patient experience through data-driven insights and collaboration with cross-functional teams

Job Description

• Lead the strategic vision for analytics across specialty pharmacy and hub services, ensuring alignment with overarching market access goals.

• Harness data and analytics to deeply understand the patient journey, identifying opportunities to enhance access to therapies and improve overall experience.

• Design and implement analytics frameworks to assess and enhance patient experience, including journey mapping, satisfaction metrics, and engagement strategies.

• Identify and address patient journey pain points through data-driven insights in partnership with key stakeholders.

• Develop analytic plans and define KPIs to monitor performance across patient access, hub operations, field reimbursement, and copay programs.

• Analyze reimbursement data to optimize therapy access, with a focus on specialty pharmacy and hub service performance.

• Create and manage dashboards and reporting tools to track reimbursement trends, surface barriers, and drive actionable solutions.

• Align reimbursement analytics with payer strategies and market dynamics in collaboration with Market Access and Strategy teams.

• Oversee analytics for specialty pharmacy operations, including adherence, patient support programs, and distribution efficiency.

• Drive hub service optimization initiatives, such as streamlining patient enrollment and benefits verification processes

• Collaborate with external vendors to improve data integration and enhance reporting capabilities.

• Partner with internal and field-based Patient Experience & Reimbursement teams to address business questions through exploratory data analysis.

• Support specialty pharmacy contracting and performance tracking through targeted data and reporting efforts.

• Coordinate with internal teams and data aggregators to ensure delivery of timely, actionable data to support patients and providers.

• Safeguard the accuracy and integrity of patient experience and reimbursement data.

• Lead the development of automated reporting solutions to streamline data access and support strategic decision-making.

• Communicate key insights and recommendations to senior leadership and cross-functional stakeholders

Qualifications/ Required

Knowledge/ Experience and Skills:

• 7+ years of experience in healthcare analytics, with a focus on patient services & reimbursement and/or specialty pharmacy.

• Strong expertise in statistical modeling, attribution modeling, and media effectiveness measurement.

• Proficiency in analytics tools such as Python, R, SAS, SQL, or data visualization platforms (Tableau, Power BI).

• Experience with US healthcare reimbursement processes, including specialty pharmacy and hub services.

• Ability to translate complex data insights into clear business recommendations

• Strong stakeholder management and presentation skills

Preferred:

• Experience in the pharmaceutical, biotech, or healthcare industry.

• Knowledge of advanced AI/ML techniques for marketing analytics.

• Familiarity with patient support programs and financial assistance processes.

• Knowledge of payer strategies and healthcare policy.

Educational Qualifications

Bachelor’s degree in a quantitative field (e.g., Economics, Statistics, Data Science, Business, Marketing Analytics).

Competencies
Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.
Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.
Empowered Development - Play an active role in professional development as a business imperative.

Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.

Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka.

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