Market Access Business Analyst

Job Title: Market Access Business Analyst

Location:Fosters City CA (Onsite OR Remote)

Job Type:FTE / C2C

Job Description:

We are seeking a highly motivated Business Analyst with strong Market Access domain expertise to support business initiatives across Pricing, Contracting, Government Programs, Rebates, Gross-to-Net (GTN), Managed Care, and Market Access Operations.

Primary Skills (Must Have)

• Market Access Domain Expertise : Strong understanding of the US Pharmaceutical Market Access ecosystem.
• Program Experience : Experience supporting Managed Care, Payer, PBM, Government Programs, and Specialty Pharmacy processes.
• Financial Calculations : Knowledge of Pricing, Contracting, Rebates, Chargebacks, and Gross-to-Net calculations.
• Program Compliance : Understanding of Commercial, Medicare, Medicaid, and 340B programs.
• Formulary Knowledge : Knowledge of formulary management and payer access dynamics.
• Sales Alignment : Familiarity with pharmaceutical sales and market access business functions.
• Business Analysis Skills : Requirement elicitation and stakeholder management.
• Process Design : Process mapping, workflow analysis, and gap assessment.
• Documentation : BRD, FRD, User Stories, and Acceptance Criteria preparation.
• Problem Solving : Strong analytical and problem-solving skills.
• Optimization : Business process improvement and optimization experience.

Soft Skills & Other Skills

• Communication Skills : Communicate effectively with internal and customer stakeholders.
• Communication Approach : Verbal, emails, and instant messages.
• Interpersonal Skills : Strong interpersonal skills to build and maintain productive relationships with team members.
• Feedback Delivery : Provide constructive feedback during code reviews and be open to receiving feedback on your own code.
• Problem-Solving : Capability to troubleshoot and resolve issues efficiently.
• Mindset : Analytical mindset.

(What You’ll Do)

• Business Requirements Management : Partner with Market Access stakeholders to understand business objectives, challenges, and opportunities.
• Prioritization : Gather, document, and prioritize business requirements for Market Access initiatives.
• Artifact Creation : Create BRDs, financial specifications, use cases, user stories, process maps, and business workflows.
• Alignment : Ensure business requirements are complete, traceable, and aligned with organizational goals.
• Market Access Process Analysis : Analyze current-state Market Access processes and identify optimization opportunities.
• Initiative Support : Support initiatives related to pricing, contracting, rebates, chargebacks, formulary management, and payer performance tracking.
• Impact Evaluation : Evaluate business impacts of process changes and technology enhancements.
• Solution Recommendation : Recommend solutions to improve operational efficiency and reporting accuracy.

What Success Looks Like (6?12 Months)

• Independence : Independently manage business analysis activities for assigned Market Access initiatives.
• Quality Documentation : Deliver high-quality requirements documentation with minimal rework.
• Testing Support : Successfully support testing and business validation activities.
• Risk Closure : Drive closure of requirement-related risks, issues, and dependencies.

Secondary Skills (Good to Have)

• Experience with Model N applications.
• Knowledge of Gross-to-Net forecasting processes.
• Experience working with Specialty Pharmacy and HUB Operations.
• Understanding of Patient Access and Patient Support Services.
• Experience supporting Government Pricing programs.