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

Compensation

$175-$200 per hour

About the Role

A leading biotech and pharmaceutical research organization is conducting a paid expert-evaluation initiative focused on improving how AI systems analyze commercial drugs and drug-development programs. We are seeking an experienced Payer & Market Access Expert with strong knowledge of pricing, reimbursement, gross-to-net dynamics, rebates, and formulary strategy. You will help create and evaluate structured rubrics designed to assess whether AI-generated analyses accurately reflect real-world payer and market access practices. This is a paid pilot engagement with the potential for continued work as the program expands.

Key Responsibilities

• Create, review, and critique evaluation rubrics for analyzing commercial drugs and pharmaceutical development programs
• Establish and pressure-test gross-to-net assumptions, including rebates, discounts, and other pricing considerations across relevant drug classes
• Evaluate whether assumptions regarding formulary placement, coverage, utilization management, and payer behavior accurately reflect real-world market access practices
• Assess payer and reimbursement considerations across different therapeutic areas and drug classes
• Apply market access expertise consistently across the pilot's assigned portfolio of drugs and development programs
• Identify unrealistic, incomplete, or unsupported assumptions and provide clear recommendations for improving evaluation criteria
• Help ensure rubrics are practical, rigorous, and aligned with how experienced payer and market access professionals evaluate commercial opportunities

Core Qualifications

• 5+ years of professional experience in market access, pricing and reimbursement, managed markets, payer strategy, or a closely related field
• Currently based in the United States
• Hands-on understanding of gross-to-net modeling, rebates, discounts, formulary tiering, and payer coverage dynamics
• Familiarity with biotech and pharmaceutical drug-development programs and commercialization processes
• Strong understanding of how payer behavior varies across drug classes, therapeutic categories, and commercial situations
• Ability to critically evaluate assumptions and determine whether they are commercially realistic and supported by industry practice
• Strong analytical reasoning and attention to detail
• Excellent written communication skills, with the ability to clearly explain the rationale behind professional judgments
• Comfortable working independently and providing structured feedback within defined evaluation frameworks

Engagement Details

• Duration: Approximately 10-20 hours over a 1-2 week pilot
• Location: Fully remote, United States
• Engagement Type: Paid expert evaluation pilot
• Potential Extension: Strong contributors may have opportunities for recurring engagements as the program expands