Senior Manager, Obesity Coverage and Value Strategy

About the role

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Manager, Obesity Coverage and Value Strategy based in United States. This senior role owns the U.S. payer coverage and value strategy for obesity and related conditions, translating clinical, economic, patient, and market evidence into actionable access strategies. You will shape coverage objectives across commercial, Medicare, and Medicaid segments while helping reduce barriers to appropriate patient access. The position combines payer strategy, value communication, utilization-management analysis, and cross-functional leadership within a highly matrixed environment. You will work closely with Pricing, Contracting, HEOR, Medical, Patient Access, Brand, and field access teams to turn payer insights into practical strategies and tools. The role also provides an opportunity to influence launch planning, evidence priorities, payer communications, and customer-facing execution. Success will require strong strategic judgment, analytical ability, and the capacity to translate complex healthcare evidence into compelling, actionable recommendations.

Responsibilities

• Lead the integrated U.S. coverage strategy across commercial, Medicare, and Medicaid segments, including payer segmentation, access objectives, account priorities, and strategies to establish, improve, and protect coverage.
• Define desired coverage and utilization-management positions, including formulary tiering, prior authorization, step therapy, reauthorization, quantity limits, and clinical criteria, while assessing implications for patients and the business.
• Own prior-authorization and utilization-management analysis, including criteria benchmarking, documentation requirements, patient-flow implications, approval and denial patterns, renewal requirements, administrative friction, and alternative policy scenarios.
• Provide approved coverage, prior-authorization, step-therapy, and reauthorization assumptions to Pricing teams for gross-to-net and contract modeling, clearly communicating changes and areas of uncertainty.
• Partner with Pricing, Contracting, Insights, and field access teams to translate payer realities into coverage strategies, contracting objectives, pull-through plans, and escalation priorities.
• Lead the U.S. payer value story and customer-specific value communications, connecting clinical evidence, the burden of obesity and related conditions, health-economic evidence, patient experience, and affordability to payer decision-making.
• Develop, refresh, and govern payer-facing materials and field tools, including value dossiers, payer presentations, objection handlers, coverage resources, FAQs, training materials, and account-planning resources.
• Lead payer, employer, and market research to identify coverage barriers, evidence needs, benefit-management expectations, value messages, and evolving obesity-related policies, converting findings into prioritized actions.
• Collaborate with HEOR, Real World Evidence, Medical, and Global Value and Access teams on evidence priorities, payer objections, and evidence dissemination, while identifying gaps that could improve coverage or reduce utilization burden.
• Monitor coverage performance and access KPIs across segments and customers, using formulary, claims, field, and customer insights to diagnose barriers and mobilize partners around priority gaps.
• Shape value evidence and coverage implications for employer and consumer pathways when requested, while partnering with the relevant strategy leaders who retain ownership of those areas.
• Partner with Brand and Patient Access & Reimbursement teams on affordability and access education, patient and healthcare professional experiences, and operational handoff