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Job description
At Roche you can show up as yourself, embraced for the unique qualities you bring. Our culture encourages personal expression, open dialogue, and genuine connections, where you are valued, accepted and respected for who you are, allowing you to thrive both personally and professionally. This is how we aim to prevent, stop and cure diseases and ensure everyone has access to healthcare today and for generations to come. Join Roche, where every voice matters.
The Position
Healthcare Payer Lead
At Roche Diagnostics, we are transforming diagnostics into an intelligent, data-driven system of care, powered by AI and digital solutions. To succeed, our products must not only demonstrate clinical value but also fit into real-world healthcare economics, reimbursement logic, and payer decision-making frameworks.
The Opportunity
Transform the economics of healthcare!
The Healthcare Payer Lead ensures that our digital and AI-enabled solutions are designed with a deep understanding of payer systems, economic incentives, and value-based care models—with a particular focus on the United States and scalability across global markets.
Reporting to the Chapter Lead for Clinical Design, the Healthcare Payer Lead will:
Build and disseminate deep understanding of the healthcare payer landscape, including value-based care and reimbursement dynamics
Assess and articulate payer value created by clinician use of our solutions, translating it into evidence, value propositions, and monetization pathways
Shape reimbursement and market access strategies by aligning clinical outcomes, economic value, and real-world adoption in collaboration with the market access & GTM teams
Engage and cultivate strategic relationships with payers and external stakeholders to inform product, evidence, and go-to-market strategies
Integrate payer perspectives into product development, clinical strategy, and cross-functional decision-making across global and local teams
Key responsibilities:
Payer Knowledge & Thought Leadership
Drive initiatives to deepen organizational knowledge of healthcare payers, value-based healthcare, and hospital economics
Represent and disseminate payer-related insights across internal stakeholders
Support development of payer-relevant marketing and thought leadership materials
Payer Engagement & Market Insight
Build and maintain strategic relationships with healthcare payers, payviders, and external stakeholders
Engage with the healthcare system to assess payer needs, priorities, and evolving payment models
Lead and/or support advisory boards and payer-focused engagements
Value Articulation & Evidence Translation
Assess and articulate the payer value generated through clinician use of our products (e.g., outcomes, cost, utilization)
Translate product and clinical capabilities into payer-relevant value propositions and evidence requirements
Provide iterative feedback during product development to strengthen payer value
Reimbursement & Market Access Support
Inform evidence and value requirements for reimbursement and coverage decisions
Contribute payer insights to emerging payment and coverage models
Support the development of scalable reimbursement pathways and monetization strategies across markets
Partner with GTM, Market Access, and Policy teams to align on access strategies
Clinical Strategy & Cross-functional Integration
Contribute to and help shape clinical strategies with a payer and health economics perspective
Translate clinical challenges and customer pain points into payer-relevant value opportunities
Collaborate with product, medical, UX, and evidence generation teams to embed payer perspectives into solution design and validation
Support alignment between global and regional teams to ensure consistent payer-relevant positioning and knowledge exchange
Who You Are
Educational requirements:
Bachelor’s degree + 7 years relevant experience or
Master’s degree + 5 years relevant experience or
Doctorate + 3 years relevant experience
Extensive experience working within a healthcare payer, payvider, or healthcare system organization
Experience in the health & life sciences industry
Strong customer orientation and deep understanding of healthcare payers and payviders across global markets, including the U.S
Strong understanding of reimbursement models and market trends (VBHC, FFS, capitation, public vs. private), as well as healthcare IT (e.g., remote patient monitoring, clinical decision support, workflow solutions)
Ability to quantify and articulate payer value, including impact on cost, utilization, and clinical outcomes
Ability to translate clinical and product capabilities into payer-relevant evidence and economic value propositions (HEOR mindset)
Experience in shaping or enabling reimbursement pathways and value-based payment models for digital or clinical solutions
Ability to translate healthcare payer considerations into technical and product requirements
Ability to flex and thrive in an ambiguous environment
Effective in collaborating with internal and external stakeholders across functions
Experienced in engaging with hospital and payer C-suite stakeholders
Strong communication and presentation skills, with the ability to synthesize complex topics into clear decision points
Strong business acumen, with a solid understanding of industry dynamics, competitors, and market forces
Ability to manage multiple priorities effectively and efficiently
Strong interpersonal, influencing, and negotiation skills; able to build trust quickly and drive outcomes without formal authority
Preferred:
Experience with reimbursement, coverage, or value-based payment models
Experience with digital health, AI-enabled solutions, or healthcare software products
Experience working cross-functionally with product, clinical, or commercial teams
Experience with the U.S. healthcare system
Experience in healthcare IT
Qualifications related to agile methodologies and/or project management
The expected salary range for this position based on the primary location of Indianapolis, IN is between $148,800 - $276,300. Actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors permitted by law. A discretionary annual bonus may be available based on individual and Company performance. This position also qualifies for the benefits detailed at the link provided below.
Benefits
Relocation benefits are not available for this job posting.
Who we are
A healthier future drives us to innovate. Together, more than 100'000 employees across the globe are dedicated to advance science, ensuring everyone has access to healthcare today and for generations to come. Our efforts result in more than 26 million people treated with our medicines and over 30 billion tests conducted using our Diagnostics products. We empower each other to explore new possibilities, foster creativity, and keep our ambitions high, so we can deliver life-changing healthcare solutions that make a global impact.
Let’s build a healthier future, together.
Roche is an equal opportunity employer. It is our policy and practice to employ, promote, and otherwise treat any and all employees and applicants on the basis of merit, qualifications, and competence. The company's policy prohibits unlawful discrimination, including but not limited to, discrimination on the basis of Protected Veteran status, individuals with disabilities status, and consistent with all federal, state, or local laws.
If you have a disability and need an accommodation in relation to the online application process, please contact us by completing this form Accommodations for Applicants.
Roche is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.
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Worksite address
indianapolis, IN, 46262, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.