Healthcare Payer Lead

Job description

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.

Key Responsibilities

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

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

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. We believe it’s urgent to deliver medical solutions right now – even as we develop innovations for the future. We are passionate about transforming patients’ lives. We are courageous in both decision and action. And we believe that good business means a better world. That is why we come to work each day. We commit ourselves to scientific rigor, unassailable ethics, and access to medical innovations for all. We do this today to build a better tomorrow. We are proud of who we are, what we do, and how we do it. We are many, working as one across functions, across companies, and across the world. We are Roche.

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.

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Worksite address

indianapolis, IN, 46262, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.