Job Description

Governmental Affairs & Market Access Manager – Estonia

Diverse Minds. Bold Disruptors. Meaningful Impact.

AstraZeneca is a global, science-led, patient-focused biopharmaceutical company that focuses on the discovery, development and commercialization of prescription medicines for some of the world’s most serious disease. But we’re more than one of the world’s leading pharmaceutical companies.

It’s our patients that come first, every decision we make and action we take is centered around how we can better respond to their evolving needs, as well as those of healthcare professionals and partners. It’s why we are shaping patient care for the future, working along the whole experience to give hope to billions of lives across the world.

About The Role

The Governmental Affairs & Market Access Manager plays a pivotal role in shaping the external healthcare environment and securing optimal access to AstraZeneca’s portfolio in Estonia.

You will lead reimbursement and pricing strategies, engage with key political and payer stakeholders, and ensure patients gain timely access to innovative therapies. This role combines strategic thinking, stakeholder influence, and cross-functional collaboration

The position operates at country level (Estonia), with close collaboration across Baltic and regional teams.

Key Responsibilities

What you’ll do

Governmental affairs & policy engagement

• Monitor and analyse healthcare policy developments in Estonia
• Shape and influence the healthcare agenda through engagement with policymakers
• Build and maintain strong relationships with political stakeholders, authorities, and institution

Stakeholder engagement & negotiations

• Lead negotiations with Estonian payers and governmental bodies
• Represent AstraZeneca in pricing and reimbursement discussions
• Engage with healthcare decision-makers, industry associations, and external partners

Market access & reimbursement

• Develop and execute reimbursement strategies for AstraZeneca brands in Estonia
• Secure and maintain optimal pricing and reimbursement conditions
• Design pricing strategies and risk-sharing agreements with payers

Insights & strategy

• Map the payer landscape and generate competitive intelligence
• Gather insights on pricing, reimbursement, and policy trends
• Translate insights into actionable strategies across cross-functional teams

Cross-functional collaboration

• Partner closely with Medical, Commercial, Regulatory, and Health Economics teams
• Contribute to local and regional strategic initiatives
• Support market access planning for pipeline products

Governance & compliance

• Ensure all activities comply with local regulations and AstraZeneca standards
• Maintain high-quality documentation and adherence to internal processes

Essential

What you’ll bring

• Bachelor’s degree (or higher) in health economics, political science, economics, business, or related field
• Strong understanding of the Estonian healthcare system, reimbursement processes, and pharmaceutical market
• Experience in public policy, governmental affairs, or market access in healthcare/pharma
• Excellent communication and stakeholder engagement skills
• Fluency in Estonian and English
• Strong analytical and strategic thinking capabilities
• Ability to influence and collaborate across internal and external stakeholders

Desirable

• Experience in pharmaceutical market access or pricing roles
• Knowledge of health economics and outcomes research (HEOR)
• Previous experience working with payers or government institutions
• Project management experience

Salary range : 56,682.40 - 85,023.60 EUR Gross Annual

Why AstraZeneca?

At AstraZeneca we’re dedicated to being a phenomenal Place to Work. Where you are empowered to push the boundaries of science and fuel your entrepreneurial spirit. There’s no better place to make a difference to medicine, patients and society. An inclusive culture that champions diversity and collaboration, and always committed to lifelong learning, growth and development. We’re on an exciting journey to pioneer the future of healthcare.

AstraZeneca embraces diversity and equality of opportunity. We are committed to building an inclusive and diverse team representing all backgrounds, with as wide a range of perspectives as possible, and harnessing industry-leading skills. We believe that the more inclusive we are, the better our work will be. We welcome and consider applications to join our team from all qualified candidates, regardless of their characteristics. We comply with all applicable laws and regulations on inclusivity in employment (and recruitment), as well as work authorization and employment eligibility verification requirements.

Date Posted

03-Jul-2026

Closing Date

30-Jul-2026

AstraZeneca embraces diversity and equality of opportunity. We are committed to building an inclusive and diverse team representing all backgrounds, with as wide a range of perspectives as possible, and harnessing industry-leading skills. We believe that the more inclusive we are, the better our work will be. We welcome and consider applications to join our team from all qualified candidates, regardless of their characteristics. We comply with all applicable laws and regulations on non-discrimination in employment (and recruitment), as well as work authorization and employment eligibility verification requirements.