Director, Market Access, Payer Accounts

This is a fully remote position, open to applicants in Connecticut, +8 more states.

📋 Description

• Establish, expand, and strengthen relationships with health insurers, PBMs, other payers, and key decision-makers.

• Oversee selected national and sub-national payer accounts, including Evernorth/Cigna, Highmark, UPMC, Horizon, CareFirst, BCBS MI, BCBS MA, MACs, and FFS Medicaid.

• Influence policies, guidelines, and contracts to enhance coverage, access, and reimbursement.

• Execute brand access strategies and formulate account-specific plans.

• Address access and reimbursement challenges.

• Collaborate with Medical Affairs, Patient Services, and Regional Sales teams.

• Forge connections with Formulary, P&T, Pathway, Medical, and Pharmacy leaders.

• Co-develop account strategies, tools, and tactics; work together on pricing, contracting, HEOR evidence, patient support, payer marketing, and account management.

• Lead discussions, both internally and externally, on access, coverage, and reimbursement strategies.

• Promote accountability, urgency, ethical conduct, and professional growth within the field team.

• Track healthcare trends, payer policies, reimbursement processes, and competitive activities.

• Ensure that Market Access initiatives adhere to legal, regulatory, and ethical standards.

• Manage multiple priorities and adhere to deadlines.

• Carry out other assigned duties.

⛳️ Requirements

• Bachelor’s degree in business, healthcare, or a related discipline; advanced degree preferred.

• A minimum of 10+ years of experience in the biotech/pharmaceutical sector.

• At least 5+ years of dedicated account management experience within the oncology access marketplace.

• Proven track record of engaging with US payers, MACs, PBMs, and IDNs.

• Strong grasp of the US healthcare payer/access landscape and regulatory framework.

• Exceptional skills in strategic thinking, leadership, negotiation, and relationship management.

• Capability to collaborate on cross-functional teams and drive complex projects to successful completion.

• Outstanding communication and presentation abilities.

• Proven success in achieving and maintaining compliance with all relevant regulatory, legal, and operational guidelines.

• Willingness to travel to support business priorities as necessary.

🏝️ Benefits

• Bonus, stock, benefits, and/or other applicable variable compensation may be included in the total compensation package.

• Equal Opportunity Employer.