Director, Market Access, Payer Accounts

This is a fully remote position, open to applicants in United States.

📋 Description

• Build, expand, and enhance relationships with health insurers, PBMs, other payers, and key decision makers and influencers impacting coverage and reimbursement decisions.

• Shape the decisions of key stakeholders, policies, guidelines, and contracts to ensure timely and suitable coverage, access, and reimbursement for drug candidates and approved products.

• Execute Brand access strategies, formulate account-specific plans, and assist in addressing access and reimbursement challenges.

• Collaborate with the Medical Affairs field team to support effective communication and comprehension of drug candidates and approved products with payers.

• Partner with the Patient Services team to facilitate the patient journey and resolve coverage concerns.

• Aid Regional Sales teams with pull- or sell-through strategies based on payer coverage.

• Establish and sustain relationships with Formulary, P&T, and Pathway leaders, Medical & Pharmacy Directors, and other population-based stakeholders.

• Co-develop account-level strategies, tools, and tactics to convey the product value proposition.

• Collaborate on pricing and contracting strategies, HEOR evidence generation plans, patient support programs, payer marketing initiatives, and account management strategies.

• Lead discussions with internal and external partners to align access, coverage, and reimbursement strategies.

• Promote a high-performance culture within the field team by fostering accountability, urgency, ethical behavior, and professional growth.

• Monitor trends in the healthcare industry, payer policies, reimbursement processes, and competitive activities.

• Provide strategic insights for decision-making, access strategies, and product launches.

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

• Manage multiple priorities and meet deadlines in a dynamic environment.

• Perform additional duties as assigned.

⛳️ Requirements

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

• At least 10+ years of experience in the biotech/pharmaceutical industry.

• A minimum of 5+ years of dedicated account management experience in the oncology access marketplace.

• Proven success in engaging with US payers, MACs, PBMs, and IDNs.

• Strong knowledge of the US healthcare payer/access landscape and regulatory environment.

• Excellent strategic thinking, leadership, negotiation, and relationship management abilities.

• Capability to work within cross-functional teams and drive complex projects to completion.

• Outstanding communication and presentation skills.

• Proven track record of achieving and maintaining compliance with relevant regulatory, legal, and operational standards.

• Willingness to travel as required to support business priorities.

🏝️ Benefits

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

• Travel support as needed for business priorities.