Director, Payer Access – Cell Therapy

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

📋 Description

• Engage with designated regional and national payors to advocate for product value propositions, enhance quality coverage, and ensure proper coding and reimbursement.

• Cultivate business advocates within targeted hospitals, health systems, and large group practices.

• Verify that payer policies are in accordance with product labeling, NCCN Guidelines, and/or clinical trial criteria.

• Prepare the payer marketplace for forthcoming product indications by utilizing updated clinical data.

• Assist in the payer adjudication processes and facilitate provider access for Amtagvi.

• Address clinical requirements with providers and payers in alignment with corporate initiatives.

• Collaborate with hospitals, health systems, and large group practices to streamline financial processes and ensure timely patient access.

• Establish C-Suite relationships through FDAMA 114 at provider accounts, hospital ATCs, and community oncology groups.

• Work in partnership with IovanceCares Case Management and Field Sales to address access challenges.

• Monitor key metrics and maintain precise executive dashboards.

• Build and sustain relationships with regional and national commercial and government plans.

• Present scientific data, clinical practice objectives, guidelines, and expected economic outcomes.

• Develop and implement strategic action plans for key accounts.

• Coordinate advocacy requirements with pertinent Iovance teams.

• Attend significant customer conferences to enhance knowledge and foster relationships.

⛳️ Requirements

• A minimum of 12 years of relevant experience in payor or hospital reimbursement accounts within the healthcare sector.

• Established relationships with Commercial Payor Medical Directors, Medicare Advantage plans, Medicare MACs, FFS State Medicaid, and Managed Medicaid stakeholders.

• Strong analytical capabilities with a background in payor CRM, payor policy formulation, and data tracking tools.

• Proficient problem-solving skills and experience in managing multiple tasks simultaneously.

• Experience with cell or gene therapy products is highly preferred.

• Demonstrated leadership abilities and experience in a complex reimbursement landscape.

• Exceptional written and verbal communication skills.

• Familiarity with regulations and laws that govern patient-identifying information, OIG, FDA, and CMS access policies.

• High proficiency in Microsoft Excel, Word, and PowerPoint.

• Willingness to travel up to 75% based on business requirements.

• Commitment to adhering to Iovance Biotherapeutics core values, policies, procedures, and ethical standards.

• Bachelor’s Degree is required; a Master’s Degree is preferred.

🏝️ Benefits

• Reasonable accommodations may be provided to assist individuals in performing job functions.

• Equal-opportunity employer.

• Diverse and inclusive work environment.