National Payer Manager

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

📋 Description

• Establish and maintain positive coverage and reimbursement for Telix products within both commercial and government payer sectors by fostering robust relationships with key decision-makers such as medical directors, policy analysts, case managers, and payer influencers.

• Effectively communicate and showcase Telix's value proposition to broaden access to products and indications, ensuring alignment with changing payer expectations, clinical evidence, and economic justification.

• Build and enhance collaborations with State Societies, professional organizations, and regional advocacy groups to further Telix's reimbursement goals and influence policy formation.

• Partner with CMS, national accounts, regional payers, and RBMs to formulate coordinated payer engagement strategies and proactively tackle coverage, coding, and reimbursement challenges or opportunities.

• Provide timely updates on the payer landscape to internal stakeholders, including Market Access, Commercial, Medical Affairs, and Executive Leadership, to aid in strategic decision-making and execution planning.

• Offer clear, data-driven insights related to payers to external partners, ensuring consistent communication about policy changes, coverage trends, and access implications.

• Evaluate historical payer performance and competitive policy environments, providing advice on access strategies, forecasting reimbursement risks or opportunities, and informing life-cycle management plans.

• Track and report on emerging payer trends that could influence current and future Telix products, ensuring that internal teams are well-informed and ready for changes in coverage, pricing, and reimbursement structures.

• Educate and empower Market Access teams regarding payer systems, policy considerations, and reimbursement impacts to improve customer interactions and the execution of regional strategies.

• Facilitate cross-functional discussions on payer strategy, working closely with Commercial, Medical Affairs, Finance, HEOR, and other internal stakeholders to align on market access objectives and execution pathways.

⛳️ Requirements

• A Bachelor’s degree in business or healthcare administration, or equivalent professional experience.

• A minimum of 3 years of experience in payer interactions to secure coverage for new products.

• Familiarity with CMS related to specialty medical benefits drugs, ideally in the realm of radiopharmaceutical diagnostic and therapeutic offerings.

• Demonstrated experience in communication with government and commercial payers.

• Proficient in analyzing healthcare data.

• Proven understanding of the U.S. reimbursement structure.

🏝️ Benefits

• Competitive salaries

• Annual performance-based bonuses

• Equity-based incentive program

• Generous vacation

• Paid wellness days

• Support for learning and development