Regional Medical Director – Value and Access

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

📋 Description

• Create and implement a regional stakeholder engagement strategy that aligns with medical, evidence, and corporate objectives.

• Establish peer-to-peer scientific relationships with senior clinical and population-health leaders across health plans, PBMs, Medicaid organizations, IDNs, ACOs, employer coalitions, and HTA bodies.

• Act as the primary scientific contact for intricate payer and reimbursement inquiries.

• Facilitate balanced, non-promotional scientific discussions regarding disease state, clinical data, guidelines, safety, efficacy, comparative evidence, HEOR, RWE, and pipeline information.

• Organize and conduct payer advisory boards and scientific forums; capture and leverage insights.

• Represent Medical Affairs at regional and national payer meetings and external forums.

• Convey the comprehensive evidence, including efficacy, safety, comparative data, HEOR, quality of life, budget impact, epidemiology, and RWE.

• Develop and update payer-facing scientific materials and evidence summaries.

• Convert complex evidence into decision-relevant scientific narratives.

• Own the regional medical value plan and contribute to annual and lifecycle planning.

• Collect and synthesize insights on unmet needs, evidence expectations, coverage and policy changes, treatment paradigms, and competitive dynamics.

• Elevate regional trends and strategic implications to Medical Affairs leadership and cross-functional governance.

• Transform insights into recommendations for medical strategy, evidence generation, clinical development, publications, market access, and education.

• Define and track regional Medical objectives, KPIs, and impact.

• Provide regional leadership and strategic advice across cross-functional teams.

• Lead initiatives for launch planning, payer evidence planning, advisory boards, congress strategy, and medical education.

• Mentor and coach colleagues; potentially manage teams, vendors, budgets, or enterprise initiatives.

• Guide regional resource allocation, oversee assigned project budgets and external partners, and represent the regional perspective in US and global planning discussions.

• Identify and rank payer-relevant evidence gaps.

• Collaborate on evidence plans, research inquiries, endpoints, and dissemination.

• Direct payer research collaborations, pragmatic pilots, data partnerships, investigator-sponsored research, and RWE projects.

• Provide senior field input into protocol concepts, publication strategy, congress communications, and medical information resources.

• Assess emerging evidence and propose adjustments to regional strategy and engagement.

• Operate within applicable laws, industry codes, company policies, and SOPs.

• Maintain a clear distinction between scientific exchange and promotion.

• Document and manage insights, engagements, research collaborations, materials, and transfers of value.

• Identify operational risks, promote continuous improvement, and contribute to scalable field medical value processes.

• Complete mandatory training and reporting accurately and promptly.

⛳️ Requirements

• An advanced clinical or scientific degree in a related field.

• Over 10 years of progressive experience in Medical Affairs, payer medical engagement, Market Access, HEOR/RWE, clinical development, managed care, or a similar pharma/biotech role.

• Formal training or demonstrated expertise in health economics, outcomes research, population health, managed care, epidemiology, or health policy is highly desirable.

• Extensive knowledge in managed care, formulary and coverage decision-making, evidence-based medicine, clinical trial methodology, HEOR, outcomes research, epidemiology, and real-world evidence.

• Strategic capability to align external stakeholder needs with portfolio, evidence generation, access, and medical priorities.

• Executive-level skills in scientific communication, facilitation, and presentation.

• Proficiency in critically evaluating complex clinical and economic data, recognizing limitations, and articulating implications for population health decisions.

• Strong business and financial acumen, including prioritization, resource allocation, project planning, and impact assessment.

• Proven ability to influence in matrixed organizations and lead across functions, geographies, and levels without direct authority.

• Sound judgment in ambiguous, high-visibility, and compliance-sensitive environments.

• Exceptional coaching, mentoring, change leadership, and capability-building skills.

• Proficient in utilizing digital engagement, insight analytics, and customer relationship tools effectively.

• Ability to reside in or have practical access to the assigned region.

• Willingness to travel overnight as business needs dictate.

• Capability to support approximately 50–70% domestic travel.

🏝️ Benefits

• Annual bonus.

• Equity participation.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• Long-term disability insurance.

• Short-term disability insurance.

• Paid parental leave.

• 401K plan with company match.

• Unlimited vacation time.

• Tuition assistance.

• Employee Stock Purchase Program (ESPP).

• Flexible work arrangements.

• Employee-led Diversity, Inclusion, and Belonging (DIB) Committee.