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 health plans, PBMs, Medicaid organizations, IDNs, ACOs, employer coalitions, and HTA bodies.

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

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

• Organize and conduct payer advisory boards and scientific forums; gather and act upon insights.

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

• Direct regional communications concerning efficacy, safety, comparative data, HEOR, quality of life, budget impact, epidemiology, and RWE.

• Create and sustain payer-facing scientific materials and evidence summaries.

• Translate complex evidence into scientifically relevant narratives for decision-making.

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

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

• Raise awareness of regional trends and strategic implications to Medical Affairs leadership and cross-functional governance.

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

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

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

• Manage workstreams for launch planning, payer evidence planning, advisory boards, congress strategy, and medical education.

• Mentor and coach colleagues.

• Inform resource distribution, manage assigned project budgets and external partners, and represent regional perspectives in US and global planning forums.

• Identify and prioritize payer-relevant evidence gaps.

• Collaborate on evidence plans, research questions, endpoints, and dissemination strategies.

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

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

• Ensure adherence to applicable laws, industry codes, company policies, and SOPs.

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

• Identify operational risks, drive continuous improvement, and fulfill required training and reporting obligations.

⛳️ Requirements

• An advanced clinical or scientific degree in a relevant discipline.

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

• Formal training or proven expertise in health economics, outcomes research, population health, managed care, epidemiology, or health policy is strongly preferred.

• In-depth knowledge of 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.

• Exceptional executive-level scientific communication, facilitation, and presentation skills.

• Ability to critically evaluate complex clinical and economic data, recognize limitations, and articulate implications for population health decisions.

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

• Demonstrated 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 situations.

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

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

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

• Willingness to travel overnight as business needs arise.

• Approximately 50-70% domestic travel required.

🏝️ 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.